Clinical & Coding

Q: When you have a patient admitted for observation and then changed to inpatient, do you use the diagnosis that makes them meet...Read More »

Q: Sometimes I confuse the secondary diagnosis for the primary diagnosis. Do you have any tips for me to help me discern better?...Read More »

Clinicians may be able to detect and treat sepsis more quickly in the future, according to...Read More »

Q: What is the difference between an aortic dissection and a rupture, and how are these conditions reported in ICD-10-CM...Read More »

Telemedicine diagnosis matched the in-person outpatient visit diagnosis in 86.9% of cases, according to recent research published in the...Read More »

by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC

The American Hospital Association (AHA) Coding Clinic released their...Read More »

Former COVID patients had a 42% increased risk of neurologic problems 12 months after testing positive, according to...Read More »

Q: Does documentation for a drug or alcohol use disorder need to specifically state “in remission,” or is a history of drug use sufficient...Read More »