Cardiac Arrested Development
This type of heart failure is all about the squeeze, not the fill.
What is systolic heart failure?
18months of experience in the department.
What is eligible to take the CCDS exam. or time frame to be able to take CCDS exam.
This code has 7 characters and can describe everything from a broken toe to a shark attack.
What is an ICD-10-CM code?
This is the section of the Powerchart where a provider’s response to a CDI query is typically inappropriate.
What is the action pane?
This is the most commonly used lab test to assess tissue perfusion in suspected sepsis cases.
What is lactate?
This is the term for heart failure that involves impaired relaxation and filling of the left ventricle.
What is diastolic heart failure?
This organization gives you the letters after your name that say, “I know my stuff.”
What is ACDIS?
The provider documents “pneumonia,” but the chest X-ray shows right lower lobe consolidation and the patient is on antibiotics. What code might you query for?
What is J18.9 – Pneumonia, unspecified organism?
This is what happens when a patient is discharged with an unanswered query still pending in the chart
What is the escalation team will follow up with the provider after final coding review to determine if the query is still needed?
This is the temperature threshold that might make you say, “Uh-oh, time to check for infection.
What is greater than 38°C or less than 36°C?
This medication class is commonly used to reduce fluid overload in heart failure patients.
What are diuretics?
This is the term for a diagnosis that significantly affects resource use and can impact DRG assignment.
What is a CC or MCC (Complication or Major Complication/Comorbidity)?
he patient has Type 2 diabetes and presents with a foot ulcer. The provider documents “diabetes” and “foot wound,” but doesn’t link them.
What is E11.621 – Type 2 diabetes mellitus with foot ulcer?
This skill helps you get providers to answer queries without sending 12 reminders.
What is effective provider engagement?
This acronym sounds like a comfy couch but actually helps identify organ dysfunction in sepsis.
What is SOFA (Sequential Organ Failure Assessment)?
This abbreviation refers to the percentage of blood pumped out of the heart with each beat.
What is EF (Ejection Fraction)?
This acronym stands for the report that helps hospitals identify potential over- or under-coding compared to national benchmarks.
What is PEPPER (Program for Evaluating Payment Patterns Electronic Report)?
Post-op patient has hemoglobin drop from 12 to 8 and received 2 units PRBCs. Provider documents “anemia.”
What is D62 – Acute posthemorrhagic anemia?
The provider documents “altered mental status” without further detail. You suspect a more specific diagnosis may be present.
What is a query for encephalopathy or other neurological condition?
This is the number of SIRS criteria needed to raise suspicion for sepsis under older definitions.
What is two?
This is the best documentation practice when a provider writes “CHF” in the chart.
What is specifying the type (systolic/diastolic), acuity (acute/chronic), and severity?
This is the acronym for the inpatient prospective payment system used to assign DRGs.
What is IPPS
Daily Double: This ICD-10 code describes being struck by a turtle.
What is W59.22XA
The patient is on BiPAP with low O2 sats, but the provider only documents “shortness of breath.” You send this query.
What is a query for acute respiratory failure?
This term describes sepsis that has progressed to the point of dangerously low blood pressure despite fluid resuscitation.
What is septic shock?