Education and Tips
Learn useful information and tips used in the industry.
Topic: Clinical Validation: Acute Post Operative Pulmonary Insufficiency/Acute Postoperative Respiratory Failure Scenario: H/P: 65 y/o male with past medical history of DMII, HLD, HTN, and obesity admitted with chest pain worse on exertion. Medications: Insulin, Metoprolol, Lisinopril, ASA, Crestor. BMI 34.Patient had a positive stress test.Cardiac cath shows severe three vessel disease and patient underwent… Read More »UASI Monthly CDI Scenario Discussion – October 2019
Read More
When will ICD-11 be implemented for morbidity reporting in the US? That’s a question everyone wants the answer to, but the answer is not yet known and there is presently too much uncertainty to accurately predict an implementation date. The World Health Assembly adopted ICD-11 in May 2019. Anticipating that, the HHS Secretary tasked the… Read More »The US ICD-11 Implementation
Read More
The annual updates to the ICD-10 and MS-DRG systems have been finalized and will be effective October 1. The ICD-10 and MS-DRG updates reflect the final Hospital Inpatient Prospective Payment System (IPPS) rule for the fiscal year 2020. You can see the details on IPPS here. Other highlights of the ICD-10-PCS changes include: 734 new codes,… Read More »UASI Training for FY2020 ICD-10-PCS Updates
Read More
1. Review every denial to determine the validity of an appeal. If the denial is valid, do not appeal. However, appeal every case where there is documentation to support original coding. 2. Determine the nature of the denial (e.g. clinical validation and/or coding issue) and seek the relevant clinical and/or coding expertise to write the… Read More »Ten Tips for Writing Effective Appeal Letters
Read More
The annual updates to the ICD-10 and MS-DRG systems have been finalized and will be effective October 1. The ICD-10 and MS-DRG updates reflect the final Hospital Inpatient Prospective Payment System (IPPS) rule for fiscal year 2020. You can see the details on IPPS here. Other highlights of the ICD-10-CM changes, include: There are 273… Read More »UASI Training for FY2020 ICD-10-CM Updates
Read More
Topic: Altered Mental Status, Dementia with Encephalopathy Scenario: 85 y/o female admitted with Sepsis secondary to UTI and altered mental status. History of dementia. Decreased responsiveness noted by patient’s sister who reports this is significantly different than her usual state. H/P: “Patient is disoriented, confused with decreased responsiveness, hard to arouse. The degree at onset… Read More »Monthly CDI Scenario Discussion – September 2019
Read More
Deep Tissue Injury The ICD-10-CM updates effective October 1, 2019 will contain 273 new codes. One notable addition is the expansion of category L89 Pressure ulcer to include specific codes for Deep Tissue Pressure Injury. Prior to this change, DTPI was coded as an unstageable pressure injury. As discussed in ICD-10 Coordination and Maintenance Committee… Read More »Coding Tip of the Month – August 2019
Read More
Topic: Cardiac Arrest – the Underlying Condition Scenario: 19 y/o female brought to ED by ambulance accompanied by boyfriend The patient is found on presentation to the ED to be nonverbal, does not open eyes and has no motor responses Boyfriend reports to ED physician that patient ingested a large amount of heroin and was… Read More »Monthly CDI Scenario Discussion – August 2019
Read More
