surgical complications

Unknown
edited May 2016 in CDI Talk Archive
Good morning - as usual, I was able to get a whole bunch of information from the ACDIS website on surgical complications but was wondering if anyone has actually done education with their surgeons e.g. presentations at surgical meeting or flyers breaking down some of the nuances of complication coding?

Thank you,

Linnea Thennes, RN, BS, CCDS, CCS
Supervisor, Clinical Documentation Improvement
Centegra Health System
815. 759-8193
lthennes@centegra.com

Comments

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    Yes: I have a PowerPoint and I will send to you. It is too large for the ACDIS site, apparently.

    Paul

    Paul Evans, RHIA, CCS, CCS-P, CCDS

    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell: 415.637.9002
    Fax: 415.600.1325
    Ofc: 415.600.3739
    evanspx@sutterhealth.org
  • wrightnawrightna
    edited May 2016
    Hi Paul,

    I would love to see it as well. My contact info is below.

    Nancy Wright RN

    Nancy Wright, RN, BHA, MBA
    Clinical Documentation Specialist
    Health Information Management
    Saint Mary's Health Care
    200 Jefferson SE
    Grand Rapids, MI 49503
    PH: 616.685.6687
    FX: 616.685.3014
    wrightna@trinity-health.org
    www.smhealthcare.org
  • Unknown
    edited May 2016
    Hi Paul,
    Can you send to me as well? Thank you in advance!!
    -Jane

    Jane Hoyt, BSN, RN, CCDS, CPC-H
    Manager, Clinical Documentation Integrity
    Denver Health and Hospital Authority
    Pavilion A, 5th floor, Room 505 ~ Phone: 303-602-3830 ~ Mailcode 1801~ jane.hoyt@dhha.org
  • Linda_RhodesLinda_Rhodes
    edited May 2016
    Hi Paul,
    Could I have this as well?

    Thanks for sharing!
    Linda


    Linda Rhodes RN, BSN, CCDS
    Manager Clinical Documentation Improvement
    New Hanover Regional Medical Center
    Wilmington, North Carolina
    Office # 910-815-5544
    Cell " 910-777-8344
    e-mail : linda.rhodes@nhrmc.org
  • judithbatesjudithbates
    edited May 2016
    Paul,
    I think it would be good to just send it to the CDI talk...Sure you thought of that based on the response, cause I really want the presentation as well.
    THANKS!
    Judi Bates
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    Any time.

    Paul Evans, RHIA, CCS, CCS-P, CCDS

    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell: 415.637.9002
    Fax: 415.600.1325
    Ofc: 415.600.3739
    evanspx@sutterhealth.org
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    Attch’d please find file.

    PE

    Paul Evans, RHIA, CCS, CCS-P, CCDS

    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell: 415.637.9002
    Fax: 415.600.1325
    Ofc: 415.600.3739
    evanspx@sutterhealth.org
  • renmeyer@sbcglobal.netrenmeyer@sbcglobal.net
    edited May 2016
    Great info. Thanks for sharing Paul.

    Renee, RN
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    Hey, Renee

    I wanted to thank you for the help you provided me a few weeks ago...hope you are well.

    Best,

    Paul Evans, RHIA, CCS, CCS-P, CCDS

    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell: 415.637.9002
    Fax: 415.600.1325
    Ofc: 415.600.3739
    evanspx@sutterhealth.org
  • redjay2redjay2
    edited May 2016
    Any chance I could get a copy of that power point. We dont have
    anything like you are speaking about. The surgeons only seemd confused
    or skeptical about coding
    Judy Valitutto RN BSN BC
    Staten Island University Hospital
    jvalitutto@siuh.edu
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    Files you requested are attached.

    Good luck!

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002
    Fax:  415.600.1325
    Ofc:  415.600.3739
    evanspx@sutterhealth.org
  • mary.mcgrady@accuityhealthcare.commary.mcgrady@accuityhealthcare.com
    edited May 2016
    Thanks, I really appreciate it!
    Mary
  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    Most welcome. As I have stated earlier, the documentation and coding of 'complications' is both technically difficult and often misunderstood. These presentations are fairly 'simple' and not meant to provide a complete overview on this complicated topic.

    Paul Evans, RHIA, CCS, CCS-P, CCDS
     
    Manager, Regional Clinical Documentation & Coding Integrity
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell:  415.637.9002
    Fax:  415.600.1325
    Ofc:  415.600.3739
    evanspx@sutterhealth.org
  • judithbatesjudithbates
    edited May 2016
    THANKS!

    Judi Bates RN, BSN, CCDS
    Our Lady of Lourdes Medical Center
    CDI Specialist
    856-757-3161
    Beeper 66x2906
  • redjay2redjay2
    edited May 2016
    Much appreciate the information shared.

    Thank You Paul
    Judy Valitutto
  • robert.hodges2robert.hodges2
    edited May 2016
    I'd query. It would be a good educational opportunity for the surgeon if he feels they were not inherent to the procedure.

    Robert

    Robert S. Hodges, BSN, MSN, RN, CCDS
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
    P: 989-497-2500 x13101
    F: 989-321-4912
    E: Robert.Hodges2@va.gov



    ”We are continually faced by great opportunities brilliantly disguised as insolvable problems.” Benjamin Franklin
  • jpotterjpotter
    Thanks, Robert. I appreciate your input.
  • jolene.filejolene.file
    edited May 2016
    I would query. I think the air leak may or may not be significant and is seen frequently with thoracotomy. A fracture which occurs during surgery (iatrogenic)is coded to 998.89.

    Jolene File,RHIT,CCS,CPC-H,CCDS
    Documentation Improvement Specialist-Coder
    Hays Medical Center
    jolene.file@haysmed.com

    IMPORTANT: This communication contains information from Hays Medical Center which may be confidential and privileged. If it appears that the communication was addressed or sent to you in error, you may not use or copy this communication or any information contained therein, and you may not disclose this communication or the information contained therein to anyone else. In such circumstances, please notify me immediately by reply email or by telephone. Thank you.
  • jpotterjpotter
    Really appreciate your input, Jolene. Just needed a little coaching before I felt comfortable querying.
Sign In or Register to comment.