What are some ways to assist with mortality reviews in order to identify missed opportunities and increase the severity of illness (SOI)/risk of mortality (ROM) scores for the case?Read More »
If a patient safety indicator (PSI) would be excluded because a procedure was emergent, do you still capture the code that would have triggered a PSI?Read More »
Q: Our dietitians send cases needing a query for malnutrition to our CDI staff. Previously, they were notifying providers of the need for the documentation of the diagnosis directly, but from a compliance perspective, they were more comfortable with us owning the formal query...Read More »
Under what circumstances and when is it appropriate to code flash (acute) pulmonary edema and acute-on-chronic heart failure (diastolic or systolic or other)? Would we need to query for both as flash (acute) pulmonary edema unrelated to acute/chronic heart failure?Read More »
I am seeing many patients who manifest diabetic ketoacidosis (DKA) and COVID-19 symptoms with provider documentation indicating that the COVID-19 infection likely drove the DKA. I have been sequencing COVID-19 as the principal diagnosis, but our coding team wants to use the DKA.
According to the American Hospital Association’s (AHA) Coding Clinic for ICD-10-CM/PCS, first quarter 2020, “when COVID-19 meets the definition of principal or first-listed diagnosis, code U07.1, COVID-19, should be sequenced first, and followed by the appropriate codes for associated...Read More »
