HIT Consultant June 25, 2021
Clinical reality, the ICD-10-CM classification system, and considerations of reimbursement are three distinct worlds that are sometimes in conflict. We don’t like it when financial considerations intrude on the purity of coding, but there’s no escaping this intrusion when coding serves as both the representation of the clinical picture in healthcare data and as the basis for reimbursement.
Sepsis Definitions at Odds
Sepsis provides a great illustration of a coding gray area that can undermine healthcare data. Since JAMA published the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) in February of 2016, the US healthcare community has been divided on the use of the new definition of sepsis as “life-threatening organ dysfunction caused by a dysregulated host...
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