Q&A: Look for etiology when querying for renal failure
CDI Strategies, February 17, 2011
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Q: Since Acute Renal Failure (ARF) is no longer a MCC (as of October 1, 2010). I would like some input on how facilities have coped with the change. Do you just code ARF, or have you started querying physicians for more specific information such as documentation for acute tubular necrosis, lesion of renal cortical necrosis, renal medullary necrosis, and specified pathological lesion in kidney?
A: We revamped our query forms for acute kidney injury (AKI) to include questions regarding the etiology of AKI, however, the form does not list specific situations as we felt this would be seen to be leading the physicians toward documenting MCCs,” says Judi Bates RN, BSN, CCDS, CDI specialist at Lourdes Health System, in Camden, NJ.
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