Acute/Chronic Cor Pulmonale
Would anyone be willing to share their "Acute/Chronic" Cor Pulmonale Query - if you have one?
Acute Cor Pulmonale is an MCC and even so - we get quite a lot of COPD'ers' in our patient population who meet clinical indicators for this diagnosis - Ac or Chr.
It would be greatly appreciated!!
Acute Cor Pulmonale is an MCC and even so - we get quite a lot of COPD'ers' in our patient population who meet clinical indicators for this diagnosis - Ac or Chr.
It would be greatly appreciated!!
Comments
apnea (pulm. HTN) and other diseases where a patient is in chronic
hypoxia.
Norma T. Brunson, RHIA
Clinical Documentation Specialist
Bay Medical Center
Can I offer a suggestion? Have your pulmonologist address your task force
on what he/she thinks the definition of cor pulmonale is, then combine the
criteria and their own words in to a facility specific query. I am very
cautious to use the "criteria" as the basis of queries as it is becoming
more common for payors to deny based on their own reasoning/criteria. If
your query is formatted and supported by your own medical staff, they will
be more likely to defend it in the event of a denial. I recently reviewed
to separate request for medical records with acute renal failure, where
payor A was denying and using the RIFLE criteria, and payor B used the
AKIN criteria.
Thank You,
Susan Tiffany RN CDS
Supervisor Clinical Documentation Program
Guthrie Healthcare System
phone: 570-882-6094
fax: 570-882-6768
email: tiffany_susan@guthrie.org
queries are going to be used more and more as we begin to see the
results of many audits and reviews.
N. Brunson, RHIA
Clinical Documentation Specialist
Bay Medical Center