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CE Articles
2018 IPPS proposed rule: MS-DRG changes may be in store for TIA with tPA

With new data feeding into DRGs, facilities can finally start to see the impact of coders reporting new ICD-10 specificity and if cases are going to the same DRG groups that they did in ICD-9-CM. One MS-DRG group falling into question this year is for acute ischemic stroke with use of thrombolytic agent.

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Clarifying excisional debridements through Coding Clinic
Ghazal Irfan, RHIA, writes that it’s pivotal that coders have a thorough and in-depth understanding of complex surgeries such as excisional debridements, along with comprehensive knowledge of relevant Coding Clinics and guidelines.
Atypical presentations of disease and clinical validation
Joel Moorhead, MD, PhD, CPC, explains that a patient with an atypical presentation, by definition, may have the disease but might not meet typical criteria for diagnosis; thus, the patient needs to be at the center of clinical validation.
Healthcare News: CMS proposes ample changes to MS-DRGs in 2018 IPPS proposed rule
On April 14, CMS released the fiscal year 2018 IPPS proposed rule, which included numerous proposed changes to the MS-DRG classifications.
Q&A: Missing documentation for acute kidney injury
Q: We are currently coding a chart for an acute kidney injury which has the baseline serum creatinine and urine output missing from the chart. Is there something we can do before we have to query the physician? 
 

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