What to do with labs without documentation

Hello~ How are you handling lack of documentation when labs are apparrent i.e. acute renal failure or chronic renal failure?

Ronna

Comments

  • edited May 2016
    How timely. I just sent a newsletter out to the providers here today on that very subject.

    I always query if I see acute changes or if there are chronic changes that are not clear or documented. But it also depends on if those conditions are impacting the patients care and are being treated during the admission.

    Here is the booklet I included with the newsletter. Feel free to use it as a reference.

    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
     
    "To climb a steep hill requires a slow pace at first."  -William Shakespeare
     

  • Thanks for sharing. This is an ongoing issue at our facility as well.


    D. Smith RN, CDIS-CM



  • edited May 2016
    We query & hope for the best!


  • edited May 2016
    Robert - another clever idea! Thanks for your generous spirit sharing with us all.

    Linnea Thennes, RN, BS, CCDS

    Clinical Documentation Specialist

    Clinical Resource Management

    Northwest Community Hospital

    847.618-3089

    lthennes@nch.org



  • My pleasure. After all, we're all in this together and many people here have helped me out too. :)

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
  • I have talked with our doctors about the RIFLE criteria but our lead nephrologist feels that the absolute standard for ARF is a 0.5 increase in the serum creatinine, with or without symptoms, and that is what he has told our hospitalists. I just had to write an appeal of a denial of 584.9 for not meeting RIFLE criteria; it will be interesting to see how it comes out.

    Linda Renee Brown, RN, CCRN, CCDS
    Clinical Documentation Specialist
    Arizona Heart Hospital
  • We are constantly having discussions between the coders and the CDI staff about questionint a physician about a diagnosis that has not been identified yet. i.e. CDI looking at labs and questioning if this would warrant a specific diagnosis? Do you have the same conversations?
  • edited May 2016
    Every day! I guess the most popular one is whether or not a patient is septic or not. So many times by the labs it looks like they could be, but it's not being documented so I have to ask that often. The hardest for me is acute kidney failure. I am still trying to educate myself on this one.



  • edited May 2016
    We actually have the opposite problem. Our docs seem to document too
    much sepsis. Can anyone give me some feedback from a coder standpoint
    about sepsis. We are meeting with our Through-put director after
    reviewing a sample of "sepsis" charts. She states that sepsis is a
    clinical judgment from the doctor and therefore if they say it's sepsis
    it is. From a coding perspective does the patient have to meet SIRS
    criteria? I understand that if the doctor writes something it can be
    coded but thinking about RAC I worry about that. Thanks for your input.

    Gina Spatafore, RN
    Clinical Documentation Integrity Specialist
    Waterbury Hospital
    203 573 7647


  • edited May 2016
    All the time, but to be honest, sometimes the doctors will depend on me to catch things they miss. As I've told them, I'll ask about a lab and if it is something that is being treated and impacts the patients care, but it's up to them to make that decision.

    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
     
    "To climb a steep hill requires a slow pace at first."  -William Shakespeare
     

  • edited May 2016
    We Query the physician. Our Query contains the Clinical Indicator with
    which we are comparing the lab data. It's an education tool (if they
    read it) as well as documentation prompt.


    N. Brunson, RHIA
    Clinical Documentation Specialist
    Bay Medical Center


  • edited May 2016
    I am curious how any of you out there keep track with your queries and
    what impact they have on the DRG. Do you simply go from beginning
    working DRG and final DRG and figure the increase/ decrease? I am trying
    to figure out how to show the impact the CDI program makes. Any help?


  • edited May 2016
    We take the beginning DRG relative weight and the final DRG relative
    weight that changed only because we clarified documentation, multiple each
    by your facilities blended rate, and subtract, that will give you your
    impact. Our software does the math for us (thank goodness!!!!).
    Susan Tiffany RN, CDS
    Supervisor
    Clinical Documentation Program
    Robert Packer Hospital & Corning Hospital
    Tiffany_Susan@guthrie.org





  • I track all of my clarification requests in my database and then send copies to the inpatient coders each day along with any response I see documented by the providers. They then fill out a worksheet each month that I provide to document if a MCC or CC was captured, a more precise code was applied, or another change resulted from the request. I then plug that information back in my database and report out on it each month.

    It's a little time intensive, but they have a few weeks to complete the worksheet and it does show where a clarification request has made an impact on the coding.

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
  • edited May 2016
    What software do you use, if you don't mind me asking?




