CDI screening tools
Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
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NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice.
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
----------------------------------------------------------------------
NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice.
Comments
Here is the link to the Roadmap: http://www.hcpro.com/acdis/cdi_roadmap_phase2.cfm
Here is a section of it that contains some assessment ideas and scenarios:
* Hire new CDI staff, performing assessment of coding skills and level of clinical knowledge. See sample document "Assessment of new CDI specialists". Total number of FTEs will depend upon:
* Payer types reviewed
* Total discharges
* Accessibility of medical record
* Initial skill sets and core competencies of hired CDI staff
* See sample document "Orientation checklist"
I don't see your e-mail address in your signature.
Can you e-mail me?
I have a few exams that I saved from a previous post regarding this topic I can send to you.
Best,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
[CCDS_pin_1inch]
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Good Samaritan Health System
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436
Cindy Slavin RN, BSN, CCDS
Manager Clinical Appeals and Data Integrity
Botsford Hospital
248-615-7103
Julie Cruz RN, CDS
Clinical Documentation Specialist
St. Joseph Health
Eureka, CA 95501
Julie. Cruz-SJE@stjoe.org
Wk: 707-445-8121 Ext. 7550
Cell: 707-267-0973
Fax: 707-269-3683
I welcome feedback as to how your facility is coding Type 2
Thank you so much!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:33 AM
To: Cindy Slavin
Subject: RE:[cdi_talk] CDI screening tools
Attached is a query we use when a pt has elevated troponins meeting criteria for Type 2 MI. It is my understanding that Type 2 MI codes to Acute MI as ICD9 does not differentiate between Type 1, Type 2, Type 3 etc...
Julie Cruz RN, CDS
Clinical Documentation Specialist
St. Joseph Health
Eureka, CA 95501
Does Sepsis drive the DRG?
Perhaps the coders out there can offer more insight.
Julie Cruz RN, CDS
Clinical Documentation Specialist
St. Joseph Health
Eureka, CA 95501
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:47 AM
To: Cindy Slavin
Subject: RE:[cdi_talk] CDI screening tools
If a Type @ MI is clearly documented, it is coded as either an STMI or NSTMI, depending upon the specific statement in the record. Am MI due to demand/mismatch is an AMI. It has been stated by some on this site that some coders do not consider a Type II an MI; however, it is clear these are acute Myocardial Infarcts.
[cid:image002.png@01D087EA.EB2B12B0]
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[Description: CCDS_pin_1inch]
"We are His hands". Isaiah 64:8
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
On Wednesday, May 6, 2015 9:13 AM, CDI Talk wrote:
I also have some info Jamie Deanne Wilk, BSN, RN, CCDS, CCS AHIMA approved ICD-10-CM/PCS Trainer Clinical Documentation Improvement and Inpatient Coding Manager HIMS Department Good Samaritan Health System 4th & Walnut Sts Lebanon, PA 17042 dwilk@gshleb.org Phone: 717-270-7582 Cell: 717-580-1436 From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:09 AM
To: Wilk, Deanne L.
Subject: RE:[cdi_talk] CDI screening tools Jamie, I don’t see your e-mail address in your signature. Can you e-mail me? I have a few exams that I saved from a previous post regarding this topic I can send to you. Best, Greta Greta Goodman, CCDS Clinical Documentation Improvement Specialist Health Information Management Virginia Hospital Center 1701 North George Mason Drive Arlington, VA 22205 703-558-5336 ggoodman@virginiahospitalcenter.com From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Goodman, Greta
Subject: [cdi_talk] CDI screening tools Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks! Jamie Dugan RN, CCDS Clinical Documentation Improvement Specialist 3563 Philips Highway, Suite #106 Jacksonville, Florida 32207 Office: 904-202-4345 NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice. --- CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source. You are receiving this message as a member of CDI Talk as: ggoodman@virginiahospitalcenter.com If you would like to be removed from CDI Talk, please send a blank email to leave-cdi_talk-12403641.651ab590aed3ab660e7b1e28bdf7052a@hcprotalk.com --- Copyright 2013 HCPro, Inc., 75 Sylvan Street, Danvers MA 01923 **********************************************************************************************************
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. This communication may contain personal patient health care information and is protected by federal law and other statutory protections. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Virginia Hospital Center -Arlington's Information Systems Department @703-558-6566.
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I reviewed the most recent 3M brief this week and they clarify that a type =
II MI is not an MI because there is no infarction (cell death). If not clar=
ified, it will code to an MI but they recommend clarifying.
I do not feel that I have enough clinical knowledge to make my own determin=
ation fo the clinical situation but I figured I would pass it on....
