CDI - ICD10monitor

At this point, most clinical documentation improvement (CDI) programs are well-versed in the topic of malnutrition. New and old programs alike acknowledge that malnutrition is under-documented and that appropriately establishing this diagnosis for the patient can improve severity-of-illness metrics.
Recently I served as a panelist for Talk Ten Tuesdays, ICD10monitor’s weekly Internet program. The program covers a variety of topics, but ICD-10 is its primary focus.   The experience got me to thinking: we are already seeing, ICD-10 can provide us some rich data, and this directly ties to…
“Patient with transaminitis, keep watching labs.” “Patient’s liver enzymes extremely elevated, keep in ICU.” Physicians may have seen these notes before. But transaminitis and “extremely elevated liver enzymes” do not equate to shock liver or acute and subacute hepatic failure without coma. 
ICD-10 went into effect Oct. 1, 2015 and, so far, everything seems to be going pretty well. There are a few areas, however, that continue to give clinical documentation improvement (CDI) specialists and coders headaches. One of these problems is Acute Myocardial Infarction (AMI) documentation. In ICD-10 there is a…
If you don’t read anything else this holiday season, read this. Documentation improvement is at the heart of any successful ICD-10 coding program, and in this article I will highlight eight key areas of focus about ICD-10 and clinical documentation improvement (CDI).
On Oct. 1, 2015, health systems across the country bid farewell to ICD-9 as they transitioned to the International Classification of Diseases’ 10th Revision – ICD-10.
Once in a while, the people who monitor the ICD codes actually listen to the providers of healthcare (rarely, but once in a while). When ICD-10 first came to the fore as an upcoming entity, the major non-trauma issue everybody noted was that code I10, hypertension, eliminated identification of benign…
Lewy body dementia is the second-most common type of progressive dementia after Alzheimer’s disease, and it is captured with ICD-10-CM code G31.83, Dementia with Lewy Bodies. G31.83 is listed in section G31, titled "Other degenerative diseases of nervous system, not elsewhere classified,” and is included in category G31.8, titled "Other…
Now that ICD-10 is a reality in U.S. healthcare, providers are finding that Oct. 1, 2015 didn’t bring with it the doomsday scenario they thought it might – but they also know that ICD-10-related challenges that aren’t apparent now may manifest themselves in the coming months.  The latest data from…
The healthcare industry may have finally flipped the switch to ICD-10, but many of us know that the hard work has only just begun.  For example, during the first week following implementation, H.I.M. ON CALL has spent considerable time gathering feedback from its coders, monitoring productivity, and keeping lines of…