Clinical & Coding

Can we use the phrase “no clinical indicators identified” on a clinical validation query?Read More »

During the March 9, 2022, meeting for the CMS Coordination and Maintenance Committee (C&M) meeting, two proposals from the ACDIS Regulatory...Read More »

1. Is there a list or guidelines for what terminology is considered adequate to establish a link between two conditions, similar to
...Read More »

What clinical information can be used to support the reported diagnosis of severe malnutrition and how would this be coded in ICD-10-CM?Read More »

by Lori Drodge, RHIT, CCS

The importance of knowledge sharing cannot be underestimated especially during this budget-infringing...Read More »

We do many queries for malnutrition and are looking for a better way to get this essential diagnosis into the medical record without a query. I...Read More »

by Steven L. Griffin, DNP, RN, CCM, CCDS
Modern American medicine is a prime example of a profession that has tremendously...Read More »

We have a somewhat confusing scenario in our organization whereby the CDI team might have an open query and a coder then queries a different...Read More »

An audit performed by the Office of Inspector General (OIG) of Tufts Health Plan,...Read More »

The World Health Organization (WHO) officially released ICD-10 2022,...Read More »