Topic: Endoscopic Lung Biopsies An endoscopic biopsy of the bronchus involves passing an endoscope into the lumen of the trachea and bronchus. An endoscopic biopsy of the lung is performed by passing an endoscope through the trachea, main bronchus, smaller bronchi and into the lung. Biopsies of the bronchus and lung can be performed using… Read More »Coding Tip of the Month – March 2020
Click here to download our article “Preventing Denials Through Clinical Validation,” originally published in the March 2020 issue of the Journal of AHIMA.
Topic: Pancytopenia Scenario: A 51 year old female presents with nausea, vomiting, and weakness History & Physical: HPI: 51 year old female recently diagnosed with leukemia presents with nausea, vomiting, poor appetite, and weakness. Last chemotherapy treatment was one week prior to presentation. PMH: Osteoarthritis, diabetes mellitus type 2, HTN, obesity (BMI 35), no history… Read More »Monthly CDI Scenario Discussion – March 2020
On Dec. 9, 2019, the Centers for Disease Control and Prevention (CDC) published additional guidance regarding e-cigarette/vaping associated lung injury (EVALI). The new code is U07.0 (Vaping-related disorder). The CDC consulted with the World Health Organization (WHO) regarding this addition and the code became effective Sept. 24, 2019. Even though the code is available… Read More »Coding Tip of the Month – February 2020
Topic: Functional Quadriplegia Scenario: 72 year old male admitted from a skilled nursing facility with complaints of uncontrolled blood pressure by SNF staff. PMH of severe Alzheimer’s dementia, CAD, HTN, CKD3 with baseline creatinine of 1.5 Per H&P: SNF staff reported difficulty controlling blood pressure over the last 24 hours. BP at SNF reported to… Read More »Monthly CDI Scenario Discussion – February 2020
By: Natalie Sartori M.Ed., RHIA, CCS This white paper presents an analysis of new and ongoing initiatives under the OIG Work Plan as of February 2020.[1] The paper focuses on initiatives related to HIM coding and documentation requirements and is not intended to review each and every active work plan item. Overlapping active work plan… Read More »UASI Analysis of the OIG Work Plan February 2020
Coding Tip: Adverse Effect vs Poisoning It is sometimes difficult to understand which column to use when looking at the Table of Drugs and Chemicals. It may seem to be an adverse effect when a patient presents with dizziness and confusion after ingesting Valium but understanding the difference between an adverse effect and poisoning will… Read More »Coding Tip of the Month – January 2020
Click here to download UASI’s client newsletter from the first quarter of 2020.
Topic: Pathological Fracture Scenario: 82 year old female presented with right hip pain after ground level fall History & Physical: HPI: 82 year old female presented with right hip pain after ground level fall. Patient stated that she tripped over the cat and landed on her right hip. She felt an immediate severe pain and… Read More »Monthly CDI Scenario Discussion – January 2020
Subcutaneous Implantable Cardioverter Defibrillator The PCS updates for October 1st, 2019 included a new device character “F Subcutaneous Defibrillator Lead” in several tables in the Subcutaneous Tissue and Fascia body system. The use of implantable cardioverter defibrillators (ICDs) is an established therapy for the prevention of death from ventricular arrhythmia. Existing conventional ICDs rely on… Read More »Coding Tip of the Month – December 2019