general question for all on list
As a member of ACDIS and subscriber to CDI Talk, I would like to ask a
question.
I am employed by a critical access hospital. Myself and others in
billing and coding have noticed a disconnect between our separate
processes and uniting the whole picture for compliance and accuracy. As
a critical access hospital, we do not bill under DRG's, we use CPT and
ICD 9 codes. My current role is ICU manager, but I have been involved in
multiple coding and billing renovations at this facility. I am looking
to apply the principles of CDI to the critical access hospital by means
of E & M review and ICD 10 preparation. Has anyone else started a CDI
program in the critical access hospital setting?
Valerie Randall, CCRN
ICU Nurse Manager
Mayo Regional Hospital
897 West Main St
Dover-Foxcroft, ME 04426
vrandall@mayohospital.com
207-564-4390
question.
I am employed by a critical access hospital. Myself and others in
billing and coding have noticed a disconnect between our separate
processes and uniting the whole picture for compliance and accuracy. As
a critical access hospital, we do not bill under DRG's, we use CPT and
ICD 9 codes. My current role is ICU manager, but I have been involved in
multiple coding and billing renovations at this facility. I am looking
to apply the principles of CDI to the critical access hospital by means
of E & M review and ICD 10 preparation. Has anyone else started a CDI
program in the critical access hospital setting?
Valerie Randall, CCRN
ICU Nurse Manager
Mayo Regional Hospital
897 West Main St
Dover-Foxcroft, ME 04426
vrandall@mayohospital.com
207-564-4390
Comments
Have you tried connecting with anyone from Kindred Hospital? I have met some of the CDI folks from Kindred at the SanDiego Convention. They may be able to assist you.
Lisa Romanello, RN,BSN,FNS,CCDS
CDI Specialist
CJW Medical Center
Chippenham Campus
804-228-6527
I know about a critical access hospital that utilized an RN as a chart auditor. She worked on different audits, billing discrepancies, physician office billing, and surgical procedure billing. She would also write any appeals that were necessary. I work very closely with our RN chart auditor at our facility. Many times, such as RACs, we are collaborative.
Thanks,
Kathy
Kathy Shumpert, RN, CCDS
Clinical Documentation Improvement Specialist
Community Howard Regional Health
Office 765-864-8754
Cell phone 765-431-0123
Fax 765-453-8447
When something can be read without effort, great effort has gone into its writing. ~Enrique Jardiel Poncela