Q: How do you sequence ESRD, HTN, CHF, and diabetes when the patient is admitted with kidney disease which has progressed to ESRD and requires initiation of dialysis this admission? The heart failure is chronic. The ICD-10 combination code takes you...Read More »
Q:As far as coding guidelines go, the role of the attending physician’s documentation in the medical record and discharge summary are pivotal for correct code assignment. However, our system uses hospitalists which means the...Read More »
Q: Is it appropriate to query whether a pressure ulcer was present on admission (POA) if it was not documented until later in the admission?Read More »
Q:Our coders are having trouble determining how much clinical evidence to cite in our queries. Is there a general rule for how much to include?Read More »
As part of the annual CDI Week celebration, ACDIS conducts several interviews with industry experts surrounding topics covered in the CDI Week Industry Survey. James Wall...Read More »
Q:I'm in charge of a coding audit for our department for the first time and trying to determine how many cases to use as a sample. What factors should I consider?Read More »