Clinical & Coding

by Sarah Nehring, CCS, CCDS
The last thing a query writer wants is to provoke a defensive response, but in the current healthcare...Read More »

By Sharme Brodie, RN, CCDS
The American Hospital Association (AHA) Coding Clinic, Second Quarter 2019, will likely make...Read More »

by Richard Pinson, MD, FACP, CCS

Parkinson’s disease was first described by James Parkinson in 1817. It is a progressive...Read More »

Q: We recently had a patient who was admitted with sepsis and the physician documented sepsis, a urinary tract infection (UTI) related...Read More »

By Candace Blankenship, BSN, RN, CCDS
The role of the CDI specialist is in constant flux. When I started out as a CDI specialist,...Read More »

By Karen Newhouser, RN, BSN, CCDS, CCS, CCM, CDIP

In addition to the Official Guidelines for Coding and Reporting...Read More »

Q: When a patient comes in with two diagnoses and the documentation reflects that either could be the principal diagnosis, do we...Read More »

Findings from a CERT study show that insufficient documentation caused most improper payments for chiropractic services billed to Medicare in 2018...Read More »

Q: I’ve heard that the GMLOS is always rounded to the nearest whole number as...Read More »