Code Assignment and clinical criteria
We are having a discussion with the coders regarding the new guideline for code assitnment
FY 2017 A.19 code assignment and clinical criteria. The assignment of a diagnosis code is based on the providers diagnostic statement that the condition exists. The providers statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.
From a CDI persepective, we know at times there are inconsistencies in what is written and what is done. We try to clarify the validity of a diagnosis when we do not see any treatment documented, Does this change the accuracy of what is reported if there is not clinical data to support the diagnosis and the coder captures it based on this direction.
In the past I've always been aware of conditions that impact resources and ength of stay - do I need to "unlearn" that?
FY 2017 A.19 code assignment and clinical criteria. The assignment of a diagnosis code is based on the providers diagnostic statement that the condition exists. The providers statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.
From a CDI persepective, we know at times there are inconsistencies in what is written and what is done. We try to clarify the validity of a diagnosis when we do not see any treatment documented, Does this change the accuracy of what is reported if there is not clinical data to support the diagnosis and the coder captures it based on this direction.
In the past I've always been aware of conditions that impact resources and ength of stay - do I need to "unlearn" that?
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