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Q: A patient with aspiration pneumonia and acute respiratory failure received treatment for chronic obstructive pulmonary disease...Read More »

Q: I’m a new CDI specialist and I am terrified by all of the new information I have to learn. What do you suggest?Read More »

Q: What is the meaning of the addition to the 2017 Official Guidelines for Coding and Reporting related to clinical...Read More »

When Karen Elmore, RN, BSN, CCDS, documentation quality coordinator at Boone Hospital in Columbia, Missouri, was asked to help...Read More »

Q: Are the diagnoses on the CMS HCC list the exact same as the ones on the Department of Health and Human Services (HHS) HCC list...Read More »

Q: I have a question about the following query. If the response is B, can you still capture it as withdrawal?

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Q: We are getting a number of patients who are admitted for a three-day inpatient stay for tikosyn-loading due to atrial...Read More »

Q: I have a patient with alcohol-induced pancreatitis. In this case, the documentation notes a lactate level of 2.9 mmol/L with...Read More »

After several years working as an agency nurse, doing a little bit of everything, from occupational health to psychiatric to home health to case...Read More »

Q: I have a question about coding “unspecified” versus “other specified,” as to whether schizophrenia, multiple episodes, acute exacerbation, is...Read More »