Q:We recently had a patient come in with acute kidney injury (AKI). The patient had clinical indicators for CKD, but their baseline creatinine was unknown. The patient has daily labs for 72 hours already, so would it be...Read More »
Q:We are receiving denials on the grounds that encephalopathy must be resolved prior to discharge in order to be present. How would you suggest we fight these denials?Read More »
Q: I was reading the Q&A from CDI Strategies, , and I wanted to check whether I’m misinterpreting it. It seems that you are insinuating that vasopressors or...Read More »
Q: I have a general question about how providers should list their primary and secondary diagnosis in their daily progress notes. I was taught the primary diagnosis should be listed as number 1 (first listed diagnosis) and then the other...Read More »
Jaime Baker Sherman, RN, BSN, CCDS, is a CDI Quality Oversight Specialist, at the University of Iowa Hospitals and Clinics (UIHC) in Iowa City.Read More »
Q:We recently had a patient who was admitted with sepsis POA and a UTI. When the chart was coded, UTI was listed as the principal diagnosis. I was under the impression that when sepsis is POA, it should always be coded as the...Read More »
Q:Often, we get caught up on some clinical indicators that potentially introduce encephalopathy, for example, if patient has vascular dementia or other structural issues that might contribute to encephalopathy. Can you help...Read More »
