Oncology

toni.stastnytoni.stastny
in CDI Talk Archive
Do you work with Oncology patients? The Oncologist do not see the importants of specify CHF when the patients are chronicly ill. Most of the chemo or rad treatment make them sicker. The comment I received was, "for all the abnormal labs, do I need to have a diagnosis?" I stated if you are treating the low NA the yes you need to state a diagnosis.

Now what about syndrome of inappropriate antidiuretic hormone hypersecretion (SIADH) vs CHF?

Are there specific DRGs that help oncology? I been so focus on CHF, Renal, Morbid obesity that I feel I need to investigate more about the DRGs and what really is important to paint the sick picture of the oncology patient. Neutropenic fever vs sepsis.

Let me know what your experiences are like.
Toni

Comments

  • cynthia.a.goeweycynthia.a.goewey
    edited May 2016
    Toni,
    The most common query I send to oncology is about pancytopenia. Number one is do they have pancytopenia (not good about documenting this diagnosis) and if so what is the etiology? Pancytopenia due to chemo/drugs is a MCC.
    Cindy
  • dvitalone1dvitalone1
    edited May 2016
    I have notice in my oncology population are the new brain cancer dx or new brain mets. Almost always these patients have cerebral edema or herniation which are both MCCs. The radiation oncologist are getting better with documenting these findings but if they are not on the case the oncologist needs to, especially if pt is receiving IV Decadron or Prednisone po
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