outpatient CDS

arobinsoarobinso
edited May 2016 in CDI Talk Archive
So I did not get but one response when I asked if anyone is working on the outpatient side of CDS... I am really looking for someways of getting started on improvements for outpatient documentation and reimbursements.

Thanks Mandi

Mandi Robinson, BS, RN, CPC
Clinical Documentation Specialist
Trover Health System
270-326-4982
arobinso@trover.org
"Excellent Care, Every Time"

Comments

  • dvitalone1dvitalone1
    edited May 2016
    It was a new concept to me at conference. We just started our program in Aug 2011 so even thinking of going to the Outpatient is a couple years away.
  • robert.hodges2robert.hodges2
    The coders here are doing the outpatient reviews and queries at my facility. I'm available for consult if they have clinical questions, but my focus is on inpatient. We do use the same tracking tool and same query forms.

    Robert

    Robert S. Hodges, BSN, MSN, RN, CCDS
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
  • avery.trickeyavery.trickey
    edited May 2016
    Mandi,
    We are currently rolling out a CDI opportunity in our ED. It is starting with obtaining RN documentation for infusions, injections and hydrations. I am finishing up training this week and our go live is May 2nd.

    Thanks,
    Avery

    Avery E. Trickey, RHIA
    Lead Clinical Documentation Specialist
    Health Information Management
    Advocate BroMenn Medical Center
    309-268-5394
    avery.trickey@advocatehealth.com

     Please consider the environment before printing this e-mail
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  • judithbatesjudithbates
    edited May 2016
    We do not do any out patient reviews, and have not been asked to collaborate with the out patient coders.
  • arobinsoarobinso
    edited May 2016
    Yes I see there was a presentation at the conference, but I cannot get the slideshow to open on the ACDIS website....
  • arobinsoarobinso
    edited May 2016
    So I am assuming you are looking at stop/start times, and diagnosis
    associated with dehydration to make sure you are capturing....any other
    info would be greatly appreciated.
  • avery.trickeyavery.trickey
    edited May 2016
    Yes, those you mentioned and the following:
    - Route (can't charge without a route).
    - If more than 1 IV started. If so if all sites are doc'd
    - If RN and MD medication documentation reconcile
    - If infusions/hydration are documented as still running or stopped at the time of an admission (if the patient is admitted)

    From what we've seen so far, hydrations are going to be our biggest area of improvement.

    Avery E. Trickey, RHIA
    Lead Clinical Documentation Specialist
    Health Information Management
    Advocate BroMenn Medical Center
    309-268-5394
    avery.trickey@advocatehealth.com

     Please consider the environment before printing this e-mail
    This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the person responsible for delivering the e-mail to the intended recipient, be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing or copying of this e-mail is strictly prohibited. If you have received this e-mail in error, please immediately notify Avery E. Trickey by telephone at 309-268-5394.
  • dbutlerdbutler
    edited May 2016
    Two things to try -- there are several of the ppts that I can not open on my older desktop that is running MS Office 2003.

    PPTs, etc. that are done in much more recent versions of office won't open under older versions. I think the cut is you need somewhere around 2007 or newer. If you can not access a more recent MS Office and then save as an older version -- download Open Office (an open source office suite) that is generally compatible with the newest MS suite.

    Don
  • kshumpertkshumpert
    edited May 2016
    I don't review the outpatient charts for reimbursement, however I have gone over documentation that will support the outpatient billing for the physicians. I do review the outpatient claims for RACs. If we find an issue, we correct it.


    Kathy
    Kathy Shumpert, RN, CCDS

    Clinical Documentation Improvement Specialist
    Howard Regional Health System
    Office 765-864-8754
    Pager 765-454-3465
    Fax 765-453-8152

    Words - so innocent and powerless as they are, as standing in a dictionary, how potent for good and evil they become in the hands of one who knows how to combine them. ~Nathaniel Hawthorne
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