Q: When a patient comes in with two diagnoses and the documentation reflects that either could be the principal diagnosis, do we choose the principal as the diagnosis that is being treated more intensely, or do we choose the higher paying DRG? Is it true that when a patient comes in...Read More »
Q: I’ve heard that the GMLOS is always rounded to the nearest whole number as inpatient claims are paid by day. Based on my understanding of the IPPS, I thought that each inpatient stay is paid by a fixed amount, regardless of the...Read More »
Q:I just had a case at work where the patient arrived in respiratory distress, was intubated, and was placed on a vent, treated with IV Solumedrol, HHN, IV antibiotics. The patient came upstairs on the vent. The physician...Read More »
ACDIS Podcast guests Caryl Liptak MSHAI, RHIA, system director of CDI and coding at Baptist Health Kentucky in Louisville, Kentucky, and Regene Collier, RN-BC, BSN, COS-C, HCS-D, the home health coding/CDI specialist manager at Baptist Health Kentucky, answered...Read More »
Q:I’ve heard that provider education should not include lectures on the definitions associated with the root operations. What should be covered in provider education instead?Read More »
Q: We recently had a patient admitted with severe acute meningitis causing respiratory decompensation. A diagnostic lumbar puncture and mechanical ventilation were both performed during the inpatient stay. Which of the two procedures would be...Read More »
