Q:If a patient is extubated post-operatively but continues to be treated with supplemental oxygen, when is a query for acute respiratory failure appropriate?
A: To determine if this represents acute respiratory failure, the values for...Read More »
Q: I have a patient with Stage 4 lung cancer that presented with fatigue, cough, and loss of appetite. Initially, the physician documented possible pulmonary nodular amyloidosis (PNA) but following an echo-cardiogram on day one they found a pericardial effusion (malignant). The...Read More »
Editor’s note: Over the coming weeks leading up to the conference, we’ll take some time to introduce members to a few of this year’s speakers. The conference takes place May 9-12, at the MGM Grand in Las Vegas, Nevada. For today’s Q&A, we caught up with ...Read More »
Q: We are having trouble determining how to assign a code for a pressure ulcer that begins as a Stage I concern that is present on admission (POA) but advances during the patient’s stay to a Stage II or a Stage III. Coding Clinic, Fourth Quarter 2008, p. 194, tells us that even if...Read More »
Q: Can you clarify the expectations related to documenting the discussion between a physician and a CDI specialist when a query is done verbally. The 2013 ACDIS/AHIMA physician query practice brief ...Read More »
