Resources Categorized As: CDI+ Newsletter

Coding of Pneumonia with COPD

In its 2016 Third Quarter edition, Coding Clinic clarified the use of the following two ICD-10 codes: J44.0:  Chronic obstructive pulmonary disease with acute lower respiratory infection J44.1:  Chronic obstructive pulmonary disease with (acute) exacerbation...

HIV Disease

A 47 year old female with a past medical history of “HIV” was admitted with abscess and cellulitis of the thighs which were treated with IV Vancomycin, Ceftaz and Clindamycin. She had been recently hospitalized for disseminated herpes zoster with cervical...

Hospital Value Based Purchasing Program

This is the third of a series of articles on how CDI Programs can contribute to their organization’s success under CMS P4P metrics.   The Hospital Value Based Purchasing (HVBP) Program In fiscal year (FY) 2013, Medicare began withholding 1% of all hospital...

ICD-10 Myths vs. Facts

On August 4, the U.S Department of Health and Human Services issued a final rule to implement ICD-10-CM and ICD-10-PCS on October 1, 2015. While it is possible that Congress could overturn this regulation as occurred after the 2014 Final Rule, ICD-10 stakeholders are...

Respiratory Failure Following Surgery

  Case 1: A 72 year old patient with severe COPD and history of CHF has uncomplicated bowel resection for colon cancer. He requires three days of mechanical ventilation due to decompensated heart failure and COPD with respiratory failure.  Case 2: A 55 year...