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 »

Much like concurrent CDI reviews, the concurrent coding process necessitates that the coding professional follow the chart throughout the patient’...Read More »

By Richard Pinson, MD, FACP, CCS

As part of my consulting practice, I do a lot of work on appeals, so the news that...Read More »

A preliminary study published in the JAMA found that a...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 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 »

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 »