Reconciling DRG's

hillsandovals@email.chop.edu

Hello fello CDI's.
I was wondering if any of you reconcile your working DRG and or APR-DRG with the coders.

1.If so at what point do you reconcile, concurrent or at d/c before the bill is dropped. Also how is this done?

2.With your reconciliation, do you list your codes with the descriptions as well as your working DRG. For example....6823 cellutilits with abcess, 04112 MRSA, ......

3. My CDI Team feels like if this info is placed in epic for the coders to see, then the coders may use the info that the CDI has used. Your thoughts

Thanks
Steph

chutchinson

I reconcile the final DRG with coding after discharge on all cases I review. If a patient is here > 5 days and coding has listed his/her working DRG, I will concurrently see if ours match up at that point.
I have a worksheet in Epic that lists the diagnosis codes, and any notes I record; it also lists the working DRG if I put it in, but that is not mandatory. I have noticed that some of the coders document the same diagnoses and codes in the exact order as my worksheet~ coincidental? Could be. Others list many more diagnoses & codes than I do but since I am the only Pedi CDI currently, I have to limit the extent of (re)reviews.
Coding will rebill as necessary.

Hope that helps.

Claudine Hutchinson RN (CDI)

hillsandovals@email.chop.edu

Thanks so much


Stephanie Hill Sandoval MSN Ed., BSN, RN
Clinical Documentation Improvement Specialist Team Lead
hillsandovals@email.chop.edu
Phone 215 590 1844

hillsandovals@email.chop.edu

Thanks so much

hillsandovals@email.chop.edu

Thank you for your response

Stephanie Hill Sandoval MSN Ed., BSN, RN
Clinical Documentation Improvement Specialist Team Lead
hillsandovals@email.chop.edu
Phone 215 590 1844