BC Advantage - 2022 Issue 2

Baseline Matters!

In the first article of this series, we present an H&P of a medical record that was downgraded by the payer based on a denial of acute kidney injury or AKI that was added to the claim. The H&P was one of the very few places that AKI was documented; however, it was picked up by the coder because it was in fact part of the documentation. AKI did not meet clinical criteria. Per KDIGO guidelines, AKI is defined as any of the following:Increase in SCr by X0.3 mg/dl (X26.5 lmol/l) within 48 hours...

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