Clinical & Coding

Documentation is central to accurate coding and reimbursement. It justifies treatment, supports the diagnosis, and captures patient severity and...Read More »

Q: Some of our physicians have started documenting “aspiration without pneumonia.” When I questioned one of them about it...Read More »

by Linda Renee Brown, RN, MA, CCDS, CCS, CDIP

Many CDI specialists don’t spend a lot of time working with obstetric (OB) records,...Read More »

Attached is a supplement to the April 2011 issue of CDI Journal. It provides important updates every CDI specialist should know regarding...Read More »

By Linda Renee Brown, RN, CCRN, CCDS, MA

Q: I am having trouble grasping the concept of “marrying” DRGs. Can you explain what this means and how it affects CDI practice?...Read More »

by Michele D. Johnson RN, BSN

The length of stay (LOS) for coronary artery bypass graft patients and valve replacement patients at...Read More »

Q: How do you know when a condition has a complication comorbidity (CC) or major CC (MCC) designation?

...Read More »

Q: I was wondering what supporting evidence there is for the recommendation to go ahead and link hypertension (HTN) with...Read More »

Q: Recently I have discussed the BMI and...Read More »