Complex Pneumonias vs. Hospital Acquired Pneumonia
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Dr. Gold,
I am writing to you and copying our Infectious Disease physician, Ray Coghl=
an, M.D., in hopes of discussing our dilemma of educating our physicians to=
document a complex pneumonia instead of hospital acquired or community acq=
uired pneumonia, when they are treating a complex pneumonia. I have att=
ached a CDI newsletter that I composed to be sent to the Medical Staff and =
Dr. Coghlan has agreed to sign it but he would like a better understanding =
of the issue.
According to the CDI staff here at our health system, the physicians docume=
nt "hospital acquired pneumonia" or "community acquired pneumonia" when the=
y are treating a complex pneumonia. Their rationale for this is HAP or CAP=
is a complex pneumonia based on the treatment being provided. We have expl=
ained to them that HAP and CAP both code to "simple pneumonia" which of cou=
rse provides a shorter LOS, lesser relative weight and lesser SOI/ROI as co=
mpared to a complex pneumonia. We query on a regular basis when we see tha=
t a complex pneumonia is being treated and they have documented simply "pne=
umonia or HAP, Community Acquired Pneumonia".
I am providing your contact information in this email so Dr. Coghlan may co=
ntact you with any questions. Thanks in advance for your assistance.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
Suzonne Bourque, RHIA, CCS, CCDS
CDI and Coding Audit Manager
318 212 8812 W
318 212 4199 F
sbourque@wkhs.com
Willis-Knighton Health System
[cid:image002.png@01D19A1B.9CFA2A10]
Clean claims out the door 10/1/2015
"Attitude is a little thing that makes a big difference"....Winston Churchi=
ll
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Content-Type: text/plain; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Dr. Gold,
I am writing to you and copying our Infectious Disease physician, Ray Coghl=
an, M.D., in hopes of discussing our dilemma of educating our physicians to=
document a complex pneumonia instead of hospital acquired or community acq=
uired pneumonia, when they are treating a complex pneumonia. I have att=
ached a CDI newsletter that I composed to be sent to the Medical Staff and =
Dr. Coghlan has agreed to sign it but he would like a better understanding =
of the issue.
According to the CDI staff here at our health system, the physicians docume=
nt "hospital acquired pneumonia" or "community acquired pneumonia" when the=
y are treating a complex pneumonia. Their rationale for this is HAP or CAP=
is a complex pneumonia based on the treatment being provided. We have expl=
ained to them that HAP and CAP both code to "simple pneumonia" which of cou=
rse provides a shorter LOS, lesser relative weight and lesser SOI/ROI as co=
mpared to a complex pneumonia. We query on a regular basis when we see tha=
t a complex pneumonia is being treated and they have documented simply "pne=
umonia or HAP, Community Acquired Pneumonia".
I am providing your contact information in this email so Dr. Coghlan may co=
ntact you with any questions. Thanks in advance for your assistance.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
Suzonne Bourque, RHIA, CCS, CCDS
CDI and Coding Audit Manager
318 212 8812 W
318 212 4199 F
sbourque@wkhs.com
Willis-Knighton Health System
[cid:image002.png@01D19A1B.9CFA2A10]
Clean claims out the door 10/1/2015
"Attitude is a little thing that makes a big difference"....Winston Churchi=
ll
--_000_404C24B7A8D2A04F945548FC724B5CB34103A6E9EXCHANGE2010wkm_
Content-Type: text/html; charset="us-ascii"
Content-Transfer-Encoding: quoted-printable
Dr. Gold,
I am writing to you and copying our Infectious Disea=
se physician, Ray Coghlan, M.D., in hopes of discussing our dilemma of educ=
ating our physicians to document a complex pneumonia instead of hospital ac=
quired or community acquired pneumonia,
when they are treating a complex pneumonia. I have=
attached a CDI newsletter that I composed to be sent to the Medical Staff =
and Dr. Coghlan has agreed to sign it but he would like a better understand=
ing of the issue.
According to the CDI staff here at our health system=
, the physicians document “hospital acquired pneumonia” or R=
20;community acquired pneumonia” when they are treating a complex pne=
umonia. Their rationale for this is HAP or CAP is a complex
pneumonia based on the treatment being provided. We have explained to them=
that HAP and CAP both code to “simple pneumonia” which of cour=
se provides a shorter LOS, lesser relative weight and lesser SOI/ROI as com=
pared to a complex pneumonia. We query on a
regular basis when we see that a complex pneumonia is being treated and th=
ey have documented simply “pneumonia or HAP, Community Acquired Pneum=
onia”.
