Time for another round of : "Favorite typos of the week"

cmorellcmorell
in CDI Talk Archive
Here is our contribution:

CT of the food neg for OM.

Thank goodness there is no osteomyelitis in the food here! LOL!
Charlie

Comments

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    Well, these aren’t necessarily typos, just interesting gems. In the last couple days:


    1. "PT AT BIKE RALLEY "ATE A MAGIC BROWNIE"

    2. "found his toe to be infected, apparently did an I&D in the office and reported that the DIP bone fell off"

    3. “Doesn't eat in the dining room of Emeritus because she doesn't like their food - eats Proscuitto and liverwurst sandwiches (not in same sandwich).”



    Oh, and I queried for a corresponding dx for a BMI >54 and received “unable to determine” in response.


    Thanks for the clarification
    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404
  • dvitalone1dvitalone1
    edited May 2016
    We had one that stated 20yr old male came to ER after broomstick got lodged in rectum. States he was "dancing on broomstick" LOL
  • kari.eskenskari.eskens
    edited May 2016
    Recent typo found by CDI staff on an H&P in the listing of past medical history:

    10. Erogenous obesity.


    Kari L. Eskens, RHIA
    BryanLGH Medical Center
    Coding & Clinical Documentation Manager
  • mdomineseymdominesey
    edited May 2016
    Hah! Love it, Apparently a fan of Ruben's paintings?

    MND


    Mark N. Dominesey, RN, BSN, MBA, CCDS, CDIP
    Clinical Documentation Excellence
    Sr. Clinical Documentation Improvement Specialist
    Sibley Memorial Hospital
    Information Technology
    5255 Loughboro Rd NW
    Washington DC, 20016-2695
    W: 202.660.6782
    F: 202.537.4477
    mdominesey@sibley.org
    http://www.sibley.org
  • Unknown
    edited May 2016
    You guys are making me roll this am!! Love it!

    Jamie Dugan RN
    Clinical Documentation Improvement Specialist
    Baptist Health System
    office:904-202-4345
    cellular: 904-237-7253
    Business Email-jamie.dugan@bmcjax.com
    cdis.icd10@bmcjax.com
  • vdavis2vdavis2
    edited May 2016
    Our best query answer in response to VERY OBVIOUS clinical indicators for Acute Respiratory Failure:

    "Barking up the wrong tree!"

    Enough said. ;P

    Vicki S. Davis, RN CDS
    Clinical Documentation Improvement Manager
    Health Information Management Department
    Alamance Regional Medical Center
    Office (336) 586-3765
    Ascom Mobile (336) 586-4191
    Fax (336) 538-7428
    vdavis2@armc.com

    "The difference between the right word and the almost right word is the difference between lightning and the lightning bug."- Samuel "Mark Twain" Clemens
  • laura.bohls@prairielakes.comlaura.bohls@prairielakes.com
    edited May 2016
    My favorite when I asked for the stage of CKD: "We are getting overboard!" The same physician responded to another query on the same day with "are you kidding?" I guess he didn't like being queried on that day :)

    Laura Bohls, RN CDS
    Prairie Lakes Healthcare System
  • ssalinasssalinas
    This wasn't really a typo - more of a transcriptionist's interpretation of what the physician actually said. The report read that 'the patient tripped and felt pain in the forest resulting in need for surgery.
    When I listened to the dictation the physician actually dictated that “patient had tripped resulting in pain in the lumbar area”…..

    Then there is always the “gastrointestinal upset after eating a bowel full of chili”..

    And the statement in an op report that “the patient was prepped and raped in the usual manner”….

    Sharon
  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    And the statement in an op report that “the patient was prepped and raped in the usual manner”….

    ^oops. That’s a bad one!


    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404
  • sharon.cooper@owensborohealth.orgsharon.cooper@owensborohealth.org
    edited May 2016
    But sooo funny!!! LOL!!!
  • Unknown
    edited May 2016
    I'm curious what some of you might respond to the physician when you have these kinds of comments to a query.

    Tina Simpson, BSN, RN, CCDS
    White River Medical Center
  • ssalinasssalinas
    edited May 2016
    Needless to say, all reports were corrected and that transcription company was not with us much longer!

    Sharon
  • kmckaigkmckaig
    edited May 2016
    If the comment was made via electronic query, I typically respond back
    the I am sorry but payer guidelines and coding guidelines require
    certain degrees of specificity, hence the query. I have even gone as
    far as to explain that if the handwriting isn't legible, that requires a
    query to clarify what's written. If it is face to face that I get
    these remarks I attempt to explain what is needed to avoid future
    queries and why the queries matter. If the physician is being
    difficult, I end the conversation with a side comment of not shooting
    the messenger and next time I'm in Washington meeting with CMS, I will
    voice their concerns. That last part usually refocuses them.
    Fortunately, we do have a good rapport with most of our physicians and
    at times their just bantering with us to make us crazy. On the rare
    occasion that we have a physician respond disrespectfully, we report it
    through our quality dept and let the chief of service deal with it.




    Karen McKaig, BSN, RN, CCM, CPUR, CCDS
    Case Manager
    Clinical Documentation Specialist
    Baxter Regional Medical Center
    Mountain Home, AR 72653
    870-508-1499
    kmckaig@baxterregional.org
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