Yes we use LOS stickers on the charts. It usually doesn't make a difference as to how the physician documents.
Tracy M Peyton RN, CCDS Case Management Bradford Regional Medical Center Upper Allegany Health Systems 116 Interstate Parkway Bradford, PA 16701 814-558-0406
In my former position, the CFO would harass the physicians based on the projected DRG/GLOS that came from my daily workflow. I had one hospitalist who would come to me and ask me what MCC she needed to write in order to increase the GLOS. I tried to tell case management that my DRG assignments were only interim and that the final DRG might be very different. There are few exceptions of course, like trachs, thoracic ELGs, kidney transplants, etc., that are pretty much carved in stone.
Renee
Linda Renee Brown, RN, CCRN, CCDS Certified Clinical Documentation Specialist Banner Good Samaritan Medical Center
Our Resource Management Dept. (CM/UM/DP) uses LOS but our CDS Dept focuses on documentation.
When I worked in UM we were responsible for starting the coding on the floor to set our DRG and LOS. Most physicians ignored the LOS info. we placed and some were annoyed.
Also, if you do not get back to update your coding you could be using the wrong DRG. If the patient has a procedure, an MCC or CC is added or the PDx changes, the DRG will change as well. Not having the correct DRG/LOS could result in a patient leaving too early to a NH/HHC/Rehab and the hospital not receiving full DRG payment.
Our CMs receive a spreadsheet daily from finance with updated DRGs (when CDI updates coding & the DRG changes). They move through a Green/Yellow/Red process to let the CM know how much time they have. At this time I don't believe they place stckers- they just push the Doc for safe discharge.
Comments
Tracy M Peyton RN, CCDS
Case Management
Bradford Regional Medical Center
Upper Allegany Health Systems
116 Interstate Parkway
Bradford, PA 16701
814-558-0406
Renee
Linda Renee Brown, RN, CCRN, CCDS
Certified Clinical Documentation Specialist
Banner Good Samaritan Medical Center
When I worked in UM we were responsible for starting the coding on the floor to set our DRG and LOS. Most physicians ignored the LOS info. we placed and some were annoyed.
Also, if you do not get back to update your coding you could be using the wrong DRG. If the patient has a procedure, an MCC or CC is added or the PDx changes, the DRG will change as well. Not having the correct DRG/LOS could result in a patient leaving too early to a NH/HHC/Rehab and the hospital not receiving full DRG payment.
Our CMs receive a spreadsheet daily from finance with updated DRGs (when CDI updates coding & the DRG changes). They move through a Green/Yellow/Red process to let the CM know how much time they have. At this time I don't believe they place stckers- they just push the Doc for safe discharge.
NBrunson,RHIA/CCDS