Establishing criteria for subjective diagnoses
I almost have our organization's criteria approved for Acute Respiratory Failure. It is going to our Critical care committee in less than two weeks. I know that the reason we do this is because this diagnosis can be a subjective one. We did the research and I worked with our Pulmonologists to get their input and approval. It is important for physician participation for CDI. It can also be used for RAC and insurance audits. Can anyone give me any other reasons why it is important to do this for our organization that I can take to that Critical care committee meeting on February 6th? Be specific and to the point please. Physicians like it that way.
Mary L. Snook RN-BC
Clinical Documentation Improvement Specialist
Fairfield Medical Center
740-689-4443
Fairfield Medical Center
People you know. Care you trust.
"Confidentiality Notice: This email message, including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review; use; disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message."
Mary L. Snook RN-BC
Clinical Documentation Improvement Specialist
Fairfield Medical Center
740-689-4443
Fairfield Medical Center
People you know. Care you trust.
"Confidentiality Notice: This email message, including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review; use; disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message."
Comments
Thanks,
Loretta
Charlene
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Monday, January 26, 2015 12:09 PM
To: Thiry Charlene
Subject: RE:[cdi_talk] Establishing criteria for subjective diagnoses
I don't have an additional reason for you, but I am curious if you would be willing to share the "criteria" you will be presenting to them. This is a subject that I am currently getting involved with as well.
Thanks,
Loretta
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Monday, January 26, 2015 12:04 PM
To: Hoffmeister, Loretta
Subject: [cdi_talk] Establishing criteria for subjective diagnoses
I almost have our organization's criteria approved for Acute Respiratory Failure. It is going to our Critical care committee in less than two weeks. I know that the reason we do this is because this diagnosis can be a subjective one. We did the research and I worked with our Pulmonologists to get their input and approval. It is important for physician participation for CDI. It can also be used for RAC and insurance audits. Can anyone give me any other reasons why it is important to do this for our organization that I can take to that Critical care committee meeting on February 6th? Be specific and to the point please. Physicians like it that way.
Mary L. Snook RN-BC
Clinical Documentation Improvement Specialist
Fairfield Medical Center
740-689-4443
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
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Monday, January 26, 2015 12:12 PM
To: Hoffmeister, Loretta
Subject: RE:[cdi_talk] Establishing criteria for subjective diagnoses
Have you seen the criteria that Dr. Pinson presented at the most recent ACDIS convention? Very helpful and the material is on the share point for ACDIS.
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
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
I think I have seen coders take issue when not ALL the coding clinic advice fits, might strengthen it a little…just a thought.
Looks good!
Ann Donnelly,RN,BSN,CCDS
Annnd2009@gmail.com