I am providing your contact information in this emai=
l so Dr. Coghlan may contact you with any questions. Thanks in advanc=
e for your assistance.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
Suzonne Bourque, RHIA, CCS, CCDS
CDI and Coding Audit Manager
318 212 8812 W
318 212 4199 F
sbourque@wkhs.com
Willis-Knighton Health System
Clean claims out the door 10/1/2015=
"Attitude is a little thing that makes a =
big difference"....Winston Churchill
--_000_404C24B7A8D2A04F945548FC724B5CB34103A6E9EXCHANGE2010wkm_--
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Comments
We too have this constant issue and educate and re-educate every year.... And every year it is an "aha!" moment for our docs!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, April 19, 2016 8:26 AM
To: Bovard, Juli
Cc: Coghlan, Ray
Subject: [cdi_talk] Complex Pneumonias vs. Hospital Acquired Pneumonia
Dr. Gold,
I am writing to you and copying our Infectious Disease physician, Ray Coghlan, M.D., in hopes of discussing our dilemma of educating our physicians to document a complex pneumonia instead of hospital acquired or community acquired pneumonia, when they are treating a complex pneumonia. I have attached a CDI newsletter that I composed to be sent to the Medical Staff and Dr. Coghlan has agreed to sign it but he would like a better understanding of the issue.
According to the CDI staff here at our health system, the physicians document "hospital acquired pneumonia" or "community acquired pneumonia" when they are treating a complex pneumonia. Their rationale for this is HAP or CAP is a complex pneumonia based on the treatment being provided. We have explained to them that HAP and CAP both code to "simple pneumonia" which of course provides a shorter LOS, lesser relative weight and lesser SOI/ROI as compared to a complex pneumonia. We query on a regular basis when we see that a complex pneumonia is being treated and they have documented simply "pneumonia or HAP, Community Acquired Pneumonia".
I am providing your contact information in this email so Dr. Coghlan may contact you with any questions. Thanks in advance for your assistance.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
Suzonne Bourque, RHIA, CCS, CCDS
CDI and Coding Audit Manager
318 212 8812 W
318 212 4199 F
sbourque@wkhs.com
Willis-Knighton Health System
[cid:image003.png@01D19A24.021ADC70]
Clean claims out the door 10/1/2015
"Attitude is a little thing that makes a big difference"....Winston Churchill
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Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
----------------------------------------------------------------------
Regional Health is an integrated health care system with the purpose of helping patients and communities live well.
Note: The information contained in this message, including any attachments, may be privileged, confidential, or protected from disclosure under state or federal laws. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by a "reply to sender only" message and destroy all electronic or paper copies of the communication, including any attachments.
Suzonne
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, April 19, 2016 11:13 AM
To: Bourque, Suzonne
Subject: RE:[cdi_talk] Complex Pneumonias vs. Hospital Acquired Pneumonia
SUZONNE
We too have this constant issue and educate and re-educate every year.... And every year it is an "aha!" moment for our docs!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, April 19, 2016 8:26 AM
To: Bovard, Juli
Cc: Coghlan, Ray
Subject: [cdi_talk] Complex Pneumonias vs. Hospital Acquired Pneumonia
Dr. Gold,
I am writing to you and copying our Infectious Disease physician, Ray Coghlan, M.D., in hopes of discussing our dilemma of educating our physicians to document a complex pneumonia instead of hospital acquired or community acquired pneumonia, when they are treating a complex pneumonia. I have attached a CDI newsletter that I composed to be sent to the Medical Staff and Dr. Coghlan has agreed to sign it but he would like a better understanding of the issue.
According to the CDI staff here at our health system, the physicians document "hospital acquired pneumonia" or "community acquired pneumonia" when they are treating a complex pneumonia. Their rationale for this is HAP or CAP is a complex pneumonia based on the treatment being provided. We have explained to them that HAP and CAP both code to "simple pneumonia" which of course provides a shorter LOS, lesser relative weight and lesser SOI/ROI as compared to a complex pneumonia. We query on a regular basis when we see that a complex pneumonia is being treated and they have documented simply "pneumonia or HAP, Community Acquired Pneumonia".
