Q: What is difference between the severity of illness (SOI)/risk of mortality (ROM) in the APR-DRG arena? For example, DRG 280 with APR 190, 4/4, and the individual code SOI/ROM.
Let’s say you have a patient with a ST-...Read More »
Like all reporting structures, CMS updates its Hierarchical Condition Category (HCC) list each year. Recently, version 23 was released, and it contains some notable additions that CDI professionals—whether inpatient or outpatient—should be aware of.Read More »
by Richard Pinson, MD, FACP, CCS and Cynthia Tang, RHIA, CCS
The clinical world now has a new set of criteria for malnutrition, thanks to representatives from the American Society for Parenteral and Enteral Nutrition (ASPEN), the European Society for Clinical Nutrition and...Read More »
Q: Our coders often select the principal diagnosis based on how invasive the testing is. For example, a patient comes in with vertigo and hematemesis. For the vertigo, the physician orders a brain CT, IV medications, and an ear, nose, and throat consult. The patient is diagnosed...Read More »
by Cesar M. Limjoco, MD
Sepsis has been defined as a toxic response to infection. Sepsis-1 and Sepsis-2 defined it as a systemic inflammatory response to infection. Sepsis-3 now defines it as life-threatening organ dysfunction caused by a dysregulated host response to infection....Read More »
Rules governing code assignment often don’t make sense to those coming to CDI from the clinical side of the house. In truth, they often confound professionals with years of HIM/coding experience, too. And most CDI and coding professionals have a list of frustrations when it comes to translating...Read More »
by Sharme Brodie, RN, CCDS
I’m glad I’m not the only one who sometimes has a problem determining the proper codes and their proper sequence. I also must not be the only person out there who has questions about coding diabetes, it turns out, because the Third Quarter 2018 edition...Read More »
