Q: We have a process on the inpatient side of our CDI program to only place three queries on a chart to avoid query fatigue. How do you manage the number of queries/alerts to a primary care provider in the ambulatory space? There may be 10–15 hierarchical condition categories (HCC) that need to...Read More »
Q: I recently reviewed a chart where the patient received packed red blood cells (PRBC), the hemoglobin and hematocrit were 6 and 21 respectively, the estimated blood loss was only 50 ccs after a surgery, and minimal fluids were given. Would it be appropriate to query the...Read More »
Q: A question came up with our staff regarding if we should be querying for linking terms using the term “with” such as “Foley with UTI.” Is the documentation of “Foley with UTI” appropriate to indicate a CAUTI when not present on admission since the word “with” assumes a...Read More »
Q: I’ve heard that the American Society for Parenteral and Enteral Nutrition (ASPEN) criteria cannot be applied to diagnose malnutrition based solely on the dietitian’s documentation. Can you please elaborate on why this is the case?Read More »
Q: I know that CMS doesn’t classify morbid obesity as a comorbid complicating condition (CC) as a secondary diagnosis. Can you please explain why? What diagnoses are classified as CCs by CMS in terms of obesity?Read More »
Q: I recently heard an example where a patient with a principal diagnosis of lower extremity deep vein thrombosis (DVT) and myocardial infarction, which was not present on admission. In the example, they said that this case would go to DRG 282, Acute myocardial infarction (AMI...Read More »