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 11:08 AM
To: Kathryn Good
Subject: RE:[cdi_talk] CDI screening tools
A type II MI due to 'whatever cause' does code to an acute AMI. An infarc=
t is an infarct, regardless of the etiology.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D087ED.A7D7EFD0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:03 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Demand/Mismatch does not code to acute MI. It has been recommended that a =
query be initiated. This can affect many metrics. The cardiologists are e=
ven divided on this issue. Some cardiologists in our facility will dictate=
that although troponins are elevated this is not a MI but a supply demand =
mismatch issue. Other physicians, dictate that it is a MI with supply/dema=
nd mismatch. We struggle with this in our facility.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[cid:image002.jpg@01D087ED.A7D7EFD0]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:54 AM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
Thank you!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:47 AM
To: Cindy Slavin
Subject: RE:[cdi_talk] CDI screening tools
If a Type @ MI is clearly documented, it is coded as either an STMI or NSTM=
I, depending upon the specific statement in the record. Am MI due to dem=
and/mismatch is an AMI. It has been stated by some on this site that some =
coders do not consider a Type II an MI; however, it is clear these are acut=
e Myocardial Infarcts.
[cid:image003.png@01D087ED.A7D7EFD0]
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D087ED.A7D7EFD0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 7:26 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Does anyone have an example query for when the physician documents Type 2 i=
n the record? And how is it being coded. Tx!
Cindy Slavin RN, BSN, CCDS
Manager Clinical Appeals and Data Integrity
Botsford Hospital
248-615-7103
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Cindy Slavin
Subject: [cdi_talk] CDI screening tools
Good morning everyone. I posted yesterday, but really not get any feedback.=
So I am trying once again. I have seen on CDI talk previously some posts =
regarding screening tools (exams) for CDI candidates. Would anyone be willi=
ng to share if they currently use one or have any ideas for one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
________________________________
NOTICE: This message is confidential, intended for the named recipient(s) a=
nd may contain information that is (i) proprietary to the sender, and/or,(i=
i) privileged, confidential and/or otherwise exempt from disclosure under a=
pplicable Florida and federal law, including, but not limited to, privacy s=
tandards imposed pursuant to the federal Health Insurance Portability and A=
ccountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named=
recipient(s) is not a waiver of any applicable privilege. Thank you in adv=
ance for your compliance with this notice.
---
CDI Talk is offered for networking purposes. For official rules and regulat=
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CDI Talk is offered for networking purposes. For official rules and regulat=
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CDI Talk is offered for networking purposes. For official rules and regulat=
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CDI Talk is offered for networking purposes. For official rules and regulat=
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CONFIDENTIALITY NOTICE: Confidential information, such as identifiable pat=
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nder state and federal law. If you are not the intended recipient of this =
message, you may not disclose, print, copy or disseminate this information.=
If you have received this in error, please reply and notify the sender (o=
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I reviewed the most recent 3M brief this week and they clarif=
y that a type II MI is not an MI because there is no infarction (cell death=
). If not clarified, it will code to an MI but they recommend clarifying.
I do not feel that I have enough clinical knowledge to make my own determi=
nation fo the clinical situation but I figured I would pass it on….
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.G=
ood@nahealth.com
Cell: 928.814.940=
4
From:=
CDI=
Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2=
015 11:08 AM
To: Kathryn Good
Subject: RE:[cdi_talk] CD=
I screening tools
A type II MI due to ‘whatever cause’ does code=
to an acute AMI. An infarct is an infarct, regardless of the etiolog=
y.
Paul Evans, RHIA, C=
CS, CCS-P, CCDS
Manager, Regional Cli=
nical Documentation & Coding Integrity
Sutte=
r West Bay
=
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107=
Cell: 415.412.9421
evanspx@sutterhealth.org
=
=
F=
rom: CDI Talk [mailto:cdi_talk=
@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:03 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Demand/Mismatch does not =code to acute MI. It has been recommended that a query be initiated.&=
nbsp; This can affect many metrics. The cardiologists are even divide=
d on this issue. Some cardiologists in our facility will dictate that=
although troponins are elevated this is not a MI but a supply demand misma=
tch issue. Other physicians, dictate that it is a MI with supply/dema=
nd mismatch. We struggle with this in our facility.
Syndi Hudson, RN, CCDS,CCM =
CHRISTUS Santa Rosa New Braunfels =
CDI Specialist=
cynthia.hudson@christushealth.org
830-643-6116 (Office)  =
; &n=
bsp;  =
;
830-643-5139 (Fax)  =
; &n=
bsp;  =
;
“We are His hands”. Isaiah 64:8
From: CDI Talk [mailto=
:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:54 =
AM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI scree=
ning tools
 =
;
Thank you!
=
From: CDI Talk [mailto:cdi_talk@hcprotalk.com] Sent: Wednesday, May 06, 2015 10:47 AM
=To: Cindy Slavin=
Subject: RE:[cdi_talk] CDI screening tools
=
If a Type @ MI is clearly do=
cumented, it is coded as either an STMI or NSTMI, depending upon the specif=
ic statement in the record. Am MI due to demand/mismatch =
is an AMI. It has been stated by some on this site that some coders d=
o not consider a Type II an MI; however, it is clear these are acute Myocar=
dial Infarcts.
