RE: [EXTERNAL] RE: agree/disagree metric

We also have a standard series of responses which was defined by the VHA CDI Council but it’s more in term of query impact vs. an agree vs disagree.



DRG changed

MCC captured

CC captured

Additional diagnosis documented

More specific diagnosis documented

More precise CPT

Response – No change

VERA (this is a unique VA impact so don’t worry about it too much)

Other

Response – No documentation

No response



I also will ask providers periodically if they feel if I am querying them appropriately or not. So far I’ve had no negative responses in the past six years to that question.



Robert



Robert S. Hodges MSN, BSN, RN, CCDS

Clinical Documentation Improvement Specialist

Secretary, Nursing Professional Standards Board

Aleda E. Lutz VA Medical Center

1500 Weiss Street, ATTN PAS-136

Saginaw MI 48602



989-497-2500 x13101

Robert.Hodges2@va.gov





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




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