Q:I’ve been told that a patient with the documentation of “traumatic cerebral edema with loss of consciousness of 18 hours and GCS—eyes open to sound,” should be assigned to HCC 166. But I keep coming up with two possible HCCs...Read More »
Lakeyshia Moore, MBA, RHIA, is the senior director of coding and reimbursement at Texas Health Resources in Arlington, Texas. She is a member of the Texas ACDIS local chapter and a member of the 2019 ACDIS Conference Committee.
Q: I’m a bit confused by sepsis sequencing. Should it always be coded as the principal diagnosis, or are there instances where it wouldn’t be principal?
A: If sepsis is present on admission (POA), sepsis (the systemic illness) is coded first, followed by...Read More »
Lourdes Albino Cacanindin, MD, CCDS, is a CDI specialist at Sutter Health–Sutter Delta Medical Center in Antioch, California, and is a member of the California chapter of ACDIS.
ACDIS: How long have you been in the CDI field?
Cacanindin: It...Read More »
As the holidays pass by, it turns out that I’m the guy who was supposed to write a thank you note but never did. The thank you note is to ACDIS for throwing another fine Annual Conference this past May, this time at the Gaylord Palms Resort in...Read More »
Q: Our physician advisors are requesting the question and options be listed before the clinical indicators and treatment in the query. I could not locate any direction regarding this format in the current ACDIS/AHIMA physician query practice...Read More »
Q: Our coding team has established their own clinical criteria for a specific diagnosis despite what the physician is documenting and the clinical validity of those diagnoses. Could you please advise?Read More »
