by Cynthia Tang | Sep 5, 2017 | CDI+ Newsletter, Clinical & Coding
The diagnosis and documentation of respiratory failure continues to be challenging for coders, documentation specialists, and physicians. Many physicians, including some intensivists and pulmonologists, are unaware of the widely recognized clinical standards for... by Cynthia Tang | Jan 2, 2015 | Clinical & Coding
Glasgow coma scale (GCS) for adults. Glasgow Coma Scale – Adults by Cynthia Tang | Jan 2, 2015 | Clinical & Coding
Listing of the HIV major related conditions and codes. HIV Significant Major Related Conditions List by Cynthia Tang | Sep 1, 2017 | Clinical & Coding
ICD-10 Codes for CMS-HCC Models includes the CMS-HCC ICD10 codes, code description, category and weight, and also includes the HCC categories for the RxHCC and PACE/ESRD... by Cynthia Tang | Oct 3, 2017 | CDI+ Newsletter, Clinical & Coding
COPD and Pneumonia The requirement for code J44.0 (chronic obstructive pulmonary disease with acute lower respiratory infection) to be coded first when a patient has pneumonia and COPD has been eliminated as of October 1, 2017. The 2018 version of ICD-10-CM replaced... by Cynthia Tang | Feb 8, 2018 | CDI+ Newsletter, Clinical & Coding
Understanding the different types of myocardial infarction can be challenging. In this article, we share the authoritative definitions for each of the six types of myocardial infarction and explain their distinct differences to help you guide proper physician... by Cynthia Tang | Sep 10, 2018 | CDI+ Newsletter, Clinical & Coding
On September 2, 2018, the Global Leadership Initiative on Malnutrition (GLIM) published in the Journal of Parenteral and Enteral Nutrition a consensus recommendation “GLIM Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical... by Cynthia Tang | Jan 25, 2018 | Clinical & Coding
These sample physician query documents are offered solely as examples of standardized physician queries to clarify clinical documentation within the medical record. These query documents were created based on our interpretation of guidelines and may be used by... by Cynthia Tang | Jan 30, 2017 | Clinical & Coding
Sepsis-3 SOFA Point Scale table. Sepsis-3 SOFA Point Scale by Cynthia Tang | Mar 31, 2017 | Clinical & Coding
Sepsis-3 SOFA Point Scale table as replacement page for 2017 CDI Pocket Guide. SOFA Scale page for 2017 CDI PG