Health Information Management

Master malnutrition definitions, coding rules

HIM-HIPAA Insider, December 22, 2014

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

Malnutrition is at its most basic level any nutritional imbalance. While it can be overnutrition, such as being overweight, obese, or morbidly obese, providers more commonly equate malnutrition with undernutrition, which is a continuum of inadequate intake, impaired absorption, altered transport, and altered nutrient utilization.

 
Before 2012, no standard criteria existed for adult or pediatric malnutrition. Providers often equated low serum albumin or prealbumin with malnutrition, even if there was no weight loss or dietary invention. As a result, the Baltimore U.S. Attorney launched fraud and abuse investigations against Johns Hopkins Bayview, Good Samaritan Hospital, and Kernan Hospital, all in Baltimore, within the past five years.
 
Malnutrition is also underdiagnosed, given the lack of physician knowledge of standardized criteria and a dependence on the serum albumin or prealbumin as a clinical indicator, according to James S. Kennedy, MD, CCS, president of CDIMD in Smyrna, Tennessee.
 
The landscape changed dramatically in 2012 with the release of a consensus statement by The American Academy of Nutrition and Dietetics (the Academy) and the American Society for Parental and Enteral Nutrition (ASPEN) standardizing the criteria for adult malnutrition.
 
Continue reading "Master malnutrition definitions, coding rules" on the HCPro website. Subscribers to Briefings on Coding Compliance Strategies have free access to this article in the November issue.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular