Clinical & Coding

Q: What sepsis criteria does CMS prefer people use? Do other insurance plans let you know which...Read More »

UnitedHealthcare announced recently that, starting January 1, 2019, they will use sepsis-3 criteria for validating sepsis claims.Read More »

By Cesar M. Limjoco, MD

Coding versus the true nature of patient’s condition can be enigmatic. In order to parse out the...Read More »

Acute heart failure patients in an emergency department's (ED) clinical pathway program had a 13.1% lower readmission rate.Read More »

Q: We recently had a patient who met criteria for sepsis, but they also...Read More »

Q: Is it a best practice for a hospital to get a consensus within their own facility to use one...Read More »

Deanne Wilk, BSN, RN, CCDS, CCS, CMS, and Melissa Maguire, BSN, RN-BC present “How CDI and Coding Can Travel Together in the Outpatient Realm:...Read More »

Q: Our team is having a hard time determining a principal diagnosis for a patient with a history of stage 5...Read More »

The country's first, state-mandated, public reporting initiative for...Read More »