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…

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Monthly 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…

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Monthly 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…

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Coding 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…

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Coding 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….

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Monthly 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…

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Coding 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…

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Available Talent

UASI At A Glance

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:…

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