RE: [MARKETING] RE: [MARKETING] ABL Anemia/Clinical Indicator Query
Thanks, Jolene. It is indeed difficult to code and abstract 30 or charts per day compliantly – if any of the key portions of MD documentation are not reliable, the task becomes more difficult. The difficulty of coding some of these charts can best be appreciated by visiting with the coders, opening a chart, and then attempting to decide ‘what to code’ and in what order. There is much, much more dissonance in charts than one would think.
Personally, I have always ‘vetted’ my key conditions - CC/MCC codes and PDX,before I drop any bill – this was the way I was trained at the university. I think some of my concern regarding some coding practices revolves around those coders/sites that are ‘too focused’ on productivity and DNFB. It is very, very important that coding mgrs began to place MORE emphasis on QUALITY and less on number of charts coded per hour, particularly in light of the changes incumbent upon CDI and Coders to ‘confirm’ certain conditions, as per most recent Best Practice.
Concurrent CDI review can be a great asset for any facility as it can make final coding much more accurate.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
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
Personally, I have always ‘vetted’ my key conditions - CC/MCC codes and PDX,before I drop any bill – this was the way I was trained at the university. I think some of my concern regarding some coding practices revolves around those coders/sites that are ‘too focused’ on productivity and DNFB. It is very, very important that coding mgrs began to place MORE emphasis on QUALITY and less on number of charts coded per hour, particularly in light of the changes incumbent upon CDI and Coders to ‘confirm’ certain conditions, as per most recent Best Practice.
Concurrent CDI review can be a great asset for any facility as it can make final coding much more accurate.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
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