Q: I’ve heard that when the volume of surgical cases is flat, any movement in the CMI represents an increased complexity of the patients. Can you explain what that means?Read More »
Q:I’ve been told that vasodilator therapy can be used to preserve renal function, but I’m having trouble understanding how. Could to explain it to me?Read More »
Q:We recently had a patient who became hypoxic during their hospitalization, with oxygen saturation requirement and hypotension and tachycardia. The chest x-ray showed new right greater than left (R>L) basilar opacities. The physician...Read More »
Q: I’ve been told that in most cases codes for viral causative organisms, B95-97, will not add a CC or an MCC. However, I thought that identifying a causative organism often does add a CC/MCC. Could you clarify this for me? Read More »
Paola Dees, MD, is presenting a poster titled “Take 5 to improve satisfaction of resident CDI education” at the 2019 ACDIS conference. Dees is a pediatric hospitalist and medical director of utilization management, at Johns Hopkins All...Read More »
Q: If Type 2 myocardial infarction (MI) and demand ischemia are both documented, should I code only Type 2 MI based on the Excludes 1 note found in the Tabular List under demand ischemia?
Q: Our facility asks CDI specialists to look-back six months in previous records for clinical evidence (such as an ECHO report or ejection fraction) for evidence of heart failure diagnosis. I am concerned about the compliance of this practice...Read More »