Clinical & Coding

CDI specialists working in the adult population are likely familiar with the pathophysiology of several common cardiac conditions and their...Read More »

Q: I need some help understanding severity of illness (SOI) and risk of mortality (ROM) as it’s my first encounter with APR-DRG factors...Read More »

By Allen Frady, RN, BSN, CCDS, CCS, CRC           

In following ACDIS’ blogs and discussion strings, you can easily count which...Read More »

Q: If an uncertain diagnosis is only documented by a consultant consistently through the...Read More »

Q: Lately, we have been receiving responses of “did not assess or treat” or “this is a chronic...Read More »

by James S. Kennedy, MD, CCS, CDIP, CCDS
CMS plans to announce a complete revision of the CC/MCC structure in next year’s proposed...Read More »

by Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS

Coding is always about following rules and guidelines, but remember for...Read More »

Q: According to Official Guidelines for Coding and Reporting, uncertain diagnoses...Read More »

Q: We are struggling with coders querying certain diagnosis because they feel there is...Read More »