Shock Liver

Shock Liver: Shock liver or ischemic hepatitis describes diffuse injury to the liver from an episode of acute hypoperfusion. Shock liver codes to K72.00 (Acute and subacute hepatic failure without coma) which is an MCC. While shock liver can be found in the...

Tumor Lysis Syndrome (TLS)

Tumor Lysis Syndrome (TLS): is caused by massive release of potassium, phosphate and nucleic acids into the body. The result is high-levels of crystal formation which can cause extensive end organ damage, especially the kidneys. TLS is defined by lab criteria and is...

Outpatient CDI Query Guidance Released

ACDIS has released an official stance on the outpatient CDI query process. Their position paper called, “Queries in outpatient CDI: Developing a compliant, effective process” addresses the significant differences between inpatient CDI and outpatient CDI.   This...

Benefits of an Outpatient CDI Program

Outpatient CDI has become the most recent CDI buzz word, and these programs are proving to be beneficial.  One important aspect of Outpatient CDI is the capture of Hierarchial Condition Codes (HCCs) as the shift to value based care and Medical Advantage Plans risk...

The Burden of Quality Reporting Revisited

A new report showed health systems spend nearly $39 billion a year on administrative activities related to regulatory compliance, according to a study released today by the AHA (American Hospital Association). The average hospital spends $7.6 million annually to...

Importance of Physician Engagement

The importance of physician acceptance for Clinical Documentation Improvement (CDI) efforts has been acknowledged since the inception of CDI programs. This is because the physician, alone, is ultimately the one responsible to establish a patient’s diagnosis. With a...