Clinical & Coding

October 1, 2015, will be the new ICD-10 implementation date, according to the final rule, Administrative Simplification: Change to the Compliance...Read More »

Q: How would the following be viewed if it was included in a cardiology consult note:...Read More »

Q: Is it okay to code a diagnosis if the physician documents two diagnoses using the phrase “versus” between them? For...Read More »

Q: Could you please explain unrelated surgical procedure DRGs? For example, a patient with a principal diagnosis of...Read More »

by Michelle A. Leppert, CPC

Go to your local bookstore, pick up a copy of Gray’s Anatomy (the book, not the television...Read More »

Just a quick note this week to have a safe and fun July 4 holiday! Our offices will be closed tomorrow and we hope you also have some time off to...Read More »

Q: We have a problem getting our physicians to understand what we are querying for (chronic respiratory failure) when a...Read More »

by Sharme Brodie, RN, CCDS

The AHA published its first issue of Coding Clinic for ICD-10-CM and ICD-10-PCS along with its...Read More »

Facilities have always faced problems related to documentation for cardiorenal syndrome. One major problem with the diagnosis is that CDI...Read More »