It is critical that the CDISs compose their queries to get codable verbiage in response. In my most recent consulting project, I read many cases and queries regarding pneumonia related to COVID-19, and our Talk Ten Tuesdays listeners have been sending me cases soliciting my opinion as to how to…
I conceived a new project that triggered last week’s TalkBack segment on the Talk Ten Tuesdays weekly Internet radio broadcast, and I would love your feedback on the concept. My vision is to design a comprehensive clinical documentation improvement (CDI) curriculum and teach it in small, digestible aliquots. There are…
According to the official coding guidelines, ICD-10 code U07.1 for COVID-19 may be reported under the following circumstances: As documented by the provider; Documentation of a positive COVID-19 test result; or A presumptive positive COVID-19 test result. “Presumptive” was the description given for cases that local testing initially indicates are…
The goal should be a 100 percent response rate. On a recent onsite, one of the clinical documentation integrity specialists (CDISs) asked me my opinion on how assiduous a clinical documentation integrity (CDI) professional should be to get a query answered. My response may surprise some of you. I must…