I was wondering if anyone had experience with denials from commercial payers that goes beyond the third level of appeals. We are getting response...Read More »
Does anyone review inpatient psyche as part of their workflow? We are being asked to explore this and have done a small sample of reviews. We are...Read More »
I have a patient admitted with COVID-19 pneumonia and acute on chronic respiratory failure with hypoxia. The patient denied any chest pain....Read More »
What are your thoughts on mentoring or allowing outside individuals to job shadow CDI staff at your facility? We were recently approached by a...Read More »
I recently had a case where the documented diagnoses were “paraneoplastic syndrome and possible encephalitis with references to both limbic...Read More »
Have you seen reluctance in physicians wanting to respond to queries related to outcome measures? Certain practitioners seem to avoid mentioning...Read More »
Recently, the patient had a two-day length of stay (LOS) on telemetry, no cardiac related symptoms or complaints, no EKG, no troponins, no...Read More »
If a patient is admitted with a gastrointestinal bleed (self-limiting, no treatment/procedures performed or medication changes) within four weeks...Read More »
I’m having trouble determining how I would code an acute myocardial infarction (MI) for subsequent admissions occurring within four weeks of the...Read More »