Q: Our team had a question regarding the criteria for chronic respiratory failure. The ACDIS Pocket Guide states the criteria “typically requires continuous oxygen support,” so do patients just need to be on continuous oxygen to meet it?
Q: When we open sensitivity reports, there are all sorts of antibiotic resistances with organisms, some cultures have one “resistant” listed while others have multiple. Do you have any guidance as to when we should query for the resistance? If a patient with a positive culture (wound...Read More »
Q: If a provider answers “yes” or “no” to a yes/no query on the actual query template, does the provider also need to document their diagnosis in a note? If the query is part of the permanent medical record, does that answer on the query template suffice and eliminate the need for...Read More »
Question: I am a little confused regarding the meaning “clinically undetermined” or “unable to determine” as a query choice. If a physician chooses unable to determine, does it mean the provider disagrees with the presented choices or disagrees with a diagnosis entirely? For example...Read More »
Q: If the radiology or pathology report stated ovarian cancer but the physician never documented an ovarian mass, is it true you can’t use a present on admission (POA) query to capture the ovarian cancer because the physician made no reference to it? Would you need to use either an...Read More »
Q: We currently use a staffing ratio of one CDI specialist to 1,900 discharges, but I feel this is very outdated as we are now doing quality and clinical validity. Will anyone share your ratios that their CDI also covers quality and clinical validity and at times...Read More »
Q: I have a question regarding acute organ dysfunction. If a provider documents “hyperbilirubinemia related to severe sepsis with acute organ dysfunction,” will this suffice for coding acute organ dysfunction, or should I query for a more definite diagnosis?
Q: We recently had a patient who presented with a stage 2 pressure ulcer. Due to hypoperfusion, the pressure ulcer progressed. The physicians are now documenting progression due to “skin failure” due to hypoperfusion. Can you have skin failure at the same site of a pressure ulcer, or...Read More »
