Q: What are the ramifications of leading queries? Who is monitoring whether a query is leading?
A: I am unaware of any organization or agency routinely monitoring physician queries. However, regular query review for compliance with existing industry guidelines, reflection of appropriate...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
CDI is an ever-changing and ever-evolving profession. The following is a sample job description and representation of skills required of the “new” CDI specialist; a staff member who can respond to the transformation of...Read More »
A bill, introduced October 16, aims to curtail the proliferation of healthcare audits and medical requests and improve results of Medicare audit programs. Introduced to the House by Representatives Sam Graves (R-MO) and Adam...Read More »
Hospitals stand to lose about $1.2 million in annual reimbursement revenue for each 1% drop in its surgical complication rates, according to a recent study published in the October edition of ...Read More »
A clear understanding of the definition of principal diagnosis and the factors that play into principal diagnosis selection is extremely important, although oftentimes confusing. The definition of principal diagnosis is the diagnosis that is established after study to be the chief reason...Read More »
Q: I have heard that there is an AHA Coding Clinic for ICD-9-CM, which states that the exacerbation of cystic fibrosis (CF) should always be listed first. Should we be querying for the specific pulmonary exacerbation of the cystic fibrosis?Read More »
