Q:I can’t distinguish between “code first” and “in diseases classified elsewhere.” Both are used with manifestations and both can’t be sequenced as principal diagnosis, and both need etiology codes so what is the difference?
Productivity decreases post-ICD-10 implementation has been a major concern for CDI specialists, coders, and providers alike. However, a recent survey from consulting service, Navicure, found that relatively few respondents have seen a significant decrease in productivity. Read More »
The 2016 ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice call on CDI or coding pro- fessionals to query physicians if the documentation:
Describes or is associated with clinical indicators without a definitive relationship to an underlying diagnosis
Editor’s note: ACDIS Advisory Board members Paul Evans, RHIA, CCDS, CCS, CCS-P, and Judy Schade, RN, MSN, CCM, CCDS, in conjunction with former ACDIS Advisory Board member and HCPro Director of HIM/Coding Shannon McCall, RHIA, CCS, CCS-P...Read More »
The last few weeks have been mind-spinning. First and foremost, the 2017 inpatient prospective payment system (IPPS) final rule, which includes Medicare payment system changes, coding changes, and MS-DRG shifts, was...Read More »
The Third International Consensus Definitions for Sepsis and Sep- tic Shock published new clinical guidelines for diagnosing sepsis, dubbed Sepsis-3, earlier this year in the Journal of the American Medical Association (JAMA).
Although CMS chose not to adopt the new criteria in a...Read More »
The world didn’t end on October 1, 2015. After years of postponement, the proverbial “deal with the devil” made between CMS and the AMA to push ahead with ICD-10-CM/PCS implementation was a year’s grace period during which...Read More »
Clinical documentation improvement (CDI) specialists and case managers share a common goal but often are not on the same page when it comes to improving documentation within the hospital, says Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS, director of enterprise solutions for Zirmed, in...Read More »
