CDIS Bench mark
We use CDIS 3M 360 software and EPIC . Has anyone who uses this software have any statistics as a benchmark for CDIS productivity, i.e.:
Number of new cases a day
Number of follow up cases a day
Number of all queries:
a) Responded queries total
b) Agreed queries total
c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
Does anyone have some use for number of matching DRG with final coders' DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
How you evaluate CDIS?
We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
Thank you,
Anna Rozhkovskaya, RHIT, CCS, CCS-P
Manager, Clinical Documentation Improvement
Memorial Healthcare System
Health Information Management Department
2990 Executive Way, Miramar, Fl 33025
(954)276-9957 Office
(954)265-6974 Mobile
(954)441-9459 Fax
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Number of new cases a day
Number of follow up cases a day
Number of all queries:
a) Responded queries total
b) Agreed queries total
c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
Does anyone have some use for number of matching DRG with final coders' DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
How you evaluate CDIS?
We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
Thank you,
Anna Rozhkovskaya, RHIT, CCS, CCS-P
Manager, Clinical Documentation Improvement
Memorial Healthcare System
Health Information Management Department
2990 Executive Way, Miramar, Fl 33025
(954)276-9957 Office
(954)265-6974 Mobile
(954)441-9459 Fax
CONFIDENTIALITY NOTICE: DO NOT FORWARD THIS MESSAGE TO OTHERS WITHOUT PERMISSION OF THE SENDER.
This e-mail, including any attachments, may contain confidential or privileged material that is exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, dissemination, copying, or taking any action in reliance on its contents is prohibited. If you have any reason to believe this e-mail was not intended for you, please delete the e-mail and any attachments, and notify the sender immediately.
Comments
same reporting metrics we had within the new system.
Respectfully,
Angela Clayberg, BA, RN
Clinical Documentation Improvement Manager
1201B Sam Perry Blvd., Suite 210
Fredericksburg, Virginia 22401
angela.clayberg@MWHC.com
540-741-4093
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Good Samaritan Health System
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, September 01, 2015 3:26 PM
To: Wilk, Deanne L.
Subject: Re: [cdi_talk] CDIS Bench mark
We also converted from JATA to 360 and have not been able to reproduce the same reporting metrics we had within the new system.
Respectfully,
Angela Clayberg, BA, RN
Clinical Documentation Improvement Manager
1201B Sam Perry Blvd., Suite 210
Fredericksburg, Virginia 22401
angela.clayberg@MWHC.com
540-741-4093
From: CDI Talk
To: angela.clayberg@mwhc.com,
Date: 09/01/2015 01:50 PM
Subject: [cdi_talk] CDIS Bench mark
________________________________
We use CDIS 3M 360 software and EPIC . Has anyone who uses this software have any statistics as a benchmark for CDIS productivity, i.e.:
Number of new cases a day
Number of follow up cases a day
Number of all queries:
a) Responded queries total
b) Agreed queries total
c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
Does anyone have some use for number of matching DRG with final coders’ DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
How you evaluate CDIS?
We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
Thank you,
Anna Rozhkovskaya, RHIT, CCS, CCS-P
Manager, Clinical Documentation Improvement
Memorial Healthcare System
Health Information Management Department
2990 Executive Way, Miramar, Fl 33025
(954)276-9957 Office
(954)265-6974 Mobile
(954)441-9459 Fax
CONFIDENTIALITY NOTICE: DO NOT FORWARD THIS MESSAGE TO OTHERS WITHOUT PERMISSION OF THE SENDER.
This e-mail, including any attachments, may contain confidential or privileged material that is exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, dissemination, copying, or taking any action in reliance on its contents is prohibited. If you have any reason to believe this e-mail was not intended for you, please delete the e-mail and any attachments, and notify the sender immediately.
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Copyright 2013
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This Message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination or copying of this message or the taking of any action in reliance on the contents of this message is strictly prohibited. If you have received this message in error, please notify us immediately and destroy the original message. Thank you.
New cases 8-10, Follow up cases 12-15 per day.
Query response rate >/= 90%
Agreement rate >/= 90%
3M does not separate out Financial impact queries from SOI/ROM queries. Total query benchmark 35-45%
We no longer track mismatch rate between CDI & coding. JATA dropped this from their reported metrics as well.
Performance evaluation is a combination of quality work and productivity. We perform audits of staff reviews, identify opportunities for improvement.
Queries are reviewed for compliance with our facility guidelines.
We share this information with the staff member individually on a quarterly basis during one on one sessions.
Also, we request 2 peer evaluations from other team members ( 1 selected by the staff member, 1 chosen by the manager).
Each staff member identifies 2 individual goals that they are held accountable for during the year. ( 1 personal goal, 1 professional goal).
Other factors: attendance, participation in meetings/presentations, teamwork, etc.
Kay Blue, RN BSN ACM
Director/Consultant
Clinical Documentation Improvement Program
Carolinas Healthcare System
Office: 704-355-7869
Mobile: 704-293-9732
E-mail: Kay.blue@carolinashealthcare.org
[cid:image018.jpg@01CE1367.4847D730]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, September 01, 2015 1:50 PM
To: Blue, Kay
Subject: [cdi_talk] CDIS Bench mark
We use CDIS 3M 360 software and EPIC . Has anyone who uses this software have any statistics as a benchmark for CDIS productivity, i.e.:
Number of new cases a day
Number of follow up cases a day
Number of all queries:
a) Responded queries total
b) Agreed queries total
c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
Does anyone have some use for number of matching DRG with final coders' DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
How you evaluate CDIS?
