Ensuring hospital revenue integrity requires three operational pillars—clinical coding, CDI, and physician education, according to Kalispell (Montana) Regional Medical Center’s (KRMC), director of CDI services and ICD-10 project manager Christine Seager, RN, BSN, CCDS.
Q: Is it appropriate to code the type of congestive heart failure (CHF) based on the echocardiogram (echo) results? Coding Clinic, Third Quarter, 2014, p. 5, discusses the use of imaging reports for increased specificity. It states that it is appropriate to use imaging...Read More »
The American Medical Association (AMA) and the International Health Terminology Standards Development Organization (IHTSDO) announced a new collaborative agreement to coordinate on the design and development of their respective coding and terminology products, according to an October 28...Read More »
Q: I have a question about coding a medically-induced coma, for example, a patient on a Precedex drip for alcohol withdrawal, supported with mechanical ventilation, and intensive nursing care.Read More »
Q: A patient with aspiration pneumonia and acute respiratory failure received treatment for chronic obstructive pulmonary disease (COPD), according to the physician documentation but there isn’t any documentation for clinical indicators for COPD. Should we be clarifying for this...Read More »
The Cooperating Parties made revisions to the 2017 ICD-10-CM Official Guidelines for Coding and Reporting to explain how bilateral conditions should be reported when the two sides are treated during separate encounters, as well as what codes would be appropriate once one side has been...Read More »