Hospital inpatient

July 17, 2024
Clinical documentation, Hospital inpatient, Hospital outpatient, Physician queries

Coders can use this reference sheet to identify common reasons to query for acute myocardial infarctions. It also provides scenarios for each reason. This information was excerpted from information provided by Rhoda Chism, MHL, RN, CCDS, CCS, CPHQ, and Debra Rush, RN, CCDS, during the HCPro webinar, “What the Bleep is Beeping? Getting to the Heart of the Matter: Cardiac Critical Care Review.”

June 19, 2024
Anatomy and terminology, Clinical documentation, Hospital inpatient, Hospital outpatient, Physician practice

A word search that features clinical terminology pertaining to diabetes and its treatment.

June 5, 2024
Clinical documentation, Hospital inpatient, Physician queries

Use this physician querying case scenario for clarifying acute myocardial infarction ICD-10-CM diagnoses.

May 22, 2024
Hospital inpatient, Hospital outpatient, Physician practice

Join expert speaker Courtney Crozier, MA, RHIA, CCS, CDIP, for this webinar as she discusses how to apply autonomous coding. She will dispel common myths about this technology and explain her predictions about how autonomous coding will evolve and increase collaboration among software,

May 8, 2024
Anatomy and terminology, Clinical documentation, Hospital inpatient, Hospital outpatient

This resource reviews common anatomy and physiology terminology that coders might encounter when reporting hip traumatic injuries in ICD-10-CM. It has been excerpted from HCPro’s 2024 Orthopedic Coding & Documentation Trainer: A Comprehensive Guide to Orthopedic Coding for Physician Practices.

April 10, 2024
Clinical documentation, Hospital inpatient, Physician queries

Acid-base disorders are pathologic changes in carbon dioxide partial pressure (pCO2) or serum bicarbonate (HCO3) that typically produce abnormal arterial pH values.

  • Acidosis refers to physiologic processes that cause acid accumulation or alkali loss (pH < 7.35)
  • Alkalosis refers to physiologic processes that cause alkali accumulationor acid loss (pH > 7.45)

Imbalance Type

Value

March 27, 2024
Anatomy and terminology, Hospital inpatient, Training

This case study was taken from the webinar “2024 ICD-10-CM/PCS Coding: Spinal Diagnoses and Procedures,” presented by Adrienne Commeree, RHIA, CPC, CPMA, CCS, CEMC, CPIP. Commeree is an HIM professor at Tacoma Community College in Tacoma, Washington.

March 13, 2024
Anatomy and terminology, Hospital inpatient, Training

Patient presents with a chief complaint of thoracic intrinsic spinal cord lesion causing back pain, left lower extremity sciatic-type pain, and foot drop. The patient notes that they were in their usual state of health until mid-April, when they spontaneously developed left foot numbness that was associated with back pain and some radicular left leg pain. Multiple imaging of the spine was obtained which was concerning for probable spinal cord hemorrhage due to a possible cavernoma, prompting neurosurgery evaluation.

February 28, 2024
Health information management, Hospital inpatient, Hospital outpatient

Use this Antibiotic Efficacy Table to aid in identification of antibiotics by brand name and their effectiveness against gram-negative and gram-positive bacteria. 

January 31, 2024
Health information management, Hospital inpatient

Join expert Kimberly Cunningham, CCS, CPC, CCDS-O, for this 60-minute webinar as she discusses clinical documentation and ICD-10-CM coding for SDoH. Cunningham will review the social and financial impact of capturing SDoH, as well as their impact on quality programs, and describe how these factors are reported in ICD-10-CM. She will also outline considerations for documentation review and describe CMS initiatives aimed at increasing SDoH screening.

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