MEDICAL CODING EXPERT WITNESS CASE STUDIES

Faulty Stitch Causes Fatal Valve Replacement Surgery MEDICAL CODING Expert Case

Faulty Stitch Causes Fatal Valve Replacement Surgery

This case involves a male patient who underwent an aortic valve replacement. After the operation, he reported feeling severe chest pain. Shortly thereafter, the patient was given an x-ray which showed a buildup of fluid in his lungs. The patient event …

Patient With Systemic Complications Dies After Being Cleared For Surgery MEDICAL CODING Expert Case

…  case involves a 70-year-old male with a past medical history of COPD, Hepatitis B, high blood pressure, and diabetes who …  lumbar discectomy for radicular pain. The patient’s medical clearance from his primary care physician apparently did not have risk …  2, indicating mild systemic disease. Later, however, his medical records listed him as an ASA class 3, denoting severe systemic disease. …

Infant Requires Heart Assist Device Following Delayed Clinical Evaluation MEDICAL CODING Expert Case

This case involves a female infant who suffered pneumonia at 16 months of age. She was taken to the pediatrician’s office and seen by a nurse practitioner, not the pediatrician. The infant had a chest x-ray which was read as enlarged cardiac size. Clin …

Pediatric Endocrinologist Opines On Fatal DKA Treatment MEDICAL CODING Expert Case

This case involves an 8-year-old male patient with type 1 diabetes. He presented to the emergency room with excessive thirst, vomiting, and shortness of breath and was diagnosed with diabetic ketoacidosis (DKA). The hospital in question did not have  …

Suspected Stroke Patient Receives Delayed Artery Dissection Treatment MEDICAL CODING Expert Case

This case involves an overweight diabetic female patient who presented to the emergency room with aphasia and limited range of mobility. After being admitted, she was unable to move her extremities. The emergency room physician called a stroke code a …

Untreated Gastrointestinal Bleed Leads to Cardiac Arrest MEDICAL CODING Expert Case

Untreated Gastrointestinal Bleed Leads to Cardiac Arrest

This case involves a thirty-one-year-old female patient who presented to the hospital with complaints of severe upper-right quadrant pain, vomiting, and dark blood in her stool. A week prior to her admission, the patient had an abdominal ultrasound at her  …