by James S. Kennedy, MD, CCS, CDIP, CCDS
CMS plans to announce a complete revision of the CC/MCC structure in next year’s proposed fiscal year (FY) 2019 inpatient prospective payment system (IPPS) rule. CMS notes that over the past several years, there has been a steady increase...Read More »
CMS approved Performant, the Recovery Audit Contractor (RAC) for Region 1, to begin review activity as of Friday, March 10, according to the RAC Monitor. Read More »
Q: A patient was admitted to the emergency department (ED) via ambulance. The emergency medical technician (EMT) noted that the patient was in full cardiac arrest, with ventricular tachycardia (VT). The EMTs shocked the patient via defibrillator en route to hospital. What would we assign...Read More »
Under documentation. That’s the biggest concern when it comes to acute respiratory failure diagnoses, according to 42% of respondents to a poll during the February 8 episode of ACDIS Radio. A slight...Read More »
Despite the fact that sepsis is one of the deadliest and costly medical conditions for hospitals, doctors frequently fail to properly document this immune system response to infection that kills more than 250,000 Americans each year,...Read More »
Q: I work at a pediatric hospital and am wondering if a newly diagnosed diabetic patient should also have malnutrition coded separately. While the dietician sees these patients routinely, the head of endocrinology explained she hasn’t been documenting the level of malnutrition because it...Read More »
CDI specialists depend on clinical indicators to support queries. Hospitals and physicians need clinical indicators to support the validity of documented diagnoses.Read More »
