Clean Up Your Problem Lists to Facilitate Accurate Coding

accurate coding

By Brian Murphy Per CMS, a problem list is “a list of current and active diagnoses as well as past diagnoses relevant to the current care of the patient.” But they’re often much more. Physicians use them as a place to think in ink about ongoing and active conditions or store other summarized patient data. …

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HIV Infections and Principal Diagnosis Selection

diagnosis selection

By Joanne Wilson, RN, ASN, CCDS, Senior Director, Solutions, Norwood This article marks the beginning of a learning mini-series to address conditions commonly needing clarification for novice and expert CDI staff. We hope you enjoy them! Joanne welcomes your questions or comments at The first topic in this miniseries is Human Immunodeficiency Disease (HIV) infections.…

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Transforming Episode Accountability Model (TEAM) Reconfirms CMS Commitment to Bundled Payments and Value-Based Care

accountability model

By Brian Murphy Every time I think bundled payments are out, they drag me back in. I like the concept. We know that fragmented care can lead to complications in recovery, avoidable hospitalization, and increased spending. Under bundled payment models, providers assume accountability for the quality and costs of care delivered during a complete episode,…

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KDIGO Announces new Clinical Practice Guideline for the Evaluation and Management of CKD

management of ckd

By Brian Murphy According to the ACDIS 2023 CDI Week Industry Overview Survey, kidney disease was ranked the fifth highest denied diagnosis (29.7% of respondents) after sepsis, respiratory failure, malnutrition, and encephalopathy. So it behooves you to know the latest and greatest clinical practice guidelines from the authoritative body who establishes them. Because you can…

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