This is a classic documentation opportunity to clarify “volume/fluid overload,” says Lynne Spryszak, RN, CPC-A, CCDS, CDI education director for...Read More »
Q: Recently, a consultant suggested that if we asked the physician to clarify systolic/...Read More »
Q: Whenever we get a trauma patient, it’s either very easy to get to the multiple...Read More »
Q: Our CDI specialists call the physicians when queries have not been answered. Sometimes...Read More »
Q: If a CDI specialist or coder queries a physician and the response is written on the...Read More »
Q: Should coders wait for the discharge summary before coding?
...Read More »
Q: What should physicians know now about the level of specificity they’ll be required to...Read More »
Q: I am very confused about the diagnosis of acute renal injury/acute renal failure. I know...Read More »
Q: Can you recommend specifically what MS-DRGs are best to review and track or what CCs we...Read More »
Q:I have a question about the discharge summary. When a physician documents a firm...Read More »