&nb=sp;
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & C=
oding Integrity
Sutter West Bay
633 Folsom St., 7th Floor,=
Office 7-044
San Francisco, CA 94107
Cell:&nbs=
p; 415.412.9421
evanspx@sutterhealt=
h.org
=&n=
bsp;
From: CDI Talk [mailto:cdi_talk@hcprotalk.com] Sent: Wednesday, May 06, 2015 7:26 AM
To: Evans, Paul
=
Subject: RE:[cdi_talk] CDI screening tools
Does anyone have an example query for when the ph=
ysician documents Type 2 in the record? And how is it being coded. Tx!=
Cindy S=
lavin RN, BSN, CCDS
Manager Clinical Appeals and Data Integrity
Botsford Hospit=
al
=
248-615-7103
From: CDI Talk [mailto:cdi_talk@hcpro=
talk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Cindy Slavin
Subject: [cdi_talk] CDI screening tools=
Good morning everyone. I posted yesterday, but really not get =
any feedback. So I am trying once again. I have seen on CDI talk prev=
iously some posts regarding screening tools (exams) for CDI candidates. Wou=
ld anyone be willing to share if they currently use one or have any ideas f=
or one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106=
Jacksonville, Florida&nbs=
p; 32207
Office: 904-202-4=
345
NOTICE: This message is=
=confidential, intended for the named recipient(s) and may contain informat=
ion that is (i) proprietary to the sender, and/or,(ii) privileged, confiden=
tial and/or otherwise exempt from disclosure under applicable Florida and f=
ederal law, including, but not limited to, privacy standards imposed pursua=
nt to the federal Health Insurance Portability and Accountability Act of 19=
96 ("HIPAA"). Receipt by anyone other than the named recipient(s)=
is not a waiver of any applicable privilege. Thank you in advance for your=
compliance with this notice.
---CDI Talk is offered for network=
ing purposes. For official rules and regulations related to documentation a=
nd coding, please refer to your regulatory source. You are receiving this message as a member of CDI =
Talk as: ckslavin@botsford.org=
If you would like to be removed from CDI Talk, please=
send a blank email to leave-cdi_talk-=
20314556.c34764eec5864ff132b60d82b02e5498@hcprotalk.com---Copyright 2013HCPro, I=
nc., 75 Sylvan Street, Danvers MA 01923 &=
nbsp; ---CDI Talk is offered for ne=
tworking purposes. For official rules and regulations related to documentat=
ion and coding, please refer to your regulatory source. You are receiving this message as a member of=
CDI Talk as: evanspx@sutterhea=
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a member of CDI Talk as: ckslavin@=
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MA 01923 &nbs=
p; ---CDI Talk is offered for networking purposes. For officia=
l rules and regulations related to documentation and coding, please refer t=
o your regulatory source. =
You are receiving this message as a member of CDI Talk as: evanspx@sutterhealth.orgIf you would like to be removed from CDI Talk, please send a blank email=
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dc7dfa247d8332246d4e2a@hcprotalk.com---Copyright 2013HCPro, Inc., 75 Sylvan Stre=
et, Danvers MA 01923
CONFIDENTIA=
=LITY NOTICE: Confidential information, such as identifiable pati=
ent health information or business information, is subject to protection un=
der state and federal law. If you are not the intended recipient of t=
his message, you may not disclose, print, copy or disseminate this informat=
ion. If you have received this in error, please reply and notify the =
sender (only) and delete the message. Unauthorized interception of th=
is e-mail is a violation of federal criminal law.
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DI Talk is offered for networking purposes. For official rules and regulati=
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Renee
Linda Renee Brown, RN, MA, CCDS, CCS, CDIP
Director, Clinical Documentation
Tanner Health System
The Third Universal Definition of Myocardial Infarction: Clinical Insights and Implications
Disclosure: Dr. Jneid has nothing to disclose.
Pub Date: Saturday, Aug. 25, 2012
Author: Hani Jneid, MD, FACC, FAHA, FSCAI
Affiliation: Baylor College of Medicine
The Michael E. DeBakey VA Medical Center
In addition, the third global MI Task Force updated the universal classification of MI with few notable modifications. The universal classification of MI complements the initial ECG classification of MI (as STEMI vs. non-STEMI), which should still be used clinically upfront to dictate immediate reperfusion strategy. In the third universal classification of MI, MI types 1 and 2 represent spontaneous MI (induced by plaque rupture, erosion, fissuring - with overlying coronary thrombosis) and MI induced by demand-supply imbalance in myocardial ischemia, respectively. Type 3 is MI resulting in cardiac death, while types 4 and 5 are PCI- and CABG-related MI.
http://my.americanheart.org/professional/General/The-Third-Universal-Definition-of-Myocardial-Infarction-Clinical-Insights_UCM_443744_Article.jsp
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D087E6.E90151B0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:14 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
I reviewed the most recent 3M brief this week and they clarify that a type II MI is not an MI because there is no infarction (cell death). If not clarified, it will code to an MI but they recommend clarifying.
I do not feel that I have enough clinical knowledge to make my own determination fo the clinical situation but I figured I would pass it on....
