Resources Categorized As: CDI+ Newsletter

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...

Pneumonia vs. Aspiration Pneumonia

Case: An 85 year old male with past history of CVA and GERD is admitted from home for RLL “community acquired” pneumonia (CAP) and treated with Rocephin and Zithromax. Documentation throughout the record including discharge summary is CAP except ID consult on day 2...

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...

Sepsis with Bacteremia

Case:  A 75 year old woman is admitted with UTI, fever 101.5, altered mental status, tachycardia, BUN 50 and WBC 15,000.  Admission diagnosis is “severe UTI with leukocytosis and dehydration”.  Treatment includes IV Cipro 400mg q12h and...
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