Query Process Question...

This question is for those of you who are currently working with a Hybrid EMR (Paper on the floor EMR after discharge, whose CDI queries are NOT a part of the permanent Medical Record, and who uses either in-house or contracted employees to scan your records.

What is the process of returning your CDI queries to the appropriate CDS after discharge?

Our initial procedure was to have scanning/prepping:
>>remove the queries,
>>place them in a "CDI File",
>>the earliest Coder arrives and distributes to the rest of the Coders for the day
>>and when chart is coded they place the query with comments in the appropriate CDS box for reconciliation.

However, somewhere we've had a process break-down! :)

Now, we are looking at not giving the queries to the coders at all but returning them directly to the CDS. The thought process is when the coder codes the chart,if the documentation is there it will be coded.

We also keep a copy of the query for our own records (and in case the original becomes "lost").

Does anyone else NOT give their queries to your Coders? What kind of problems have you experienced?

Thank you in advance for your thoughts!!

NBrunson, RHIA, CCDS

Comments

  • edited May 2016
    Ours stay on the chart until coded. Coding looks at our DRG assignment, comments if a discrepancy, and returns them to us to reconcile in our software.

    >>> CDI Talk 2/10/2011 10:34 AM >>>
    This question is for those of you who are currently working with a Hybrid EMR (Paper on the floor EMR after discharge, whose CDI queries are NOT a part of the permanent Medical Record, and who uses either in-house or contracted employees to scan your records.

    What is the process of returning your CDI queries to the appropriate CDS after discharge?

    Our initial procedure was to have scanning/prepping:
    >>remove the queries,
    >>place them in a "CDI File",
    >>the earliest Coder arrives and distributes to the rest of the Coders for the day
    >>and when chart is coded they place the query with comments in the appropriate CDS box for reconciliation.

    However, somewhere we've had a process break-down!

    Now, we are looking at not giving the queries to the coders at all but returning them directly to the CDS. The thought process is when the coder codes the chart,if the documentation is there it will be coded.

    We also keep a copy of the query for our own records (and in case the original becomes "lost").

    Does anyone else NOT give their queries to your Coders? What kind of problems have you experienced?

    Thank you in advance for your thoughts!!

    NBrunson, RHIA, CCDS

  • edited May 2016
    Are your records scanned before or after coding sees them (records)?

    NTB


  • When we were going through this same process we had a mailbox in HIM and CDI forms were put in our mail box. We would pick them everyday.

    Debbie S





  • I work for an HIM department and my office actually also houses the
    scanners. So when they scan a record with one of our queries in it,
    they remove it from the record and give it to us. Our queries do not
    get scanned and are not a part of the permanent record.

    Greta Goodman
    Clinical Documentation Improvement Specialist
    Health Information Management
    Virginia Hospital Center
    1701 North George Mason Drive
    Arlington, VA 22205
    703-558-5336
    ggoodman@virginiahospitalcenter.com

  • edited May 2016
    What kind of problems would you foresee if the coder never saw your query? If they wew returned as soon as they were removed from the discharged record?

    NTB


  • At our hospital our queries are removed from the chart before they are scanned so the coders never see them.

    If I query for the clarification of a diagnosis and realize that even though my clarification was answered it was not coded, I can contact the coding manager and tell her where in the chart the diagnosis can be found. If there was a coding error she has the coder change or add the code and the chart is rebilled.

    This works well, but it would be nice if the coders could see our query forms, then they could be on the look out for a response. Before we transitioned to an EHR our queries were scanned along with the rest of the chart and the coders (who work remotely) could see them. However, now with our EHR all scanned documents are considered part of the medical record so we no longer scan our queries.

    Greta Goodman
    Virginia Hospital Center


  • edited May 2016
    Our coders can view our queries in our clinical documentation guide but we still have problems.....too numerous to list. Our coding supervisor has to approve any rebills and she will rarely allow a rebill. It makes for a difficult working atmosphere, to say the least. Charlene


  • edited May 2016
    We have a full EMR and my queries, per the rules, never are part of the
    medical record. To resolve the communication with coding, I sent an
    email every day with a list of which patient received a query, what the
    query was, and the interaction I had with the provider. I will then
    send updates with the provider's response (if any) so they can track it
    through and follow up if needed.



    It works well here and keeps us in touch with what the other is doing.



    Robert



    Robert S. Hodges, BSN, MSN, RN

    Clinical Documentation Improvement Specialist

    Aleda E. Lutz VAMC

    Mail Code 136

    1500 Weiss Street

    Saginaw MI 48602



    P: 989-497-2500 x13101

    F: 989-321-4912

    E: Robert.Hodges2@va.gov




  • edited May 2016
    We do not give the queries to the Coders. When the query is answered in
    the progress notes, we remove the query. Our facility uses ChartMaxx
    for the EHR, when the dismissed chart is scanned into ChartMaxx we place
    an electronic note on the appropriate patient's chart and the coder then
    will know that there was a query. If a discrepancy is noted, or the
    coder can not find the response, we discuss.

    Michelle Clyne, RN, BS
    Clinical Documentation Improvement Specialist



  • Our coders work from home & are able to view our queries & CDI worksheets. Our worksheets & any queries are scanned but can only be viewed by HIM, CDI, & the coders. No outside agency (RAC, CMS, etc)or other hospital employees have access to these.
  • edited May 2016
    We are largely EMR at this point, but there are still paper documents that are scanned. Our worksheets are scanned, but are routed to an administrative part of the scanned record and are not considered to be part of the legal medical record (and thus are not released).

    This way, the worksheet is directly available to the coders.
    The paper sheets are not returned to the CDI, as we can recall from archives in the CDI software as well as from the scanned record.

    From our experiences as well as from many of the other comments, sometimes the easiest hurdle to achieve are the technical ones, followed by the general process. Hardest are the individual behaviors -- do the coders reference the sheets, provide feedback, how are discrepancies resolved & how strong is the collaboration between those working concurrently and those working post-discharge.

    Don


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