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 11:08 AM
To: Kathryn Good
Subject: RE:[cdi_talk] CDI screening tools
A type II MI due to 'whatever cause' does code to an acute AMI. An infarct is an infarct, regardless of the etiology.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D087E6.E90151B0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:03 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Demand/Mismatch does not code to acute MI. It has been recommended that a query be initiated. This can affect many metrics. The cardiologists are even divided on this issue. Some cardiologists in our facility will dictate that although troponins are elevated this is not a MI but a supply demand mismatch issue. Other physicians, dictate that it is a MI with supply/demand mismatch. We struggle with this in our facility.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[cid:image002.jpg@01D087E6.E90151B0]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:54 AM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
Thank you!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:47 AM
To: Cindy Slavin
Subject: RE:[cdi_talk] CDI screening tools
If a Type @ MI is clearly documented, it is coded as either an STMI or NSTMI, depending upon the specific statement in the record. Am MI due to demand/mismatch is an AMI. It has been stated by some on this site that some coders do not consider a Type II an MI; however, it is clear these are acute Myocardial Infarcts.
[cid:image003.png@01D087E6.E90151B0]
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D087E6.E90151B0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 7:26 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Does anyone have an example query for when the physician documents Type 2 in the record? And how is it being coded. Tx!
Cindy Slavin RN, BSN, CCDS
Manager Clinical Appeals and Data Integrity
Botsford Hospital
248-615-7103
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Cindy Slavin
Subject: [cdi_talk] CDI screening tools
Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
________________________________
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CONFIDENTIALITY NOTICE: Confidential information, such as identifiable patient health information or business information, is subject to protection under state and federal law. If you are not the intended recipient of this message, you may not disclose, print, copy or disseminate this information. If you have received this in error, please reply and notify the sender (only) and delete the message. Unauthorized interception of this e-mail is a violation of federal criminal law.
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Theresa Crosslin RN CM
Cookeville Regional Medical Center
931-783-2078
TCrosslin@crmchealth.org
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 12:08 PM
To: Theresa Crosslin
Subject: Re: [cdi_talk] CDI screening tools
I would interested in seeing these as well. My email is ckitterman@pmh-ok.org.
Thank-you,
Christina Kitterman
On Wednesday, May 6, 2015 9:13 AM, CDI Talk wrote:
I also have some info Jamie
Deanne Wilk, BSN, RN, CCDS, CCS
AHIMA approved ICD-10-CM/PCS Trainer
Clinical Documentation Improvement and Inpatient Coding Manager
HIMS Department
Good Samaritan Health System
4th & Walnut Sts
Lebanon, PA 17042
dwilk@gshleb.org
Phone: 717-270-7582
Cell: 717-580-1436
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:09 AM
To: Wilk, Deanne L.
Subject: RE:[cdi_talk] CDI screening tools
Jamie,
I don’t see your e-mail address in your signature.
Can you e-mail me?
I have a few exams that I saved from a previous post regarding this topic I can send to you.
Best,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Goodman, Greta
Subject: [cdi_talk] CDI screening tools
Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
________________________________
NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice.
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Copyright 2013
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**********************************************************************************************************
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. This communication may contain personal patient health care information and is protected by federal law and other statutory protections. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Virginia Hospital Center -Arlington's Information Systems Department @703-558-6566.
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This Message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination or copying of this message or the taking of any action in reliance on the contents of this message is strictly prohibited. If you have received this message in error, please notify us immediately and destroy the original message. Thank you.
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CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
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This email message has been delivered safely and archived online by Mimecast. For more information please visit http://www.mimecast.com
Mary Lindenboom BSN, CCDS
CDI Manager
Flagler Hospital
Saint Augustine, FL
Mary.lindenboom@flaglerhospital.org
Sent from my iPhone
> On May 6, 2015, at 1:08 PM, CDI Talk wrote:
>
> I would interested in seeing these as well. My email is ckitterman@pmh-ok.org.
>
> Thank-you,
> Christina Kitterman
>
>
>
> On Wednesday, May 6, 2015 9:13 AM, CDI Talk wrote:
>
>
> I also have some info Jamie
>
>
> Deanne Wilk, BSN, RN, CCDS, CCS
> AHIMA approved ICD-10-CM/PCS Trainer
>
> Clinical Documentation Improvement and Inpatient Coding Manager
> HIMS Department
> Good Samaritan Health System
> 4th & Walnut Sts
> Lebanon, PA 17042
> dwilk@gshleb.org
>
> Phone: 717-270-7582
> Cell: 717-580-1436
>
>
>
> From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
> Sent: Wednesday, May 06, 2015 10:09 AM
> To: Wilk, Deanne L.
> Subject: RE:[cdi_talk] CDI screening tools
>
> Jamie,
> I don’t see your e-mail address in your signature.
> Can you e-mail me?
>
> I have a few exams that I saved from a previous post regarding this topic I can send to you.
>
> Best,
> Greta
>
>
> Greta Goodman, CCDS
> Clinical Documentation Improvement Specialist
> Health Information Management
> Virginia Hospital Center
> 1701 North George Mason Drive
> Arlington, VA 22205
> 703-558-5336
> ggoodman@virginiahospitalcenter.com
>
>
>
>
>
>
> From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
> Sent: Wednesday, May 06, 2015 9:59 AM
> To: Goodman, Greta
> Subject: [cdi_talk] CDI screening tools
>
> Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks!
>
> Jamie Dugan RN, CCDS
> Clinical Documentation Improvement Specialist
> 3563 Philips Highway, Suite #106
> Jacksonville, Florida 32207
> Office: 904-202-4345
>
> NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice.
