DRG or Clinical Validation

Our CDS nurses currently query for clinical validity during the concurrent review process. Our Denials Department has requested we work on a process to assist them in avoiding denials. We have formed a committee of coding, compliance, CDI, and denials to develop a collaborative process. Does anyone have a process that is working for their facility that they would be willing to share? Thank you.
Vickie Smith BSN, RN, CCM, CCDS | Clinical Documentation Specialist-Manager | 740-779-7548  | vsmith@adena.org Adena Health System | Clinical Documentation Integrity Program
272 Hospital Rd. | Chillicothe, OH 45601

Comments

  • I would be interested in this as well.

    Thank you.

    Donna Fisher, CCS, CCDS, CHC

    UF Health Shands

    fishdl@shands.ufl.edu

  • I would be interested as well.  We just discussed this issue yesterday. 
  • I would be interested as well.

    ellen.ellis@mymlc.com

  • I love the idea but would caution you when making plans to assure you are not removing staff from the concurrent process to assist with denials- the more you pull form concurrent reviews the bigger the issue becomes on the retro side in appeals. 
  • As part of my CDI role I review all clinical indicator denials. Our process is multidisciplinary and has been effective in reducing our total denial rate to approximately 2%. Over the last 4 years, we have decreased our clinical indicator denials from a high of 18% to approx. 2-2.5% of our inpatient discharges.
    We have 4 teams, each focusing on a specific area:
    Medical Necessity
    Behavioral Health
    Clinical Indicators/DRG/Coding
    Technical
    We are in the process of separating out and building an outpatient denials team.

    Our Clinical Indicator team includes our physician advisor, a Coder 3, insurance specialist, an analyst and myself.

    Our top clinical indicator denials are for:
    Respiratory Failure
    Sepsis
    AKI
    Encephalopathy

    Our objective is to prevent the denial from ever occurring by making sure that the coding is supported in the record. We have provided and continue to provide education to our physicians and other providers on our "high risk" diagnoses  and are continuing our efforts to get physician agreement on clinical indicators.

    We also have provided extensive and ongoing education to our CDI's and Coders on clinical indicators for the "high risk" diagnoses and on the need to query if there is not supporting evidence. We have worked closely with coding to place queries to rule out one time diagnoses that tend to "slip" into the chart, particularly in the discharge summary!

    We share examples of denials and the financial impact of denials with our physicians, coders and CDI staff.  I think this has been an effective tool to illustrate the scope of the denial problem. I think that too often we are reluctant to share denials with our physicians and other staff. How can the improve their documentation if they don't see the actual denial?

    I'm happy to answer any questions on our processes.
    Cynthia Mead RN CCDS
    Cynthia.mead@nahealth.com
    Flagstaff Medical Center
    928-773-2374
  • Cynthia, it sounds as though you have a great process. I agree wholeheartedly that physicians need to be involved in the process- otherwise they will not be aware of the issues. Do you monitor which providers have the highest rates for clinical validation denials? Do you have a way to identify the 'problem providers"?
  • Thanks Laurie, this is an area that we have really been focusing on for several years.

     I just ran numbers for the last 3 years for a meeting with our physicians and was surprised to find that we don't really have any "problem providers" when it comes to denials.

    The biggest issue I've found is how to attribute the denial. Our hospitals employ hospitalists who manage the majority of inpatient care. If I assign the denial to the admitting physician then my top 5 physicians are those who only admit. If the denial is attributed to the attending it's a different set of physicians with a bit overlap if the attribution is to the discharging physician. We don't attribute any cases to the residents or ED doctors.

    When I presented the findings to the physicians they were very quick to pick up on the attribution issue.

    I think the only way I could get more specific data would be to do a manual review of records to see who was the first MD to enter a diagnosis but  and our physician leadership didn't think there would be sufficient value in that exercise to justify the time that it would take, making me very happy!

    One of the things I'm working on now is trying to link denials to queries that either were not answered or had answers that were a less than helpful response. I've built a tracker into our data management program that allows me enter query information so I should be able to pull data tracking how many denials had queries. I'm also reviewing to see if a query "should" have been placed on the denied diagnosis.

    Another area we are tracking is the CDI and the Coder who were assigned to the denial. I have great plans for doing some analysis, primarily looking for education opportunities but it will take some time.

    Cynthia

  • Cynthia, I do understand the difficulty of attribution of the denial among your providers. The linking of denials to unanswered queries is a great take on the issue as well as tracking missed query opportunities. i see a new CDI metric in the making here. Nice job. 
  • When posing a question regarding clinical validity of a diagnosis, do you include the definition / established criteria in the query?  For example if querying for clinical validity of AKI, would you provide KDIGO criteria?  When querying for clinical validity of an MI, would you include the Third Universal Definition of a Myocardial Infarction?  Or do you ask the provider to just provide more information.  Thanks
  • I provide 'the' definition that has been validated and approved by our Medical Staff for the particular clinical topic

    Example (partial).

     

    The following definitions, reviewed by physician subject-matter experts, are offered as a reference.

     


     

    Altered Mental Status Definitions:

    • Delirium - Misperceptions of sensory stimuli and, often, visual hallucinations. Disturbance of consciousness with  reduced ability to focus, sustain, or shift attention. A change in cognition that is not due to an established or evolving dementia. Disoriented first to time, then to place, and then to person.  (Posner, et. al.  Plum and Posner’s Diagnosis of Stupor and Coma.  2007)

       

    • Dementia - An enduring and often progressive decline in mental processes owing to an organic process not usually accompanied by a reduction in arousal. Memory impairment, cognitive disturbances,  May include: aphasia (language), apraxia ( impaired ability to carry out tasks though physically able), agnosia (failure to recognize objects despite intact sensory function), disturbance in executive function. (Posner, et. al.  Plum and Posner’s Diagnosis of Stupor and Coma.  2007)

       

    • Stupor - A state of baseline unresponsiveness that requires repeated application of vigorous stimuli to achieve arousal (Neurology in Clinical Practice, 5th ed., Walter G. Bradley, DM, FRCP, 2008)

       

    Coma - State of unresponsiveness in which the patient lies with eyes closed and cannot be aroused, even with vigorous stimulation.  (Posner, et. al.  Plum and Posner’s Diagnosis of Stupor and Coma.  2007

  •  We also include accepted criteria such as KDIGO when querying for clinical validation.
Sign In or Register to comment.