A little whine and jeez

catladyrncatladyrn
in CDI Talk Archive
Why does it seem to be that the physicians with the worst documentation, who need the most help, are always the ones who never answer their queries?

The docs who already document well are the ones who pick up on the few times they need to be queried...and they get progressively better because they've learned what we need from the previous queries.

Arrogance, ignorance, stupidity?

Off to bandage the hole in my head caused by beating it against the wall...

Renee
Linda Renee Brown, RN, MA, CCDS, CCS, CDIP

Comments

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited April 2016
    Hi, Renee

    Benign neglect? I think those 'that care' enough to document fairly well w/o any prompting will also be those that respond favorably to a query with integrity. While those that are sloppy probably have traits that make them less likely to respond to even the most complaint and well-written query.

    Just my opinion. I try to simply accept the behavior as part of my job. However, you make a good point. As a CDI Supervisor, I do NOT have a 100% 'response rate' as a goal for the team. I do not wish to disparage those that have such a goal, but in my world with a very large health care chain and many independent physicians, such a goal is simply not realistic or anticipated.

    PE




    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

  • paxnerospaxneros
  • kshumpertkshumpert
    edited April 2016
    I think that all people behave in ways that work for them. Those individuals that don’t answer queries likely don’t collaborate with quality or case management either. They have learned that resistance or ignoring others pays off for them. Often they are on the delinquency list with medical records as well. I have a process to step in to mitigate suspension for delinquencies. With great challenge you often find hidden rewards. Keep your head off the wall and query on☺

    Thanks,
    Kathy
    Kathy Shumpert, MSN, RN, CCDS

    Clinical Documentation Improvement Specialist
    Community Howard Regional Health
    3500 S Lafountain
    PO Box 9011
    Kokomo, IN 46902
    Office 765-864-8754
    Cell 765-431-0123
    Fax 765-453-8447

  • cmorellcmorell
    I would be very interested to hear an anecdotal tale of your process to mitigate suspension for delinquencies with a positive outcome :)

    Charrington "Charlie" Morell
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