Q: We have a patient admitted with a history of chronic heart failure (CHF) and end-stage renal disease (ESRD) who was admitted with volume overload due to acute kidney injury (AKI) and dialysis noncompliance. The AKI and volume overload resolved with hemodialysis treatment. How should we report this in ICD-10-CM?
Q: Where can the policy be found that shows records can be destroyed as soon as they are scanned into the electronic medical record (EMR)? Would a hospital presume that it is acceptable to destroy paper records after they are scanned into the EMR if electronic storage media is legally acceptable for medical records in its state?
Q: I know the -X{EPSU} modifiers are not yet required by CMS, but in what instance would modifier -XU (unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service) be justified instead of modifier -59 (distinct procedural service)?
Q: When I returned to work after being out for a month on short-term disability, I was disciplined because of my doctor's excuse, which I only gave to medical but somehow was released to the human resources (HR) department. Could this release of my medical information to HR be a HIPAA violation?
