Why Auditors Are Denying Septic Shock Claims


Sandra Brewton, RHIT, CCS, CHCA, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer; Allen Frady, RN-BSN, CCDS, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer; Chris Klitgaard, MBA, MHA; Laurie Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10 CM/PCS Trainer; 

and Cesar Limjoco, MD

Of all the stories recently published on ICD10monitor, the one that has been generating plenty of buzz is last Tuesday's feature article on septic shock by Allen Frady, an education specialist for Association of Clinical Documentation Improvement Specialists (ACDIS). Frady will join the Talk Ten Tuesdays broadcast this coming Tuesday to report on the problem with current definitions of what constitutes septic shock. He is also expected to explain why insurance auditors are denying claims for septic shock, perhaps underscoring why the condition is so poorly understood. Joining Frady for our lead story to provide a physician's perspective will be Cesar Limjoco, MD, vice president of clinical services for DCBA, Inc.

Also scheduled to be featured on the broadcast are the following segments:

  • CDI Report: Sandra Brewton will report steps to make physician queries less irksome while still gleaning clarification from predisposed physicians.
  • Revenue Cycle Report: Introducing Chris Klitgaard, CEO for MediRevv, who will report on how coding and documentation impact the revenue cycle.
  • News Desk: Laurie Johnson, who anchors the Talk Ten Tuesdays news desk, will check in with the latest ICD-10 headline news.
Join hosts Chuck Buck and Kim Charland for all this and more during the next edition of Talk Ten Tuesdays, Tuesday, Jan. 24 at 10 a.m. ET.

Talk Ten Tuesdays. More than just talk.™