>
> ---
> CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
>
> You are receiving this message as a member of CDI Talk as: ggoodman@virginiahospitalcenter.com
> If you would like to be removed from CDI Talk, please send a blank email to
> leave-cdi_talk-12403641.651ab590aed3ab660e7b1e28bdf7052a@hcprotalk.com
> ---
> Copyright 2013
> HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
>
>
> **********************************************************************************************************
> 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. This communication may contain personal patient health care information and is protected by federal law and other statutory protections. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Virginia Hospital Center -Arlington's Information Systems Department @703-558-6566.
>
> ***********************************************************************************************************
>
> ---
> CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
>
> You are receiving this message as a member of CDI Talk as: DWilk@gshleb.org
> If you would like to be removed from CDI Talk, please send a blank email to
> leave-cdi_talk-20296367.cc59b71b1ce9213adb6d425d79548750@hcprotalk.com
> ---
> Copyright 2013
> HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
>
> This Message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination or copying of this message or the taking of any action in reliance on the contents of this message is strictly prohibited. If you have received this message in error, please notify us immediately and destroy the original message. Thank you.
> ---
> CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
>
> You are receiving this message as a member of CDI Talk as: ckitt2001@yahoo.com
> If you would like to be removed from CDI Talk, please send a blank email to
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> ---
> Copyright 2013
> HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
>
>
> ---
> CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
>
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I would be interested in receiving these also. Mary Lindenboom BSN, CCDSCDI ManagerFlagler HospitalSaint Augustine, FLMary.lindenboom@flaglerhospital.org
Sent from my iPhone
On May 6, 2015, at 1:08 PM, CDI Talk <cdi_talk@hcprotalk.com> wrote: --Apple-Mail-FD20BF7F-8C11-4544-A462-210905AA0FB4--
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CDI-Talkers,
Here are the few samples of CDI Exams I have.
I'm sure you could piece them together to create one that fits your needs.
Best,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
[CCDS_pin_1inch]
***************************************************************************=
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This e-mail and any files transmitted with it are confidential and are inte=
nded solely for the use of the individual or entity to whom they are addres=
sed. This communication may contain personal patient health care informatio=
n and is protected by federal law and other statutory protections. If you a=
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ing, or copying of this e-mail or any attached files is strictly prohibited=
. If you have received this e-mail in error, please promptly delete this me=
ssage and notify the sender of the delivery error by e-mail or you may call=
Virginia Hospital Center -Arlington's Information Systems Department @703-=
558-6566.
=
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--_000_D41032AF151CDE4791F26F21AF27C5EE968BF8D9VEXCHMBS02isvir_
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CDI-Talkers,
Here are the few sampl=
es of CDI Exams I have.
I’m sure you cou=
ld piece them together to create one that fits your needs.
Best,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336=
ggoodma=
n@virginiahospitalcenter.com
********************************************************************=
**************************************
This e-mail and any files transmitted with it are confidential and are inte=
nded solely for the use of the individual or entity to whom they are addres=
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n and is protected by federal law and other statutory protections. If you a=
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the e-mail to the intended recipient, please be advised that you have recei=
ved this e-mail in error and that any use, dissemination, forwarding, print=
ing, or copying of this e-mail or any attached files is strictly prohibited=
. If you have received this e-mail in error, please promptly delete this me=
ssage and notify the sender of the delivery error by e-mail or you may call=
Virginia Hospital Center -Arlington's Information Systems Department @703-=
558-6566.
***************************************************************************=
********************************
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From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 07, 2015 7:21 AM
Subject: [cdi_talk] CDI Screening Tools
CDI-Talkers,
Here are the few samples of CDI Exams I have.
I'm sure you could piece them together to create one that fits your needs.
Best,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
[CCDS_pin_1inch]
[http://extranet.acsysweb.com/vsitemanager/VirginiaHosp/Public/Upload/Images/100_Top_Hospitals_Virginia_Hospital_Center_signature.png]
**********************************************************************************************************
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. This communication may contain personal patient health care information and is protected by federal law and other statutory protections. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Virginia Hospital Center -Arlington's Information Systems Department @703-558-6566.
***********************************************************************************************************
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: dvitalone@comhs.org
If you would like to be removed from CDI Talk, please send a blank email to
leave-cdi_talk-12121342.2ffcc42f203494f36544e53ea82f91d7@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
This message and attachment(s), if any, is intended for the sole use of the individual and/or entity
of which it is addressed, and may contain information that is privileged,confidential and prohibited
from disclosure under applicable law. If you are not the addressee, or authorized to receive this on
behalf of the addressee, you are hereby notified that you may not use, copy, disclose or distribute
to anyone this message or any part thereof. If you have received this in error, please immediately advise
the sender by e-mail and delete this information and all attachments from your computer and network.
Thank you.
Sorry.
But I'm sure you could work through them on your own!
If you can't figure out the answer, it's probably not a fair question to give an applicant
Best,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
[CCDS_pin_1inch]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 07, 2015 9:18 AM
To: Goodman, Greta
Subject: RE:[cdi_talk] CDI Screening Tools
Do you have the answers?
