Posts by Matt Hare
Monthly CDI Scenario Discussion – August 2019
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 MoreMonthly CDI Discussion – Complex Pneumonia
Topic: Complex Pneumonia Scenario: 82 yr. old female admitted from her skilled nursing facility with complaints of chest pain, SOB and cough with yellow mucus. Hx of COPD, on continuous O2 at 2L with recent hospital discharge for exacerbation, CVA with dysphagia. Assessment, patient noted with wheezing, rhonchi with mild dyspnea. VS: temp 99.2, HR…
Read MoreMonthly CDI Discussion – Rhabdomyolysis
Topic: Traumatic Rhabdomyolysis with Acute Kidney Injury due to Acute Tubular Necrosis Scenario: 50 year old female admitted after a motor vehicle accident where she was the restrained driver Patient with abdominal pain, nausea, tachycardia, muscle pain Patient sustained a fractured fibula/tibia of right leg Fractured ulna left arm Multiple contusions and abrasions Creatinine on…
Read MoreCoding Tip of the Month – May 2019
The Proposed Inpatient Prospective Payment System (IPPS) Rule was established on April 23, 2019. The ICD-10-CM code changes contained in the FY 2020 Proposed Rule Tables revealed 273 new codes, 21 deleted and 30 code title revisions. Just under 60% (162) of the new codes are proposed for chapters 19 Injury, poisoning and certain other…
Read MoreMonthly CDI Discussion – Non-infectious SIRS with Organ Dysfunction
Topic: Non-infectious SIRS with organ dysfunction Scenario: 65 year old male admitted with history of alcohol abuse and HTN Patient presents with abdominal pain and vomiting for 4 days Vital signs in ED: 160/90, HR 120, RR 24, T101.7F Labs: WBC 18.0, Lactic Acid 2.6 on admit, repeat in 24 hrs. 2.0, Blood Glucose 250…
Read MoreCoding Tip of the Month – April 2019
Infections Due to Vascular Catheters: The First Quarter 2019 Coding Clinic addressed several questions regarding infections due to vascular catheters. In summary the complication code should be assigned based on the location of the catheter tip rather than the function. ICD-10-CM classifies infections from a midline catheter (T82.7-) and a central venous catheter (T80.2) differently….
Read MoreMonthly CDI Discussion – Brain Compression
Topic: Brain Compression Scenario: 80 y/o m presents with c/o left sided weakness, limping, recent slurring of speech, and lethargy. Recent rollover MVC while out of the country – No CT/MRI head completed at that time. CT head reads – Large R SDH with approx. 1.3 cm midline shift and subfalcine herniation and impending transtentorial…
Read MoreCoding Tip of the Month – March 2019
The First Quarter 2019 Coding Clinic responded to several questions in regard to which codes to report for when you have codes from both categories J43 Emphysema and J44 Other Chronic Obstructive Pulmonary Disease. The table below summarizes the clinical scenarios submitted, code recommendations and rationale. Presenting Problem Medical History Coding Clinic Response Rationale COPD…
Read MoreAvailable Talent
At UASI, we pride ourselves on the quality and integrity of our employees. Here is a snapshot of a few of our wonderful Coders and CDI Consultants coming available soon that can help your facility. Kiwanis: Pro-Fee Coder Codes a variety of E/M records including: inpatient pro-fee, outpatient pro-fee, clinics and multi-specialty. Multi-specialty experience includes:…
Read MoreProtected: UASI Analysis of the 2019 OIG Workplan
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