outpatient improvements

arobinsoarobinso
edited May 2016 in CDI Talk Archive
Our CDI program is interested in capturing documentation improvements in the outpatient setting. Is anyone out there providing this service at their facility? Not sure where to start....we have improved some processes at our Cancer center, but not sure how to get started in the ER or O.R.?? Looking for suggestions.

Thanks Mandi


Mandi Robinson RN, BS
Clinical Documentation Specialist
Trover Health System
arobinso@trover.org


Comments

  • mannb1mannb1
    edited May 2016
    Are you talking about the HCC codes, is that what's it's called? I think that Kaiser is doing that here in California, but not positive.

    Becky Mann, RN, CDS
    Clinical Documentation Improvement
    Health Information Services
    becky.mann@stjoe.org
    707-337-3779, ext. 3593

  • robert.hodges2robert.hodges2
    I've been asked to do that here too, but it's too big a job for one person to take on. Especially if concurrent inpatient reviews are to be done too. What I do assist with analysis is of E/M leveling since that has the greatest impact on our reimbursement. Coders do most of the work though and do internal peer reviews.

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
  • judithbatesjudithbates
    edited May 2016
    I would be interested in what your process is for analyzing e/m levels.

    Judi Bates RN, BSN
    CDI Specialist
    856-757-3161
    Beeper 66x2906

  • nursronnamnursronnam
    I would also be interested in your process. Thanks

    Ronna Mahlen, RN, BSN, CDS
    Manager of Clinical Documentation
    Overlake Hospital Medical Center
    ronna.mahlen@overlakehospital.org
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