Hospital patients discharged after severe SARS-CoV-2 infection followed one of three cognitive trajectories, according to a study published in Alzheimer's & Dementia. In observing 946 severe COVID-...Read More »
Q: A four-year-old managing lissencephaly, hypotonia, and dysphagia with aspiration of secretions presents with fever and tachypnea. A chest x-ray shows right lower lobe infiltrates. Would it be appropriate to query the provider to confirm a diagnosis of pneumonia?...Read More »
In a new survey commissioned by the American Health Management Association (AHIMA), data showed that nearly 80% of healthcare organizations are collecting data on social determinants of health (SDOH), or non-clinical...Read More »
Q: For those patients who are flagging due to a procedure unrelated to the first, what do you do with those? If the issue is found during the surgery and taken care of, they don’t require a trip back to the operating room, but the patient then needs an NG tube to drain their stomach...Read More »
Q: The word "with” is interpreted to mean "associated with " or “due to" per the Official Guidelines for Coding and Reporting. Although "with" can link two diagnoses, it does not represent a cause-and-effect relationship. But we also need to use direct linking with wording such as "...Read More »
by Alba Kuqi, MD, MSHIM, CDIP, CCS, CCDS, CRCR, CICA, CSMC, RHIA, CCM
CDI plays a pivotal role in the modern healthcare landscape. It ensures that health records accurately reflect patients' clinical status, interventions, and outcomes, according to Tammy Combs, RN, MSN, CDIP,...Read More »