Providence St. Peter Hospital in Olympia, Washington, has had a successful inpatient CDI program for seven years. In spring 2014, the facility, which encompasses 32 clinics and two acute care hospitals, began discussing CDI in the ambulatory setting, says...Read More »
Q: I am looking for additional clarification regarding the recent AHA Coding Clinic for ICD-10-CM/PCS concerning diabetes and the use of the word “with.” While the examples often used in Coding Clinic are specific, the actual...Read More »
Call me unorthodox, but let’s start at the back of the latest edition of the American Hospital Association (AHA)’s Coding Clinic for ICD-10-CM/PCS for this review. Here, on pp. 36–37, we have the clarifications, including some potentially confusing—and possibly conflicting—information...Read More »
I have previously addressed the issue of auditor denials. However, given the industry changes I have witnessed in the last 12–18 months, it is time to revisit this problem. And, per communications with colleagues in the CDI world, I suspect the same...Read More »
When Dee Banet, RN, MSN, CCDS, CDIP, and her CDI team sent out a claim for a surgical patient with body mass index (BMI) greater than 40 with morbid obesity as a secondary diagnosis, they did not expect the claim to be denied; after all they...Read More »
For the past few years, healthcare professionals have focused on ICD-10 preparation. That prep work paid off—the transition has been largely successful. But facilities are experiencing a few bumps as their focus shifts from preparation to improvement of clinical documentation and coding. We...Read More »
No one thought ICD-10 implementation was going to be easy, but after a few months of working with the new code set, 19% called their implementation process just that—easy. Another 73% said implementation was only moderately challenging, and just a handful called it “difficult,” according to an...Read More »
by Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS
Some interesting tidbits of information can be gleaned from the most recent release of AHA Coding Clinic for ICD- 10-CM/PCS to help coders as they work in the new code set. I never thought I’d be so eager...Read More »