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 07, 2015 7:21 AM
Subject: [cdi_talk] CDI Screening Tools
CDI-Talkers,
Here are the few samples of CDI Exams I have.
I'm sure you could piece them together to create one that fits your needs.
Best,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
[CCDS_pin_1inch]
[Image removed by sender.]
**********************************************************************************************************
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. This communication may contain personal patient health care information and is protected by federal law and other statutory protections. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Virginia Hospital Center -Arlington's Information Systems Department @703-558-6566.
***********************************************************************************************************
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: dvitalone@comhs.org
If you would like to be removed from CDI Talk, please send a blank email to
leave-cdi_talk-12121342.2ffcc42f203494f36544e53ea82f91d7@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
This message and attachment(s), if any, is intended for the sole use of the individual and/or entity of which it is addressed, and may contain information that is privileged,confidential and prohibited from disclosure under applicable law. If you are not the addressee, or authorized to receive this on behalf of the addressee, you are hereby notified that you may not use, copy, disclose or distribute to anyone this message or any part thereof. If you have received this in error, please immediately advise the sender by e-mail and delete this information and all attachments from your computer and network. Thank you.
---
CDI Talk is offered for networking purposes. For official rules and regulations related to documentation and coding, please refer to your regulatory source.
You are receiving this message as a member of CDI Talk as: ggoodman@virginiahospitalcenter.com
If you would like to be removed from CDI Talk, please send a blank email to
leave-cdi_talk-12403641.651ab590aed3ab660e7b1e28bdf7052a@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
**********************************************************************************************************
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. This communication may contain personal patient health care information and is protected by federal law and other statutory protections. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail or any attached files is strictly prohibited. If you have received this e-mail in error, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Virginia Hospital Center -Arlington's Information Systems Department @703-558-6566.
***********************************************************************************************************
Claudine Hutchinson RN (CDI)
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 07, 2015 07:21 AM
To: Hutchinson, Claudine
Subject: [cdi_talk] CDI Screening Tools
CDI-Talkers,
Here are the few samples of CDI Exams I have.
I'm sure you could piece them together to create one that fits your
needs.
Best,
Greta
Greta Goodman, CCDS
Clinical Documentation Improvement Specialist
Health Information Management
Virginia Hospital Center
1701 North George Mason Drive
Arlington, VA 22205
703-558-5336
ggoodman@virginiahospitalcenter.com
************************************************************************
**********************************
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. This communication may contain personal patient health care
information and is protected by federal law and other statutory
protections. If you are not the intended recipient or the individual
responsible for delivering the e-mail to the intended recipient, please
be advised that you have received this e-mail in error and that any use,
dissemination, forwarding, printing, or copying of this e-mail or any
attached files is strictly prohibited. If you have received this e-mail
in error, please promptly delete this message and notify the sender of
the delivery error by e-mail or you may call Virginia Hospital Center
-Arlington's Information Systems Department @703-558-6566.
************************************************************************
***********************************
---
CDI Talk is offered for networking purposes. For official rules and
regulations related to documentation and coding, please refer to your
regulatory source.
You are receiving this message as a member of CDI Talk as:
chutchinson@saintfrancis.com
If you would like to be removed from CDI Talk, please send a blank email
to
leave-cdi_talk-12470184.f042d42b34f0060fd80c817b799893f1@hcprotalk.com
---
Copyright 2013
HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
----------------------------------------------------------------------
Saint Francis Health System intends this email only for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If you have received this email in error, you are hereby notified that we do not consent to any reading, dissemination, distribution, or copying of this email and request you notify the sender immediately and destroy this transmission. Violators may be prosecuted under Federal law.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[Description: CCDS_pin_1inch]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 12:26 PM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
3M is not official advice - per 3rd Universal Definition, this is an MI.
The Third Universal Definition of Myocardial Infarction: Clinical Insights and Implications
Disclosure: Dr. Jneid has nothing to disclose.
Pub Date: Saturday, Aug. 25, 2012
Author: Hani Jneid, MD, FACC, FAHA, FSCAI
Affiliation: Baylor College of Medicine
The Michael E. DeBakey VA Medical Center
In addition, the third global MI Task Force updated the universal classification of MI with few notable modifications. The universal classification of MI complements the initial ECG classification of MI (as STEMI vs. non-STEMI), which should still be used clinically upfront to dictate immediate reperfusion strategy. In the third universal classification of MI, MI types 1 and 2 represent spontaneous MI (induced by plaque rupture, erosion, fissuring - with overlying coronary thrombosis) and MI induced by demand-supply imbalance in myocardial ischemia, respectively. Type 3 is MI resulting in cardiac death, while types 4 and 5 are PCI- and CABG-related MI.
http://my.americanheart.org/professional/General/The-Third-Universal-Definition-of-Myocardial-Infarction-Clinical-Insights_UCM_443744_Article.jsp
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01CE983E.025F5700]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:14 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
I reviewed the most recent 3M brief this week and they clarify that a type II MI is not an MI because there is no infarction (cell death). If not clarified, it will code to an MI but they recommend clarifying.
I do not feel that I have enough clinical knowledge to make my own determination fo the clinical situation but I figured I would pass it on....