  • edited May 2016
    One cannot use the "beginning DRG" or "working DRG".
    After discharge, need to review the coding summary and determine what ICD-9 code you specifically contributed by your query and then decide what / whether that additional code BY ITSELF caused a DRG change. From this, the final DRG is the one coded, the intial DRG is what would have been without your added code.

    The 2 broad things behind this:
    The CDI beginning or working DRG may not be accurate due to additional information, something the CDI missed on the floor, discharge status influence on payment (transfer DRGs).........
    Secondly, by looking at the actual coding summary you are ensuring what you think you added you actually did.

    Don


  • We review our attestations and compare with our worksheet. If our query impacted the DRG we log it as such and note the DRG increase. Most of our queries do not impact DRG though -the average is about 5%,

  • edited May 2016
    The software program - CDI Monitor - that we use is from Navigant Consulting - and in it the CDS staff enters their queries, and the different DRG which would result. Of course, not all queries result in a positive response, but we start with our "working DRG" and then end up with a "CDS DRG" to show the query activity - sometimes, these DRGs are the same, but if a query has been done, they should be different---unless the query is just for severity of illness, perhaps. If coders happen to query retrospectively, they also enter their queries into the software - and we all have access to the records in the software, so we can "track" the entries, and responses to the queries.

    There are also a multitude of reports available through the software that allows us to review our financial impact, queries done, types, etc.....it's a pretty robust program!

    Hope that makes sense?


    Becky Mann
    Queen of the Valley Medical Center


  • edited May 2016
    I think there are as many different ways to do this job as there are those of us doing it. I don't think there is any "right" or "wrong" way - it's just how your program works, what works best for your facility (with the setup/support you have in place) and all the improvements we make along the way.

    Becky Mann


  • edited May 2016
    Guide software from JaThomas and associates. Tracks multiple items for us,
    MD no response rates, clarification rates, agree vs disagrees and such.

    Susan Tiffany RN, CDS
    Supervisor
    Clinical Documentation Program
    Robert Packer Hospital & Corning Hospital

    Tiffany_Susan@guthrie.org





  • I agree with you completely Becky. We all tailor it to our individual institutions needs.

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
  • edited May 2016
    It is actually part of our software. We look at the initial CDS DRG vs
    the final billed DRG if there was a query. Before the software we kept a
    manual record of this. Hope this helps.

    Gina Spatafore, RN
    Clinical Documentation Integrity Specialist
    Waterbury Hospital
    203 573 7647


  • edited May 2016
    We use software (JA Thomas), but you could also track you CMI. Your baseline and any improvement.


  • Just as it's not appropriate to query for a diagnosis based solely on a radiology report, I think it's probably not ok to ask for a diagnosis based solely on labs. Sometimes they're just numbers. I try to give the physician an opportunity to review the labs and make a clinical judgment before presenting him/her with a query. There should also be some type of treatment or impact on the patient stay as a result of the labs before asking for it as a cc/mcc. For instance, I stopped asking for ABLA postoperatively unless the physician orders transfusions or has to treat the bleeding/anemia in some way. I still do plenty of ARF and ABLA queries with labs as support, but I think there needs to be a whole picture around those queries and not just numbers.

    Linda Renee Brown, RN, CCRN, CCDS
    Clinical Documentation Specialist
    Arizona Heart Hospital
  • edited May 2016
    Linda,

    I hear what you are saying and agree. A lot of my lab based queries are based on my ability to see lab values over the past 2+ years. The pleasure of having a longitudinal electronic medical record. If a patient is at baseline I'm far less likely to query, unless it may add a cc or mcc to the drg, than if I see an acute change from baseline. But in all cases I ask the provider to review and if it is clinically significant and is something they are treating if they can address and clarify it in their documentation.

    My providers are busy and so I try to keep the queries focused on something that either impacts the quality of the documentation or will impact the final coding in some way.

    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
     
    "To climb a steep hill requires a slow pace at first."  -William Shakespeare
     

  • edited May 2016
    We had our internal IS dept. build us an Access Database. Works well for tracking, have minimal info we have to load as alot of it is pulled from our billing info (Star). We are able to show our CFO the realized queries as well as the impact our department is having to the "botttom line"


  • edited May 2016
    Forgot to say this....having your own IS dept build you a database saves tons to money!!

    Mandi Robinson RN, BS
    Clinical Documentation Specialist
    Trover Health System
    270-326-4982

    "Excellent Care, Every Time"

  • Thanks so much for eloquently stating this! I've started a new thread on this topic. I'd love for you to respond.
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