Clinical & Coding

The top diagnoses leading to clinical validation queries tend to follow a pattern, and it’s likely one that will come as no surprise to even newer...Read More »

CMS has issued frequently asked questions and answers (FAQs) for healthcare providers regarding Medicare payment for laboratory tests and other...Read More »

I’ve always thought that, as long as the clinical indicators support the condition you’re querying for, providing all the options for the specific...Read More »

Cigna announced in its first quarter 2020 Network News that it will be adopting Sepsis-3 criteria. The news item says that the change will take...Read More »

The CDC released official diagnosis coding guidance for encounters and deaths related to the 2019 novel coronavirus (COVID-19), effective February...Read More »

by Amy Sanderson, MD
Pulmonary hypertension (PH) is a complex, progressive disease that affects both children and adults, and leads...Read More »

by Sarah Nehring, CCS, CCDS
In my experience, some of the largest disconnects between provider and coder thinking occur when it...Read More »

In recent years, clinical validation has become a prevalent topic in the CDI field. According to Elizabeth Aguirre, MD, CCDS, CDI...Read More »

The largest sepsis study ever conducted with Medicare data found a 40% increase in the rate of Medicare beneficiaries hospitalized with the...Read More »