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 11:08 AM
To: Kathryn Good
Subject: RE:[cdi_talk] CDI screening tools
A type II MI due to 'whatever cause' does code to an acute AMI. An infarct is an infarct, regardless of the etiology.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01CE983E.025F5700]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:03 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Demand/Mismatch does not code to acute MI. It has been recommended that a query be initiated. This can affect many metrics. The cardiologists are even divided on this issue. Some cardiologists in our facility will dictate that although troponins are elevated this is not a MI but a supply demand mismatch issue. Other physicians, dictate that it is a MI with supply/demand mismatch. We struggle with this in our facility.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[Description: CCDS_pin_1inch]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:54 AM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
Thank you!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:47 AM
To: Cindy Slavin
Subject: RE:[cdi_talk] CDI screening tools
If a Type @ MI is clearly documented, it is coded as either an STMI or NSTMI, depending upon the specific statement in the record. Am MI due to demand/mismatch is an AMI. It has been stated by some on this site that some coders do not consider a Type II an MI; however, it is clear these are acute Myocardial Infarcts.
[cid:image005.png@01D088A7.8C2E60B0]
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01CE983E.025F5700]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 7:26 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Does anyone have an example query for when the physician documents Type 2 in the record? And how is it being coded. Tx!
Cindy Slavin RN, BSN, CCDS
Manager Clinical Appeals and Data Integrity
Botsford Hospital
248-615-7103
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Cindy Slavin
Subject: [cdi_talk] CDI screening tools
Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
________________________________
NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice.
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CONFIDENTIALITY NOTICE: Confidential information, such as identifiable patient health information or business information, is subject to protection under state and federal law. If you are not the intended recipient of this message, you may not disclose, print, copy or disseminate this information. If you have received this in error, please reply and notify the sender (only) and delete the message. Unauthorized interception of this e-mail is a violation of federal criminal law.
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CONFIDENTIALITY NOTICE: Confidential information, such as identifiable patient health information or business information, is subject to protection under state and federal law. If you are not the intended recipient of this message, you may not disclose, print, copy or disseminate this information. If you have received this in error, please reply and notify the sender (only) and delete the message. Unauthorized interception of this e-mail is a violation of federal criminal law.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[Description: CCDS_pin_1inch]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 12:14 PM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
I reviewed the most recent 3M brief this week and they clarify that a type II MI is not an MI because there is no infarction (cell death). If not clarified, it will code to an MI but they recommend clarifying.
I do not feel that I have enough clinical knowledge to make my own determination fo the clinical situation but I figured I would pass it on....
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 11:08 AM
To: Kathryn Good
Subject: RE:[cdi_talk] CDI screening tools
A type II MI due to 'whatever cause' does code to an acute AMI. An infarct is an infarct, regardless of the etiology.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01CE983E.025F5700]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:03 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Demand/Mismatch does not code to acute MI. It has been recommended that a query be initiated. This can affect many metrics. The cardiologists are even divided on this issue. Some cardiologists in our facility will dictate that although troponins are elevated this is not a MI but a supply demand mismatch issue. Other physicians, dictate that it is a MI with supply/demand mismatch. We struggle with this in our facility.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[Description: CCDS_pin_1inch]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:54 AM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
Thank you!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:47 AM
To: Cindy Slavin
Subject: RE:[cdi_talk] CDI screening tools
If a Type @ MI is clearly documented, it is coded as either an STMI or NSTMI, depending upon the specific statement in the record. Am MI due to demand/mismatch is an AMI. It has been stated by some on this site that some coders do not consider a Type II an MI; however, it is clear these are acute Myocardial Infarcts.
[cid:image005.png@01D088A8.3D018F20]
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01CE983E.025F5700]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 7:26 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Does anyone have an example query for when the physician documents Type 2 in the record? And how is it being coded. Tx!
Cindy Slavin RN, BSN, CCDS
Manager Clinical Appeals and Data Integrity
Botsford Hospital
248-615-7103
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Cindy Slavin
Subject: [cdi_talk] CDI screening tools
Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
________________________________
NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice.
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I would only say that 3M, while a fine consulting group, is a Consulting Group, and their opinion, while it should be considered, is not official. I say this because many, many times in my work others have also stated that 3M issued advice, and said advice was accepted as final. I can tell you that I do not always agree with their advice, and they are not infallible. Also bear in mind that 'we' are generally expected to code 'what is stated by the MD'.
I agree myocardial ischemia or ACE does not always mean the patient had an MI. However, it is not valid to indicate that a type II MI is always coded as ACS. Our team always evaluates the terms relating to ACS, Ischemia, AMI using the clinical criteria we have had approved for the Universal Definition of an MI.
I'd suggest we cite and use literature that is accepted by clinicians w/ references also to Official Coding Guidelines, Coding Clinic, et al.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D088A1.AC17FDB0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 07, 2015 7:24 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Thanks Paul. This really helps. I look forward to sharing it with our MDs. Thanks for your continued feedback on many issues.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[cid:image002.jpg@01D088A1.AC17FDB0]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 12:26 PM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
3M is not official advice - per 3rd Universal Definition, this is an MI.
The Third Universal Definition of Myocardial Infarction: Clinical Insights and Implications
Disclosure: Dr. Jneid has nothing to disclose.
