How do you report your CDI Stats?
Hello!
I wanted to see if anyone might be willing to share their process regarding reporting the financial difference you as a CDI have made.
We do not have a CDI computer program to track our changes for us so everything is done manually via Excel Spreadsheets.
What I am currently doing is keeping track of charts in which CDI involvement impacted/caused a DRG changed (changed the principal diagnosis, added the only CC/MCC, etc.)
We have a column for what the original DRG and expected reimbursement was prior to CDI involvement, a column for what the DRG/Reimbursement was after CDI involvement and then a column that shows what the actual dollar amount change for that record is. (Report Example Below).
Of course sometimes our changes do cause a decrease in payment (though it is more accurate!). These cases are factored into our reports and show up in red text showing CDI involvement decreased the reimbursement amount. The negative changes are subtracted from the total positive changes we made. So while we made a difference in the case, it does take away from our final dollar amount reported to the director. Curious as to if this is how others report this type of change as well.
I was wondering if a report like this sounds similar to what other facilities are doing. How do you report those cases where your intervention actually resulted in a decrease payment?
Any information you would be willing to share would be appreciated!
Thanks,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
[CCDS_pin_1inch]
Report Example:
Admit Date
Original DRG (prior to CDI involvement)
Original DRG Reimbursement amount
Discharge Date
Final Coded DRG
Final Coded DRG Reimbursement amount
Actual DRG Reimbursement Increase (Final Coded DRG minus Original DRG)
Comments
7/13/2015
292
$6,595.00
7/16/2015
603
$5,721.00
$874.00
Changed P.DX
7/26/2015
293
$4,652.00
7/28/2015
292
$6,595.00
$1,943.00
Added Only MCC
Totals
$11,247.00
$12,316.00
$1,069.00
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This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. This communication may contain personal patient health care information and is protected by federal law and other statutory protections. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Virginia Hospital Center -Arlington's Information Systems Department @703-558-6566.
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I wanted to see if anyone might be willing to share their process regarding reporting the financial difference you as a CDI have made.
We do not have a CDI computer program to track our changes for us so everything is done manually via Excel Spreadsheets.
What I am currently doing is keeping track of charts in which CDI involvement impacted/caused a DRG changed (changed the principal diagnosis, added the only CC/MCC, etc.)
We have a column for what the original DRG and expected reimbursement was prior to CDI involvement, a column for what the DRG/Reimbursement was after CDI involvement and then a column that shows what the actual dollar amount change for that record is. (Report Example Below).
Of course sometimes our changes do cause a decrease in payment (though it is more accurate!). These cases are factored into our reports and show up in red text showing CDI involvement decreased the reimbursement amount. The negative changes are subtracted from the total positive changes we made. So while we made a difference in the case, it does take away from our final dollar amount reported to the director. Curious as to if this is how others report this type of change as well.
I was wondering if a report like this sounds similar to what other facilities are doing. How do you report those cases where your intervention actually resulted in a decrease payment?
Any information you would be willing to share would be appreciated!
Thanks,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
[CCDS_pin_1inch]
Report Example:
Admit Date
Original DRG (prior to CDI involvement)
Original DRG Reimbursement amount
Discharge Date
Final Coded DRG
Final Coded DRG Reimbursement amount
Actual DRG Reimbursement Increase (Final Coded DRG minus Original DRG)
Comments
7/13/2015
292
$6,595.00
7/16/2015
603
$5,721.00
$874.00
Changed P.DX
7/26/2015
293
$4,652.00
7/28/2015
292
$6,595.00
$1,943.00
Added Only MCC
Totals
$11,247.00
$12,316.00
$1,069.00
**********************************************************************************************************
This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. This communication may contain personal patient health care information and is protected by federal law and other statutory protections. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Virginia Hospital Center -Arlington's Information Systems Department @703-558-6566.
***********************************************************************************************************
Comments
Laura Bohls, RN
Clinical Documentation Specialist
605-882-5454
Vanessa Falkoff RN
Clinical Documentation Improvement Coordinator
University Medical Center of Southern Nevada
1800 W Charleston Blvd
Las Vegas, NV
vanessa.falkoff@umcsn.com
office 702-383-7322
Compassion * Accountability * Respect * Integrity
Lori E Peel RN-BC, MSN
RN Quality Documentation Specialist
Phelps Memorial Hospital
Quality Assurance/Risk Management
914-366-3995
lpeel@pmhc.us
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