Approximately 30% of patients with COVID-19 have acute kidney injury. Apply critical thinking to record reviews to ensure nothing is missed.
Q: What topics should routine chart audits focus on?
Ischemic strokes are complex and all too frequent. Review clinical criteria and ICD-10-CM reporting regularly for this diagnosis to ensure accurate coding and reimbursement.
A sound query process is essential to good documentation and correct coding. Find out how your organization’s query practices and CDI productivity compare to others.
Strong documentation and coding support accurate data and help organizations defend against payer audits. Learn how to manage the return of CMS audits and keep documentation and coding in top shape.
Q: What documentation elements are required to support a secondary diagnosis of malnutrition? Can the diagnosis be made based on lab results?