DVT/PE POA Status

katysuegood@gmail.com

Hi all,

We are becoming more involved in PSI's and I am in the process of performing a retro audit to identify query and coding opportunities. One of the things I am noting is that when DVT/PE's are identified 'incidentally' during the admission, they are assigned POA(N). These are cases where the study was done for a separate reason, there was no symptomology related to the PE/DVT. It seems to me, that we do not know when this actually occurred. Would it be appropriate to query the MD for POA status in these cases. I realize they also may not know which would result in a coding of POA (W).

Thanks!

Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404

vanessa.falkoff

Hi,

Thanks for the heads up for something to look for. I agree - query for the W.

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

ggoodman@virginiahospitalcenter.com

I would Query.

Greta

arozhkovskaya

I agree, you cannot assume whether this was POA or not. Therefore, would post the query to the doc.
Anna

katysuegood@gmail.com

Thanks everyone. I was assuming this was appropriate but wanted to make sure I wasn't missing something in that assessment.

I appreciate your feedback.

Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404