Q:A patient recently came in with SOB and was found to have a incarcerated ventral hernia. SOB was documented throughout the record. Can SOB be coded separately or is it integral to hernia?Read More »
Q:I saw that there are separate codes for acute respiratory distress syndrome (ARDS) and acute respiratory distress. What’s the difference between ARDS and acute respiratory distress?Read More »
Q:One of my CDI staff members recently asked me for resources to help differentiate between an acute PE/DVT and a chronic PE/DVT. She’s looking for anything that could help her explain the difference to a physician, but I’m...Read More »
Megan Cortazzo, MD, will present “End the CDI Silo: How Collaborative Programs Improve Revenue, Quality, and Physician Engagement,” on Day 2 of the ACDIS conference. Cortazzo is the medical director of CDI and Health Information Management (HIM) at University of Pennsylvania Medical Center in...Read More »
Q: How much does your CDI team focus on unspecified codes if it does not have an affect on the case? For example, a patient has hypertensive heart and CKD, unspecified with clinical indicators of CKD stage 3, but this was not clarified...Read More »
Q:I’m looking at the HCC information on the CMS website and am having trouble navigating it. How can I find the current year CMS-HCC list without the count variables model (drop list)? What about the current year ICD-10-CM and...Read More »
Q: I am hoping you can provide some insight on compliance and ethical provider education related to Hierarchical Condition Category (HCC) risk adjustment. In reviewing the ACDIS Code of Ethics for the development of provider education...Read More »
