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Clinical Validation

What is clinical validation? Why is it important? What’s the big deal? Is it not enough to just query the […]

Positioning Coders for CDI Success

By Cynthia Tang, RHIA, CCS, CRC From the very beginning, Dr. Richard Pinson and I have taught hospitals that coding […]

Myocardial Ischemia, Myocardial Injury and Myocardial Infarction

Would you please explain the basics of the process from myocardial ischemia to injury to infarct? At what point does […]

Accidental Puncture & Laceration: Coding Clinic 2021 Second Quarter

Does the recent Coding Clinic advice regarding accidental puncture and laceration contradict Official Coding Guidelines for coding Complications of Care? […]

Morbid and Severe Obesity: How are these defined?

Historically, a body mass index (BMI) ≥ 40 has been defined as “morbid” or “extreme” obesity. The World Health Organization […]

The Solution to Severe Malnutrition Denials: Document the Treatment!

The CMS Office of Inspector General (OIG) released a report in July 2020 claiming that hospitals over-billed Medicare approximately $1 […]

Big Change for Glasgow Coma Scale Codes for FY2021

In probably the most important change to the FY2021 ICD-10-CM guidelines, the reporting of Glasgow Coma Scale codes has been […]

Heart Failure Update: Clarifying New Terminology

By now all of us should be familiar with the terminology and coding for heart failure with reduced ejection fraction […]

Pancytopenia: Neutrophils vs. White Blood Cells

Pancytopenia is a simultaneous deficiency of three blood cell lineages: red blood cells, platelets, and neutrophils. Its clinical significance is […]

Who Owns Sepsis?

A recent “Opinion” article by three distinguished professors from Harvard and Washington University in St. Louis titled “Who Owns Sepsis?” […]

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