Review clinical indicators and query opportunities for acute respiratory failure, respiratory failure due to surgical procedures, and ventilator MS-DRGs.
Wednesday, February 3, 2021
 

CE Articles

Respiratory failure: Evaluate clinical indicators, query opportunities

Review clinical indicators and query opportunities for acute respiratory failure, respiratory failure due to surgical procedures, and ventilator MS-DRGs. Frequently reviewing clinical indicators for these complicated diagnoses will ensure both proper coding and reimbursement.

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Paying close attention to COVID-19 POA indicators
Inpatient coding professionals must have a clinical understanding of COVID-19 and the disease process in order to accurately sequence diagnoses, code etiology and manifestations, and assign present on admission (POA) indicators. In this article, Audrey Howard, RHIA, and Susan Belley, RHIA, CPHQ, focus on coding issues related to POA indicators for the hospitalized, inpatient COVID-19 population.
Addressing health disparities through ICD-10-CM reporting for social determinants of health
Howard Rodenberg, MD, MPH, CCDS, writes that ensuring the social determinants of health are appropriately documented within the medical record allows CDI and coding teams to capture the hard data needed to demonstrate the interactions among race, gender, ethnicity, and other key socioeconomic indicators with healthcare costs, utilization, and outcomes.
Healthcare News: OIG finds hospital did not meeting medical necessity on inpatient claims
The Office of Inspector General (OIG) recently released an audit report for Providence Medical Center that says some of the hospital’s inpatient records did not support the medical necessity for inpatient hospital services.
Q&A: Determining PDX selection
Q: When two conditions are both present on admission, both meet definition to be the principal diagnosis (PDX), and are “equally treated,” my understanding is that the condition does not have to be "equally treated" in the sense of duration/frequency. Can you provide the actual verbiage of the coding rule and explain?
 

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SelectCoder Tip of the Week

Codes in ICD-10-CM code category N99.- (intraoperative and postprocedural complications and disorders of genitourinary system, not elsewhere classified) are complication codes and require physician documentation and confirmation of a cause and effect relationship between any specified procedure and the complicated condition before they can be reported.

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JustCoding News: Inpatient
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