RE: [EXTERNAL] RE: end stage CHF
Thank you for the response…ideally, we would have support of a Cardiologist with extensive clinical AND documentation and coding expertise, as such support would be greatly appreciated.
However, such is not the case, at least not currently. Our CDI staff has read the publications and various criteria used to distinguish the type of heart failure based upon history, exam, medications, and so forth, and these are informative; But we have at least some physicians that remain reluctant to specify the type of HF unless a definitive citation of the LV performance can be referenced.
Paul
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
However, such is not the case, at least not currently. Our CDI staff has read the publications and various criteria used to distinguish the type of heart failure based upon history, exam, medications, and so forth, and these are informative; But we have at least some physicians that remain reluctant to specify the type of HF unless a definitive citation of the LV performance can be referenced.
Paul
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