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CDI Scenarios

Insights and Education

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) CDI Scenario

April 2023 H&P: 67-year-old male sent to ER from Rehab with altered mental status and lethargy. Has been complaining of headache for last 24 hours. Patient is currently oriented to self and is unable to participate in exam. CT Scan completed at Rehab with no change to ICH, no midline shift or brain compression. Pt…

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How do the CMS-HCC model changes impact you?

The eagerly anticipated changes to the CMS-HCC model are here. There are some positive and negative impacts that are coming your way.  How you fare is dependent on your population though the model is predicting a 3.32% increase in payments to Medicare Advantage plans over three years. As a result, shoring up your risk adjustment…

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Comparing Codes Across ICD Versions: Syncope

Mary Stanfill compares code assignments and categories for the common condition of syncope in ICD-10-CM and WHO ICD-11

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Transcarotid Artery Revascularization (TCAR) CDI Scenario

Transcarotid artery revascularization (TCAR) is a fairly new procedure used for patients at high risk for CEA.

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Acute Blood Loss Anemia CDI Scenario

In this CDI Scenario, a 56 yr. old male is admitted to the hospital and has indicators of Acute Blood Loss Anemia.

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Other Persistent Atrial Fibrillation CDI Scenario – January 2023

January’s CDI Scenario covers other persistent atrial fibrillation presenting in a 58-year-old male in the emergency room.

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Cytomegalovirus in Transplant Patients CDI Scenario – October 2022

In the October 2022 CDI Scenario, a 60-year-old male patient suffers from Cytomegalovirus after receiving a lung transplant.

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Post Procedural Respiratory Failure CDI Scenario – September 2022

A 67-year-old male presents with post procedural respiratory failure after a laparoscopic colectomy for adenocarcinoma of the sigmoid colon.

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AHRQ Elixhauser Review CDI Scenario – August 2022

In this CDI Scenario, background information on AHRQ Elixhauser Review is offered to readers, plus a clinical example and documentation tips.

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UASI’s Risk Adjustment Maturity Model Explained

Learn the four RAMM phases (explore, define, implement, optimize) and lessons from ChristianaCare as they progressed through each phase.

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Pulmonary Embolism CDI Scenario – July 2022

July’s CDI Scenario covers the topic of pulmonary embolism. The patient in the scenario is a female with shortness of breath and swollen legs.

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Chronic Kidney Disease Outpatient CDI Scenario – June 2022

June’s CDI Scenario covers Chronic Kidney Disease in an outpatient setting. The patient is a 76 year old female.

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