Cardioversions

Hi I'm not sure how many work with Case Management at their hospitals, I do and the Case Managers are saying that patients that come for elective Cardio versions should be outpatient medical. In the past these patients have been ICU Observation. I would appreciate any input. Thanks

Diane Draize RN, CPUR,CCDS
Clinical Documentation Specialist

Ministry Door County Medical Center
diane.draize@ministryhealth.org
920-743-5566 ex 3143

We earn trust by working together as One Ministry to keep PATIENTS FIRST in everything we do

Comments

  • Ours have always been outpt. Medical.
    Amy

    Amy Fenton R.N.
    Clinical Documentation Specialist
    Bronson Methodist Hospital
    Quality and Safety
    601 John Street, Box 59
    Kalamazoo MI 49007
    Work (269)341-8442
    Pager (269)513-3131
    Fax (269)341-8330
    fentona@bronsonhg.org
  • edited May 2016
    Elective Cardioversions are outpatient status/ tele bed unless develop secondary complications that screen in as inpatient under Inter Qual criteria.

    Kimberly Strand RN/ CDS
  • edited May 2016
    In my experience, cardio-version patients are outpatient medicals.

    Michelle Clyne, RN, BS

    Clinical Documentation Improvement Specialist
    Good Samaritan Hospital
    Health Information Management
    10 East 31st Street P.O. Box 1990
    Kearney, NE 68847
    Phone: 308-865-7951
    Cell: 308-627-2919
    Fax: 308-865-2926

    Laugh when you can,
    Apologize when you should,
    Let go of what you can't change
  • If the procedure is on the Inpatient only list-- it should always be inpatient. If it is not on that list it can be inpatient or outpatient-- It would depend on the circumstance of admission and rather it meets medical necessity for an Inpatient admit. It aso depends on the hospital policy and bylaws.

    There is a MLN Matters article on the CMS wecsite (#SE1037) that describes the medical necessity criteria that is assessed other than just Interqual for determining the Inpatient decision.

    D. Smith RN,CCDS
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