RE: Observation Beds and Policy
I have a few questions I am hoping some of you will be willing to share what your organization is doing.
1.) Do you have observation beds and if yes are they scatter beds or in a physical designated location
2.) Do you have a separate charge for extended recovery post am-surg but does not warrant an IP stay for commercial payers?
3.) How do you handle ambulatory surgery patients who do not meet criteria for inpatient but are not considered safe to go home?
4.) How involved is your CDI program in observation cases or am surg converts?
Thank you all in advance for any feedback!
Roberta Bosanko-Cera MS, CDIP, CCS-P, CPMA, CPC-P, CEMC
AHIMA ICD-10-CM/PCS Training Instructor
Senior Director, ICD-10
Hospital For Special Surgery
535 E 70th Street
New York, NY 10021
bosankor@hss.edu
212-774-2906 Office
http://intranet.hss.edu/ICD-10/index.asp
This email is intended only for the use of the individual(s) or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable state or federal law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, immediately notify the sender by reply email and destroy this message.
1.) Do you have observation beds and if yes are they scatter beds or in a physical designated location
2.) Do you have a separate charge for extended recovery post am-surg but does not warrant an IP stay for commercial payers?
3.) How do you handle ambulatory surgery patients who do not meet criteria for inpatient but are not considered safe to go home?
4.) How involved is your CDI program in observation cases or am surg converts?
Thank you all in advance for any feedback!
Roberta Bosanko-Cera MS, CDIP, CCS-P, CPMA, CPC-P, CEMC
AHIMA ICD-10-CM/PCS Training Instructor
Senior Director, ICD-10
Hospital For Special Surgery
535 E 70th Street
New York, NY 10021
bosankor@hss.edu
212-774-2906 Office
http://intranet.hss.edu/ICD-10/index.asp
This email is intended only for the use of the individual(s) or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable state or federal law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, immediately notify the sender by reply email and destroy this message.
Comments
1. Yes, we have OBS beds, they are scattered. It is a 'status' and does not have any impact on where they are housed, treatment, staffing rations, etc
2. I am not sure about this. I do not believe so.
3. They stay in the facility under OBS status
4. We are not. However, I think that depends a lot on whether you have a UR team that is carefully monitoring status. Our UR team monitors these patients, determines if they meet criteria for IP status, facilitates getting these orders from the MD's etc. I think some hospitals without a UR team that performs these duties may have CDI involved in this process.
Hope that helps!
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
Sharon Cooper, RN-BC, CCS, CCDS, CDIP
AHIMA-Approved ICD-10-CM/PCS Trainer/Ambassador
Manager Clinical Documentation/Appeals/MDS/PPS
Owensboro Health Regional Hospital
P.O. Box 20007
Owensboro, KY 42304-0007
sharon.cooper@owensborohealth.org
(270) 417-4612 Office
(270) 316-9088 Cell
(270) 417-4609 Fax
Sorry if that caused any confusion.
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
Theresa Crosslin RN-CM
931-783-2078
Debra Stewart RN, BSN
Clinical Documentation Specialist
Sentara/Halifax Regional Hospital
South boston, va. 24592
(434)-517-3317 Work
(434)-222-9884 Cell