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...

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...

Avoid Unnecessary CHF Queries with AHA Coding Clinic Guidance

Congestive heart failure (CHF) can now automatically be linked with hypertension according to Coding Clinic 1st Quarter 2017, Hypertension with Congestive Heart Failure, page 47.  Previously, hypertension had a presumed link with chronic kidney disease only. This...