Quadriplegia is a very familiar condition that would never go unnoticed and undocumented in the medical record. The causes are typically catastrophic damage to the upper spinal cord due to trauma, vascular injury, or neoplasm...Read More »
As CDI programs move deeper into the post-implementation world, staff are identifying those changes that are having the greatest effect on DRG assignments, and those they are struggling with. Here are a few documentation issues that stand out.Read More »
ICD-10-CM/PCS brought some new challenges in coding neonatal records. The term “newborn” has replaced the term “fetus or newborn” in the ICD- 10-CM code set. This change ensures that these codes will only be used on the neonate’s...Read More »
The AHA’s Coding Clinic for ICD- 10-CM/PCS, Third Quarter 2015, opens with a discussion of the differences between excisional and non-excisional debridement—diagnoses with a long history of causing coding and clinical documentation...Read More »
Editor’s Note: Let’s call this week’s guest post from “a ghost of ACDIS’ past.” Those who’ve worked in the profession for some time will no doubt remember with some fondness the teachings of founding ACDIS Advisory Board member Robert S. Gold, MD, who sadly passed away in...Read More »
Note: This post is part four of four, excerpted from an article originally published in JustCoding. Read the first installment published on November 15. ...Read More »
Note: This post is part three of four, excerpted from an article originally published in JustCoding. Read the first installment published on November 15. ...Read More »
This October celebrates the eight month anniversary of the February release of the intellectually stimulating, yet controversial, third international consensus ...Read More »
