Developing pediatric respiratory failure definitions

Applying diagnostic criteria is a significant challenge in the pediatric population. The process is not "one size fits all" given consideration must be made for unique circumstances, including prematurity adjustment for age, congenital conditions, and developmental stage, all of which may impact the patient’s presentation and treatment plan. Due to these varying factors, both care providers and those reviewing for clinical validation require strong clinical judgment and critical thinking skills.

This white paper, published jointly by the Association of Clinical Documentation Integrity Specialists (ACDIS) and the American College of Physician Advisors (ACPA), aims to provide direction and advice in the development of institutional definitions for common, critical pediatric conditions, or to assist organizations in validating and refining their existing institutional definitions. Though written for an audience of CDI professionals, this paper is also valuable for coders, as it can enhance their understanding of complex clinical concepts and the nuances of reporting pediatric respiratory conditions. Additionally, a solid grasp of these definitions enables coders to better collaborate with CDI teams, facilitating more precise documentation and supporting accurate coding for improved reimbursement rates. 

This is an excerpt from member-only content. Please log in or become a member.