Article
Coding Corner: The Patient Doesn’t Need to Be in the ICU to Qualify for Critical Care Billing
August 3, 2026
A 72-year-old man with chronic obstructive pulmonary disease (COPD) is admitted to a medical unit with pneumonia. Overnight, his oxygen requirement increases from 4 L/min via nasal cannula to...
Article
Coding Corner: Type 1 MI, Type 2 MI, or Non-Ischemic Myocardial Injury
October 1, 2025
An 82-year-old female with a history of hypertension and stage 3 chronic kidney disease (CKD) was admitted with fever, hypotension, and confusion. The workup revealed Escherichia coli bacteremia due...
Article
Coding Corner: Prolonged Services Billing
May 1, 2025
A 66-year-old man with a history of hypertension and stage 4 chronic kidney disease was admitted to the hospital for acute pulmonary embolism and started on a heparin drip. It is day two of his...
Article
Coding Corner: Talk the Talk, Bill the Bill: Navigating Advance Care Discussion Billing
January 1, 2025
A 75-year-old woman with a previous medical history of high blood pressure, diabetes mellitus, stage 4 chronic kidney disease, and lung cancer was admitted to the hospital with chest pain and...
Article
Coding Corner: Come on In (Patient)!
December 2, 2024
A 38-year-old woman with a history of recurrent urinary tract infections (UTIs) is admitted to the emergency department-run observation unit at a local community hospital for a severe UTI and is...
Article
Coding Corner: Spoonful of Sugar
October 1, 2024
A 46-year-old woman is admitted to the hospital with an exacerbation of chronic obstructive pulmonary disease (COPD) requiring intensification of her inhaler regimen, initiation of corticosteroids,...
Article
Coding Corner: Documenting Sepsis Accurately
September 3, 2024
A 64-year-old female is admitted to the hospital with pneumonia and started on IV antibiotics. You see her after she has been admitted and start some IV fluids for presumed sepsis. On day two, the...
Article
Coding Corner: Breathless and Bleeding
August 1, 2024
A 62-year-old man is admitted to the hospital with an exacerbation of chronic obstructive pulmonary disease (COPD) requiring intensification of his inhaler regimen, initiation of IV corticosteroids,...
Article
Billing for a Critically Ill Patient
July 1, 2024
A 64-year-old woman with a history of heart failure with reduced ejection fraction (HFrEF) was admitted to the hospital with pneumonia one day ago and is being started on intravenous (IV)...
Article
Coding Corner: Billing by Time
June 3, 2024
A 66-year-old man with a history of hypertension was admitted to the hospital with chest pain and shortness of breath. He was found to have an acute pulmonary embolism on CT pulmonary angiography...