Coding Clinic for ICD-10-CM/PCS, First Quarter 2017, which became effective March 15, provides interesting perspectives regarding coding and documentation for Impell®, an implantable heart pump device that supports a patient’s circulation and, when implanted or removed, has a significant effect on MS-DRGs or APR-DRGs.

As a wave of consolidation continues to inundate healthcare providers and payers, M&A transactions among healthcare vendors and suppliers also are moving at a brisk pace.

HIM Briefings is conducting its annual benchmarking survey on HIM director and manager salaries, and we would appreciate your input. We will select one respondent at random to win a complimentary HCPro webinar. Click here to take the survey.

Q: Does sepsis and/or severe sepsis have to be documented in the medical record when only septic shock is noted? We have a couple of physicians that will document septic shock without noting sepsis and/or severe sepsis. I was informed that coding needs to also have the documentation of sepsis and severe sepsis along with the infectious source in the medical record.