Will you share your favorite unusual CC/MCC opportunity?
I thought this would be a great opportunity for us to help each other find query opportunities beyond the anemia, CHF, malnutrition, CKD, etc.
My current favorites are:
Cerebral or Vasogenic Edema with treatment of Decadron, Mannitol IV (MCC) (got this from reading ACDIS)
Peritonitis-with documentation of fecal contents from perforated colon, elevated wbcs. (MCC)
Specificity of Encephalopathy-Toxic, Metabolic, Septic-encephalopathy is already a MCC but more specificity is appropriate.
Querying for documentation of skin alteration (usually over a bony prominence where it may become a potential HAC (hospital acquired condition) (decubitus, vascular ulcer, lesion, excoriation or other more appropriate diagnosis) and if it was POA.
Charrington "Charlie" Morell
My current favorites are:
Cerebral or Vasogenic Edema with treatment of Decadron, Mannitol IV (MCC) (got this from reading ACDIS)
Peritonitis-with documentation of fecal contents from perforated colon, elevated wbcs. (MCC)
Specificity of Encephalopathy-Toxic, Metabolic, Septic-encephalopathy is already a MCC but more specificity is appropriate.
Querying for documentation of skin alteration (usually over a bony prominence where it may become a potential HAC (hospital acquired condition) (decubitus, vascular ulcer, lesion, excoriation or other more appropriate diagnosis) and if it was POA.
Charrington "Charlie" Morell
Comments
Great timing! - I have been wondering how to word a query for this:
Cerebral or Vasogenic Edema with treatment of Decadron, Mannitol IV (MCC) (got this from reading ACDIS)
Vanessa Falkoff RN
Clinical Documentation Coordinator
UMC
office 702-383-7322
cell 702-204-0054
I use this format and of course list the MRI findings supporting the diagnosis along with treatment (Decadron, Mannitol IV)
BASED ON YOUR CLINICAL JUDGMENT, CAN YOU DOCUMENT THE KNOWN OR SUSPECTED CONDITION THAT REPRESENTS THE CLINICAL INDICATORS AND TREATMENT LISTED BELOW? (E.G. CEREBRAL EDEMA, VASOGENIC EDEMA, CEREBRAL COMPRESSION/COMPRESSION OF BRAIN, COMA, UNABLE TO DETERMINE, OTHER MORE APPROPRIATE DIAGNOSIS)
Charlie
Paul Evans, RHIA, CCDS