Coding Software

dvitalone1

My facility has just started the CDI Program last week. I am the only CDI Specialist right now with plans to hire more. I was a Nurse Case Manger at this facility prior to starting this program. The Coding Supervisor feels that I need some type of coding program so I can see how things are grouped and she feels this would be very beneficial since I do not have a coding background. The program here that our coders use is Quantum Encoder which is "live" and many feel that I should not have access to since it is real time. My question is how beneficial is having a type of standalone coding software for a CDI Specialist who is a RN and is there any software out there that you know of that is not "live." Thanks!

Dawn M. Vitalone, RN
Clinical Documentation Improvement Specialist
Community Hospital
901 MacArthur Blvd.
Munster, IN 46321
phone: (219) 513-2611
pager: (219) 222-2498

twoods

We us 3M and I find it very helpful.

Theresa Woods, RN, MSN
Jennings American Legion Hospital
1634 Elton Road
Jennings, La 70546
Phone: 337-616-7297
Fax: 337-616-7096
twoods@jalh.com
"Attitude is a little thing that makes a big difference." Winston Churchhill

robert.hodges2

I don't use coding software, but have been told that Quantum has a
standalone version available that won't impact the coders work. Of
course I don't have access to that. Another thing I found helpful was
taking some basic coding courses. Also talking and working with the
coders here has been invaluable.



Robert



Robert S. Hodges, BSN, MSN, RN

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



"The difference between the right word and the almost right word is the
difference between lightning and the lightning bug." Samuel "Mark Twain"
Clemens

kari.eskens

We also use Quantim. The CD Specialists have access to it. We created each of them a fake account so they could look up codes and see how things group. It was a great tool when they were first learning CC/MCC, but don't think they use it as frequently anymore.

Kari L. Eskens, RHIA
BryanLGH Medical Center
Coding & Clinical Documentation Manager

kshumpert

We use 3M. It is very helpful to have the information available to obtain SOI/ROM. It is also helpful for obtaining the DRG, reviewing coding clinic and has been instrumental in time management. I also use it to provide education to the nursing staff for CMI, length of stay and POA so that they have a better understanding of reimbursement and their impact.

Kathy Shumpert, RN, BSN

Clinical Documentation Improvement Specialist
Howard Regional Health System
Office 765-864-8754
Pager 765-604-0424
Fax 765-453-8152

[cid:image001.jpg@01CB3F88.462A98D0] Proofread carefully to see if you any words out. ~Author Unknown

pfowler

We use 3M. There is an Encoder software with it.



Patsy Fowler RN, MSN, CCDS

Certified Clinical Documentation Specialist

Marion Regional Hospital

PO Box 1150

Marion, SC 29571

Office 843-431-2044

Cell 843-431-2863

Fax 843-431-2432

cbarnes

We use 3M and it is quite beneficial.

NormaB

We use Quantim Encoder. We also have the stand alone version - must be available for all who use Quantim because we have around 15 Coders and two CDS who are able to access. It is very useful to plug in diagnoses and generate your DRG.

As a CDS we are actually performing the admission coding - to achieve our working DRG and LOS. As queries are answered, surgeries are performed - making it necessary to sometimes update PDx and SDx we also add those codes. Our Case Management Department uses the updated DRG's to manage LOS before a patient is placed or returns in a Nursing home or other Discharge Plan.

It depends on your program and how involved they will want you to become in the Coding process.

HCPro offers the coding Boot Camp - but AHIMA also offers eLearning courses in all forms of Coding - Inpatient, Outpatient, etc. I would invest in some Basic Coding for overall understanding of setting a PDx and understanding how MCC's and CC's impact the DRG.

I used 3M MAAAAAANY years ago and felt it was a bit too "user-friendly". (It can sometimes lead inexperienced coders astray through its logic). In my opinion I really like the Quantim Coding product and find that it makes you a better coder. It's like coding straight from the coding books - however you have all your resources at your fingertips.

Ask your Coding Supervisor to at least investigate the stand-alone coding area of Quantim for your use in assigning DRGs. Every coder in our facility has the icon on their desktop - as well as the Encoder Interlink. It's very helpful in many instances.

I will say for 3M that they do lead the industry standards. And currently we are looking into the 3M Clinical Documentation portion. I wish Quantim would release a product.

N. Brunson, RHIA, CCDS
Bay Medical Center

dog

I have always had 3M stand-alone as an adjunct to our required software. My feeling is that you should have access to the same tools the coders are using, albeit in a stand-alone version so you aren't actually coding charts. I like 3M a lot, although it is not perfect.

Renee


Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center

fentona@bronsonhg.org

We use 3M and it is great

dong.li

I wondered about how this software can using nursing thought process to access coding language? Can you pls give me a example?
Thanks

MEI LI. RN, MHA, CDIS
WEST HOUSTON MEDICAL CENTER
CLINICAL DOCUMENTATION SPECIALIST
HIM DEPARTMENT
12141 RICHIMOND AVE
HOUSTON MEDICAL CENTER
OFFICE: 281-588-8560
CELL: 832-878-2518
Email: Dong.Li@hcahealthcare.com

fentona@bronsonhg.org

I use 3m, it is based on words, so.....I type in respiratory, choices come up like respiration, respiratory, resp. distress syndrome, RSV, I pick respiratory, then choices come up like arrest, decrease d/t shock, distress, failure, etc..., I pick failure, it goes to acute newborn, ac/ on chronic chronic, d/t trauma, surgery or shock etc., I pick acute only then it goes to a d/t screen and gives me four more choices=acute exac copd, poisoning, trauma/shock/surgery, other, pick other then it gives me choices about ventilation therapy, I pick what applies, then I get the diagnosis with the code resp failure 518.81. The entire system is built on words, like multiple choice.
Hope that helps.
Amy

dong.li

Interesting, I am sure it helps our thinking process. Thanks for sharing.

fishdl@shands.ufl.edu

Being familiar with both Quantim and 3M, I totally agree with your
comments. The main advantage 3M has is having the APR-DRG grouper to
determine the severity and risk scores - very helpful!! Of course, it
is an add-on and costs extra.