We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
Thank you,
Anna Rozhkovskaya, RHIT, CCS, CCS-P
Manager, Clinical Documentation Improvement
Memorial Healthcare System
Health Information Management Department
2990 Executive Way, Miramar, Fl 33025
(954)276-9957 Office
(954)265-6974 Mobile
(954)441-9459 Fax
CONFIDENTIALITY NOTICE: DO NOT FORWARD THIS MESSAGE TO OTHERS WITHOUT PERMISSION OF THE SENDER.
This e-mail, including any attachments, may contain confidential or privileged material that is exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, dissemination, copying, or taking any action in reliance on its contents is prohibited. If you have any reason to believe this e-mail was not intended for you, please delete the e-mail and any attachments, and notify the sender immediately.
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CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: Kay.blue@carolinashealthcare.org
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
________________________________
This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Good Samaritan Health System
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, September 01, 2015 4:15 PM
To: Wilk, Deanne L.
Subject: RE:[cdi_talk] CDIS Bench mark
Total productivity cases reviewed per day expected for 20-25 new cases.
New cases 8-10, Follow up cases 12-15 per day.
Query response rate >/= 90%
Agreement rate >/= 90%
3M does not separate out Financial impact queries from SOI/ROM queries. Total query benchmark 35-45%
We no longer track mismatch rate between CDI & coding. JATA dropped this from their reported metrics as well.
Performance evaluation is a combination of quality work and productivity. We perform audits of staff reviews, identify opportunities for improvement.
Queries are reviewed for compliance with our facility guidelines.
We share this information with the staff member individually on a quarterly basis during one on one sessions.
Also, we request 2 peer evaluations from other team members ( 1 selected by the staff member, 1 chosen by the manager).
Each staff member identifies 2 individual goals that they are held accountable for during the year. ( 1 personal goal, 1 professional goal).
Other factors: attendance, participation in meetings/presentations, teamwork, etc.
Kay Blue, RN BSN ACM
Director/Consultant
Clinical Documentation Improvement Program
Carolinas Healthcare System
Office: 704-355-7869
Mobile: 704-293-9732
E-mail: Kay.blue@carolinashealthcare.org
[cid:image018.jpg@01CE1367.4847D730]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, September 01, 2015 1:50 PM
To: Blue, Kay
Subject: [cdi_talk] CDIS Bench mark
We use CDIS 3M 360 software and EPIC . Has anyone who uses this software have any statistics as a benchmark for CDIS productivity, i.e.:
Number of new cases a day
Number of follow up cases a day
Number of all queries:
a) Responded queries total
b) Agreed queries total
c) Queries with financial impact (including MCC/CC, PDX, APR DRG, SOI and ROM)
Does anyone have some use for number of matching DRG with final coders' DRG? Do you reconcile mismatch DRG (meaning whether or not CDIS or leads review pre-billed charts where coders do not agree with your DRG)
How you evaluate CDIS?
We had JATA for 9 years and were tracking all the above. However, we adopted 3M 360 CDIS, and I just wonder has anyone using 360 has any bench mark statistics.
Thank you,
Anna Rozhkovskaya, RHIT, CCS, CCS-P
Manager, Clinical Documentation Improvement
Memorial Healthcare System
Health Information Management Department
2990 Executive Way, Miramar, Fl 33025
(954)276-9957 Office
(954)265-6974 Mobile
(954)441-9459 Fax
CONFIDENTIALITY NOTICE: DO NOT FORWARD THIS MESSAGE TO OTHERS WITHOUT PERMISSION OF THE SENDER.
This e-mail, including any attachments, may contain confidential or privileged material that is exempt from disclosure under applicable law. Any unauthorized review, use, disclosure, dissemination, copying, or taking any action in reliance on its contents is prohibited. If you have any reason to believe this e-mail was not intended for you, please delete the e-mail and any attachments, and notify the sender immediately.
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: Kay.blue@carolinashealthcare.org
If you would like to be removed from CDI Talk, please send a blank email to
leave-cdi_talk-20272055.3871b5288af83917b2a369fb19859f69@hcprotalk.com
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
________________________________
This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: DWilk@gshleb.org
If you would like to be removed from CDI Talk, please send a blank email to
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
This Message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination or copying of this message or the taking of any action in reliance on the contents of this message is strictly prohibited. If you have received this message in error, please notify us immediately and destroy the original message. Thank you.
Thanks again,
Anna
Sent from my iPhone
On Sep 1, 2015, at 3:57 PM, CDI Talk wrote:
Anna,
We use 3M CDIS . The benchmark I have is all facility based and what you want out of your program. There is a report for everything you mentioned below. If you don
Thanks so much, Kay, it is very helpful! We also have same avg statistics e=
xpect query rate. Our is lower, but we have CDI program for 10 years, so I =
think this is why. I like your approach for evaluation a lot and will bring=
it to my directors 's attention.
Thanks again!
Anna
Sent from my iPhone
On Sep 1, 2015, at 4:17 PM, CDI Talk wrote:
Very nice Kay.
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Good Samaritan Health System
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436