I attended nursing school at a four-year university that included classes in nursing history and continuum of care. Both courses required review of diversification in healthcare. Since the dawn of modern nursing, there have been controversies...Read More »
Editor’s note: “ACDIS Radio” is a biweekly free webinar featuring ACDIS Director Brian Murphy with case study presentations and interviews with some of the CDI industry’s most cutting-edge practitioners. Tune in every other Wednesday at 11:30 a.m. ET. Register at...Read More »
Q: What should we do about the documentation of “acute pulmonary insufficiency?” What indicators are you using for this in comparison to querying for acute respiratory failure? Acute pulmonary insufficiency is an MCC following surgery but it is also a potential patient safety indicator (...Read More »
Now that you’ve finally mastered coding compliance with DRGs and quality measures, now it is time to learn the new risk-adjustment method, Hierarchical Condition Categories (HCC).
HCCs are to physicians what DRGs are to hospitals and, as...Read More »
Q: What clinical documentation is acceptable to pull Hierarchical Condition Category (HCC) information from for reporting purposes? Would you code from history of present illness, past medical history, active problem list, or the assessment?
What’s a physician’s favorite radio station? When it comes to coding compliance and revenue cycle management of their practices, WII-FM, What’s In It For Me, is what physicians listen to.
Physician salaries have traditionally...Read More »
Q: If the attending documented, “likely mixed cardiogenic and septic shock,” can I assign codes R57.0 and R65.21?
A: Refer to the documentation within the code book. If you open the book to the R57 code grouping (Shock not elsewhere classified) listed...Read More »
