Clinical & Coding

by Richard Pinson, MD, FACP, CCS and Cynthia Tang, RHIA, CCS
The clinical world now has a new set of criteria for malnutrition,...Read More »

Q: Our coders often select the principal diagnosis based on how invasive the testing is. For example, a patient comes in with...Read More »

by Cesar M. Limjoco, MD
Sepsis has been defined as a toxic response to infection. Sepsis-1 and Sepsis-2 defined it as a systemic...Read More »

Rules governing code assignment often don’t make sense to those coming to CDI from the clinical side of the house. In truth, they often confound...Read More »

by Sharme Brodie, RN, CCDS
I’m glad I’m not the only one who sometimes has a problem determining the proper codes and their proper...Read More »

Q: How do these new Global Leadership Initiative on Malnutrition (GLIM)...Read More »

By Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC

The hierarchical condition categories (HCC) are...Read More »

Q: If the patient reports an elevated temperature at home, can we use that towards reporting...Read More »

by Tammy Trombley, RHIT, CDIP, CCDS

Risk models group diagnoses according to ICD-10-CM diagnosis codes and categorize patients who...Read More »