Because of the complexity and frequency of ischemic stroke admissions, inpatient coders should review clinical criteria and ICD-10-CM reporting regularly for this diagnosis to ensure accurate coding and reimbursement.
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CE Articles
Ischemic stroke admissions: Review clinical criteria and ICD-10-CM coding considerations

Sarah Nehring, CCS, CCDS, writes that because of the complexity and frequency of ischemic stroke admissions, inpatient coders should review clinical criteria and ICD-10-CM reporting regularly for this diagnosis to ensure accurate coding and reimbursement.

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Focusing on coding, CDI reviews for obstetrics
Julian Everett, RN, BSN, CDIP, says that 2020 should be the year when more CDI programs and inpatient coding teams ponder the idea of expanding into reviewing obstetrics. In this article, Everett details key areas to consider when starting these reviews, including hiring staff that have experience in obstetrics, conducting case sample assessments, and providing education on coding guidelines.
PSIs, POA indicators offer CDI-quality starting point
While the premise for quality programs is largely the same across the board, there are many programs and measures that fall under the “quality” banner. From readmissions to present on admission (POA) and patient safety indicators (PSI), CDI programs have a myriad of potential options in terms of record review focus.
Healthcare News: Sepsis to blame for large number of worldwide deaths, study shows
In 2017, roughly 48 million incident cases of sepsis were recorded worldwide and 11 million sepsis-related deaths were reported, according to a study published in The Lancet. According to the study, this represents 19.7% of all global deaths.
Q&A: Reporting type 2 MIs in ICD-10-CM
Q: Our coding department frequently has trouble reporting type 2 myocardial infarctions (MI). Can you share any coding and clinical criteria guidance?
 

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An ICD-10-CM code from category I22.- (subsequent ST elevation [STEMI] and non-ST elevation [NSTEMI] myocardial infarction) must be used in conjunction with a code from category I21.- (acute myocardial infarction). The sequencing of the codes will depend on the circumstances of the encounter.

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This workbook provides an opportunity for coders to practice and refine their skills in a hands-on way by using a wide range of real-life case scenarios. Coders will determine the correct fiscal year 2020 ICD-10-CM and ICD-10-PCS codes to report for each case scenario based on provided documentation and evidence of sufficient medical necessity.

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