Prioritizing workload

Hello, I work in a couple of different areas as a CDI and am wondering if anyone has any information on prioritizing chart reviews? Any suggestions on charts to look at/ to not look at? Ways to define where to focus?

thank you
Sara Filas RN BSN
Clincial Documentation Specialist
Sara.Filas@aspirus.org

Comments

  • Sepsis accounts for a large portion of mortality and contribution to Observed/Expected Metric at many sites. Review for Simple (995.91) versus Complex Sepsis (995.92) - consequences of sepsis drive scores.

    Consider reviewing cases subject to VBP and Core Measures and Pay For Performance - such as AMI, CHF, PNA

    Consider getting a daily list of expired cases and perform APR-DRG (SOI/ROM) review for each case.

    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:  415.412.9421

    evanspx@sutterhealth.org
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