The Kidney Disease Improving Global Outcomes (KDIGO) criteria defines acute kidney injury (AKI) as any of the following: “Increased creatinine level greater than or equal to 1.5 times the baseline (historical or measured), which is known or presumed to have occurred within the prior seven days...Read More »
I am getting mixed information regarding uncertain diagnoses and if they have to be documented at the time of discharge (and if so, what does the “time of discharge” mean), or if the uncertain diagnoses have to be in the discharge summary. Can you please help clarify?Read More »
by Howard Rodenberg, MD, MPH, CCDS, and Lynn Shay, CPHQ
If you’re like us, the COVID-19 era has played havoc with your usual CDI metrics. Much of the difficulty is the sheer randomness of what the data shows. What does it mean if patient volumes are down, but case-mix index (CMI)...Read More »
Because every chart is coded before being sent to payers, it’s important that CDI specialists have a working knowledge of code sets and coding rules. The...Read More »
by Howard Rodenberg, MD, MPH, CCDS
I have a great affection for the 2000-Year-Old Man. A creation of classic comedians Mel Brooks and Carl Reiner, this mythical sage from another time dispenses wisdom on all things historical. From him, I’ve learned that most language developed...Read More »
Editor's note: An earlier version of this article cited information about Glasgow Coma Scale score coding that has since been removed as it no longer represents current coding guidance.
by Sarah Nehring, CCS, CCDS, RHIT
Strokes are complicated,...Read More »
Amid the many recent COVID-19 coding updates, it may have been easy to overlook Medicare’s new COVID-19 treatments add-on payment (NCTAP). The NCTAP is applied in addition to the MS-DRG payment for inpatient cases.
The ACDIS Regulatory Committee has released insight for the NCTAP for use...Read More »
