New definition of Diabetic Ketoacidosis (DKA): Coding, auditing, and CDI professionals take note

diabetic ketoacidosis

By Brian Murphy The clinical definition of diabetic ketoacidosis (DKA) is changing. CDI and coding professionals take notice. A recent article on Medscape (link below) says a forthcoming definition will “de-emphasize glucose from the diagnostic criteria for DKA, along with many other updates to the last statement on the topic, which was published 14 years…

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ACDIS and AHIMA add Important new Addendum to Physician Query Brief


New guidance recommends adding clinical validation language into payer contracts to head off denials By Brian Murphy ACDIS and AHIMA addended the guidelines all CDI and coding professionals should be using to write effective, compliant queries. Link below. This new addendum (you can find it on p. 27 of “Guidelines for Achieving a Compliant Query…

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Severe Sepsis/Septic Shock Early Management Bundle part of HVBP on Jan. 1: Are you ready?

sepsis documentation

By Brian Murphy Hospitals are about to have (additional) reasons to get sepsis documentation and coding right. As if they didn’t already. Hospitals have been implementing and documenting the Severe Sepsis/Septic Shock Early Management Bundle, aka., SEP-1 for years through the Inpatient Quality Program. There were already incentives to document it, including payment. But CMS…

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Denials Prevention: Strategies for Success 


Norwood webinar Denials prevention: Strategies for success Thursday, Oct. 26, 1-2 p.m. EST. Register here: Denials can bleed your organization dry. A recent independent Kaiser Family Foundation survey found that insurers deny, on average, 18% of all claims. And for some private insurers, that number is far higher. How can you make your organization…

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