I am providing your contact information in this email so Dr. Coghlan may contact you with any questions. Thanks in advance for your assistance.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
Suzonne Bourque, RHIA, CCS, CCDS
CDI and Coding Audit Manager
318 212 8812 W
318 212 4199 F
sbourque@wkhs.com
Willis-Knighton Health System
[Description: cid:image003.png@01D19A24.021ADC70]
Clean claims out the door 10/1/2015
"Attitude is a little thing that makes a big difference"....Winston Churchill
---
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: jbovard@regionalhealth.com
If you would like to be removed from CDI Talk, please send a blank email to
leave-cdi_talk-12940160.55ea2c13b419eb7deb7e5125c36e4234@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
________________________________
Regional Health is an integrated health care system with the purpose of helping patients and communities live well.
Note: The information contained in this message, including any attachments, may be privileged, confidential, or protected from disclosure under state or federal laws. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by a "reply to sender only" message and destroy all electronic or paper copies of the communication, including any attachments.
---
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: sbourque@wkhs.com
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
By "aha" moment, I mean they "get it" for about a month.....and then we go right back to querying the same providers for the same issues.
No magic bullet.
Juli
Juli Bovard RN CCDS
Certified Clinical Documentation Specialist
Clinical Effectiveness/Clinical Quality
Rapid City Regional Hospital
755-8426 (work)
786-2677 (cell)
"No Limit to Better......"
[CCDS_pin_1inch]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, April 19, 2016 10:35 AM
To: Bovard, Juli
Subject: RE:[cdi_talk] Complex Pneumonias vs. Hospital Acquired Pneumonia
Unfortunately, we never get the "aha" moment from our docs
Suzonne
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, April 19, 2016 11:13 AM
To: Bourque, Suzonne
Subject: RE:[cdi_talk] Complex Pneumonias vs. Hospital Acquired Pneumonia
SUZONNE
We too have this constant issue and educate and re-educate every year.... And every year it is an "aha!" moment for our docs!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Tuesday, April 19, 2016 8:26 AM
To: Bovard, Juli
Cc: Coghlan, Ray
Subject: [cdi_talk] Complex Pneumonias vs. Hospital Acquired Pneumonia
Dr. Gold,
I am writing to you and copying our Infectious Disease physician, Ray Coghlan, M.D., in hopes of discussing our dilemma of educating our physicians to document a complex pneumonia instead of hospital acquired or community acquired pneumonia, when they are treating a complex pneumonia. I have attached a CDI newsletter that I composed to be sent to the Medical Staff and Dr. Coghlan has agreed to sign it but he would like a better understanding of the issue.
According to the CDI staff here at our health system, the physicians document "hospital acquired pneumonia" or "community acquired pneumonia" when they are treating a complex pneumonia. Their rationale for this is HAP or CAP is a complex pneumonia based on the treatment being provided. We have explained to them that HAP and CAP both code to "simple pneumonia" which of course provides a shorter LOS, lesser relative weight and lesser SOI/ROI as compared to a complex pneumonia. We query on a regular basis when we see that a complex pneumonia is being treated and they have documented simply "pneumonia or HAP, Community Acquired Pneumonia".
I am providing your contact information in this email so Dr. Coghlan may contact you with any questions. Thanks in advance for your assistance.
Robert S. Gold, MD
CEO, DCBA, Inc
4611 Brierwood Place
Atlanta, GA 30360
(770) 216-9691 (Office)
(404) 580-0204 (Cell)
Suzonne Bourque, RHIA, CCS, CCDS
CDI and Coding Audit Manager
318 212 8812 W
318 212 4199 F
sbourque@wkhs.com
Willis-Knighton Health System
[Description: cid:image003.png@01D19A24.021ADC70]
Clean claims out the door 10/1/2015
"Attitude is a little thing that makes a big difference"....Winston Churchill
---
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: jbovard@regionalhealth.com
If you would like to be removed from CDI Talk, please send a blank email to
leave-cdi_talk-12940160.55ea2c13b419eb7deb7e5125c36e4234@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
________________________________
Regional Health is an integrated health care system with the purpose of helping patients and communities live well.
Note: The information contained in this message, including any attachments, may be privileged, confidential, or protected from disclosure under state or federal laws. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please notify the Sender immediately by a "reply to sender only" message and destroy all electronic or paper copies of the communication, including any attachments.
---
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: sbourque@wkhs.com
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
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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.
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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