Q:We recently had a patient who was admitted with sepsis POA and a UTI. When the chart was coded, UTI was listed as the principal diagnosis. I was under the impression that when sepsis is POA, it should always be coded as the...Read More »
While the CDI Week Committee and ACDIS administration work hard to develop activity suggestions and materials to help you celebrate, we also want to hear what you’re planning at your organization.Read More »
There are few things more frustrating than the “organ system” approach to medical record documentation. Unfortunately, coders cannot code “acute respiratory failure” if all the physician writes is “respiratory system, continue on...Read More »
I’ve never met an experienced coder who wasn’t told at one point or another that they “coded a record wrong.” Usually, by someone with no coding education or experience, typically because he/she doesn’t like the outcome(s) of the...Read More »
An overhaul of the newly coined Promoting Interoperability Programs (PIP, formerly known as the Electronic Health Record Incentive Programs), significant reductions to reporting requirements for quality initiatives, updates to payment rates, and changes CC/MCC designations for some conditions,...Read More »