Respiratory FailureDefinition: Syndrome where the respiratory systems fail in either or both the gas exchange function or oxygenation and carbon dioxide elimination. Recognized as either hypoxemic or hypercapnic.Coding Considerations:Review the circumstances of...
The latest information to keep updated for advanced coding.
Enroll in e4health’s 2024 Risk Adjustment Webinar Series for FREE CEUs
Dec 1, 2023 | CDI, Coding, Coding + CDI, Coding Tips, News, Webinar
The first part of the series, “Medicare Advantage HCC Model Changes From v24 to v28” is a deep dive into the upcoming HCC model changes. This webinar is approved for 1.0 AHIMA and AAPC CEU. The following six parts of the series are designed to provide additional...
CDI Tips & Friendly Reminders: Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing
Nov 15, 2023 | CDI, Coding + CDI, Coding Tips, Education & Training, News
Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing DefinitionPoisoning: reaction to the improper use of a medication. This can include either:Wrong substanceWrong doseWrong personWrong Route of administrationTaken in combination of alcohol, illicit...
Coding Tip: Exagamglogene autotemcel
May 21, 2023 | Coding Tips, Education & Training
Exagamglogene autotemcel (Exa-cel) (aka CTX001™) is a genetically modified cell therapy that is used to increase fetal hemoglobin (HbF) in patients with sickle-cell disease (SCD) and transfusion-dependent beta-thalassemia (TDT). Exagamglogene autotemcel is an...
SDOH and IP Reimbursement
May 5, 2023 | Coding, Coding Tips, News
Stay in the know about how proposed changes to SDOH codes could affect IP MS-DRG reimbursement. Inpatient prospective payment system (IPPS) payment is made based on the use of hospital resources using various factors: the treatment of a patient’s severity of...
Social Determinants of Health (SDOH)
May 2, 2023 | Coding Tips, Education & Training
In 2021, Social Determinants of Health (SDOH) were added as risk factors to the CPT table used to determine the level of medical decision-making for evaluation and management (E/M) services provided during visits in an office or...
Intraosseous (IO) Vascular Access
May 1, 2023 | Coding, Coding Tips
Refers to the placement of a specialized hollow bore needle through the cortex of a bone into the medullary space for infusion of medical therapy. It is used when standard venous access would delay therapy or is not easily obtained. IO success rates are twice as high...
CDI Tips: Properly Capturing Lactic Acidosis
Mar 21, 2023 | Best Practices, CDI, Coding Tips
A recent discussion regarding lactic acidosis in a patient with sepsis has prompted a review of some important points that need clarification. First and foremost, lactic acidosis is not considered inherent to Sepsis. Additionally, acidosis is not noted as an...
Refractory Angina Pectoris
Mar 7, 2023 | Coding, Coding Tips, Education & Training
New codes were assigned for refractory angina pectoris in FY 2023. These codes will differentiate refractory angina pectoris from other angina types and help ensure precise data collection coding. Chronic refractory angina pectoris is angina caused by irreversible...
Prostatic Artery Embolization
Jan 26, 2023 | Coding Tips
New code for Prostatic Artery Embolization under root operation (Occlusion) For 2023, a new code was introduced for Prostatic Artery Embolization (PAE) under root operation (Occlusion). It is in the same body system, Lower Arteries, as Uterine Artery Embolization. PAE...
Hemolytic-Uremic Syndrome
Jan 11, 2023 | Coding, Coding Tips
FY 2023 includes new codes for Hemolytic-Uremic Syndrome (HUS), category D59.3-. HUS is a rare but serious disease that affects the kidneys and blood clotting functions of infected people. Infection with HUS causes the destruction of red blood cells, which can then cause kidney failure.
CDI Tips: Pregnancy and Mpox
Jan 10, 2023 | CDI, Coding Tips
Most patients will not be admitted to the hospital with mpox, but some patients with weakened immune systems, children under age 8, and pregnant or breastfeeding women can experience serious illness.