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​Q: I had a recent case where the nephrologist and cardiologist both documented hypertensive (HTN) emergency, but the attending...Read More »

Are there are any documentation or coding guidelines for when a patient is admitted for various reactions to the COVID-19 vaccine?Read More »

Can we use the phrase “no clinical indicators identified” on a clinical validation query?Read More »

1. Is there a list or guidelines for what terminology is considered adequate to establish a link between two conditions, similar to
...Read More »

I am wondering why it is recommended to bring a DRG code book when taking the ACDIS CCDS certification exam? Most CDI programs use online software...Read More »

What clinical information can be used to support the reported diagnosis of severe malnutrition and how would this be coded in ICD-10-CM?Read More »

Our care coordination team has typically handled our Program for Evaluating Payment Patterns Electronic Report (PEPPER) analysis, but the...Read More »

We do many queries for malnutrition and are looking for a better way to get this essential diagnosis into the medical record without a query. I...Read More »

Q: I recently hired a part-time per-diem CDI specialist to work mostly weekend hours. Their hours will be:

...Read More »

We have a somewhat confusing scenario in our organization whereby the CDI team might have an open query and a coder then queries a different...Read More »