jwmorris1

About

Username
jwmorris1
Joined
Visits
993
Last Active
Roles
Member

Comments

  • I guess you have to go back to your organization and team and have some discussions—what do your MD’s consider sepsis, are you using SEP2 or SEP3, etc.. how important are blood cultures in the diagnosis of sepsis when negative blood cultures do not …
    in Sepsis Comment by jwmorris1 4:39AM
  • If they meet criteria and were treated for a known or suspected infection.  Is this an an isolated event that cultures weren’t drawn? Maybe they were missed?
    in Sepsis Comment by jwmorris1 January 16
  • Will take a closer look at this soon but I am going to paste a Q&A from Coding Clinic that an individual submitted. Question: Can both pancytopenia and neutropenic fever be coded when a patient has both? Coding only neutropenic fever fails to …
  • Check out this article written by ACDIS Advisory Board member Dr. Erica Reemer, there are several parts of the article. https://www.icd10monitor.com/ob-coding-delivering-accurate-coding-remains-a-challenge-part-ii The Official Guidelines for Codi…
  • Thanks Katy! Thanks a very helpful Coding Clinic. I am not sure if I've ever read that one or not. I am copying/pasting it here for others. Thanks Again! Malnutrition and malabsorption ICD-10-CM/PCS Coding Clinic, Fourth Quart…
  • paul_evans_90314 said: My preference is to allow for at 24 hours before any query..optimal is 48 hours as this provides time for analysis and comment of various studies.   We need to provide time for clinicians to study the case and provide doc…
  • Agreed, That's where the autonomy of the position should come into play. They have hired you into this role for your clinical knowledge and critical thinking skills and you should also be allowed to interject some common sense. I do not know if you …
  • Our Coding Department sends charts to a third party auditor and this has happened before. It was a GI case either perforation and/or bleeding combo code. I'll have to see if I can dig up the example. They had to do some convincing with me but I fina…
  • Littlebit I am going to paste the link to the KDIGO document. It's very long but basically you just need to look at the tables and diagnostic criteria. There are also a few other "nuggets" in there like what SCr to use as baseline in a certain aged…
  • Anemia associated with malignancy When admission/encounter is for management of an anemia associated with the malignancy, and the treatment is only for anemia, the appropriate code for the malignancy is sequenced as the principal or first-listed d…
  • You can use the information from outside hospitals as clinical indicators for queries, just can’t directly code from.  Jeff 
  • Should be no issue with providing pertinent data needed by the Provider to answer the query. It would be no different that actually typing out the lab values. For wound photographs I would just double check with compliance at your organization. If t…
  • Thanks, Keep me posted! Jeff
  • We generally do not but I guess there's nothing that would prohibit you from doing so. I pulled the Coding Clinic for reference. It suggests that the codes can be assigned for monitoring a patient in the ICU regardless of medical condition. I guess …
    in GCS Comment by jwmorris1 November 2018
  • Does anyone have any information from 3M regarding the fix on 12/27? I am searching the support site and cannot find what I need to take to our folks to argue my point that we need to delay. I do see some complaints about the font in their forum. …
  • We are too...haven't had a chance to look ahead to the changes. So, the findings goes away from patient summary tab in that release?
  • Which update are you installing? For 18.4.1.1 it remains on the Patient Summary tab in regular font and also appears in smaller font on the summary tab. Jeff
  • Hi Kara, RDS is a form of respiratory failure and it would only be appropriate to code one or the other on admission. However, if the baby had RDS at birth, received surfactant, possibly required mechanical ventilation and recovered but 30 days int…
  • Sounds like a clinical validation query may be in order.  When you say the criteria is not met, we’re they not confused? 
  • You may find this prior thread helpful https://forums.acdis.org/discussion/comment/16937#Comment_16937
  • This is what Coding Clinic said to us on 10/26   This letter is in response to your request for clarification regarding obesity and BMI coding.   The Central Office has received many question about assigning BMI codes,…
  • paul_evans_90314 said: Tears resulting from manipulations in the setting of dense adhesions are stated in Coding Clinic, and elsewhere, as not uncommon, unavoidable, or inherent to some procedures. I'd query for that reason.   …
  • Dates always get me this time of year! Jeff
  • What's your DOS? Was this a new change for FY 2019?
  • Interestingly enough when a surgeon does a laparoscopic procedure and uses a hand port, the approach is coded to open. I am not sure the size of the incision the original poster is referring to but possibly something very similar. This coding clinic…
  • It appears that after 10/1 it does affect the DRG and is a valid OR procedure. Jeff
  • ekilbo@ghs.org said: This is a tough one.  The only similar scenario I can think of is where a neoplasm is excised completely and the patient is still undergoing treatment.  ICD-10-CM guidelines (1-C-2-M) notes "When a primary malignancy has be…
  • Why was the patient admitted 5 days prior to the completion of IV antibiotics? What was the focus of care during the hospital stay? Jeff
  • United Healthcare has opted to adopt Sepsis 3 effective 1/1/2019 which is going to be another payer to fight with their MA plans https://www.uhcprovider.com/content/dam/provider/docs/public/resources/news/2018/network-bulletin/October-Interac…