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    JustCoding Inpatient

    Q&A: Principal diagnosis selection for patient with CKD, ARF

    September 19, 2018
    Q: Our team is having a hard time determining a principal diagnosis for a patient with a history of stage 5 chronic kidney disease (CKD) who is receiving chronic hemodialysis and is in acute renal failure (ARF) with volume overload. Which ICD-10-CM code should be the principal diagnosis?
    JustCoding Inpatient

    Managing inpatient denials: Reviewing for more than clinical indicators and coding guidelines

    September 19, 2018
    Allen Frady, RN-BSN, CCDS, CCS, CRC, says that defending code assignment against denials requires more than reviewing the denial to determine if the condition was coded and reported according to the coding guidelines; it requires an understanding of payer requirements as well.
    JustCoding Inpatient

    Coding managers: Assess the type, timing of your facility’s coding audits

    September 19, 2018
    Inpatient coding audits need to be tailored to the type of record being reviewed, the time it may take to complete the audit, and any compliance-related issues that may crop up. This article focuses on how coding managers can streamline these aspects to ensure a successful audit. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
    JustCoding Inpatient

    Healthcare News: Early readmissions more likely to be preventable with hospital-based interventions

    September 19, 2018
    Early readmissions were more likely to be preventable and amenable to hospital-based interventions, according to a recent study published in the Annals of Internal Medicine.
    JustCoding Inpatient

    Complex pneumonias: A target for external reviewers

    September 19, 2018
    William E. Haik, MD, FCCP, CDIP, writes that complex pneumonias can segregate to a higher-weighted MS-DRG than other pneumonia types, so reviewing clinical elements with your physician staff may help improve documentation and avoid adverse determinations by external reviewers for these conditions.
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