Pub Date: Saturday, Aug. 25, 2012
Author: Hani Jneid, MD, FACC, FAHA, FSCAI
Affiliation: Baylor College of Medicine
The Michael E. DeBakey VA Medical Center
In addition, the third global MI Task Force updated the universal classification of MI with few notable modifications. The universal classification of MI complements the initial ECG classification of MI (as STEMI vs. non-STEMI), which should still be used clinically upfront to dictate immediate reperfusion strategy. In the third universal classification of MI, MI types 1 and 2 represent spontaneous MI (induced by plaque rupture, erosion, fissuring - with overlying coronary thrombosis) and MI induced by demand-supply imbalance in myocardial ischemia, respectively. Type 3 is MI resulting in cardiac death, while types 4 and 5 are PCI- and CABG-related MI.
http://my.americanheart.org/professional/General/The-Third-Universal-Definition-of-Myocardial-Infarction-Clinical-Insights_UCM_443744_Article.jsp
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D088A1.AC17FDB0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:14 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
I reviewed the most recent 3M brief this week and they clarify that a type II MI is not an MI because there is no infarction (cell death). If not clarified, it will code to an MI but they recommend clarifying.
I do not feel that I have enough clinical knowledge to make my own determination fo the clinical situation but I figured I would pass it on....
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 11:08 AM
To: Kathryn Good
Subject: RE:[cdi_talk] CDI screening tools
A type II MI due to 'whatever cause' does code to an acute AMI. An infarct is an infarct, regardless of the etiology.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D088A1.AC17FDB0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:03 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Demand/Mismatch does not code to acute MI. It has been recommended that a query be initiated. This can affect many metrics. The cardiologists are even divided on this issue. Some cardiologists in our facility will dictate that although troponins are elevated this is not a MI but a supply demand mismatch issue. Other physicians, dictate that it is a MI with supply/demand mismatch. We struggle with this in our facility.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[cid:image002.jpg@01D088A1.AC17FDB0]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:54 AM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
Thank you!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:47 AM
To: Cindy Slavin
Subject: RE:[cdi_talk] CDI screening tools
If a Type @ MI is clearly documented, it is coded as either an STMI or NSTMI, depending upon the specific statement in the record. Am MI due to demand/mismatch is an AMI. It has been stated by some on this site that some coders do not consider a Type II an MI; however, it is clear these are acute Myocardial Infarcts.
[cid:image003.png@01D088A1.AC17FDB0]
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D088A1.AC17FDB0]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 7:26 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Does anyone have an example query for when the physician documents Type 2 in the record? And how is it being coded. Tx!
Cindy Slavin RN, BSN, CCDS
Manager Clinical Appeals and Data Integrity
Botsford Hospital
248-615-7103
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Cindy Slavin
Subject: [cdi_talk] CDI screening tools
Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
________________________________
NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice.
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HCPro, Inc., 75 Sylvan Street, Danvers MA 01923
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I always appreciate your input
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 07, 2015 9:42 AM
To: Kathryn Good
Subject: RE:[cdi_talk] CDI screening tools
My pleasure....Regarding 3M, did not mean to sound abrupt, but I am swamped this week. My messages are always brief.
I would only say that 3M, while a fine consulting group, is a Consulting Group, and their opinion, while it should be considered, is not official. I say this because many, many times in my work others have also stated that 3M issued advice, and said advice was accepted as final. I can tell you that I do not always agree with their advice, and they are not infallible. Also bear in mind that 'we' are generally expected to code 'what is stated by the MD'.
I agree myocardial ischemia or ACE does not always mean the patient had an MI. However, it is not valid to indicate that a type II MI is always coded as ACS. Our team always evaluates the terms relating to ACS, Ischemia, AMI using the clinical criteria we have had approved for the Universal Definition of an MI.
I'd suggest we cite and use literature that is accepted by clinicians w/ references also to Official Coding Guidelines, Coding Clinic, et al.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D088AA.F694D030]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Thursday, May 07, 2015 7:24 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Thanks Paul. This really helps. I look forward to sharing it with our MDs. Thanks for your continued feedback on many issues.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[cid:image002.jpg@01D088AA.F694D030]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 12:26 PM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
3M is not official advice - per 3rd Universal Definition, this is an MI.
The Third Universal Definition of Myocardial Infarction: Clinical Insights and Implications
Disclosure: Dr. Jneid has nothing to disclose.
Pub Date: Saturday, Aug. 25, 2012
Author: Hani Jneid, MD, FACC, FAHA, FSCAI
Affiliation: Baylor College of Medicine
The Michael E. DeBakey VA Medical Center
In addition, the third global MI Task Force updated the universal classification of MI with few notable modifications. The universal classification of MI complements the initial ECG classification of MI (as STEMI vs. non-STEMI), which should still be used clinically upfront to dictate immediate reperfusion strategy. In the third universal classification of MI, MI types 1 and 2 represent spontaneous MI (induced by plaque rupture, erosion, fissuring - with overlying coronary thrombosis) and MI induced by demand-supply imbalance in myocardial ischemia, respectively. Type 3 is MI resulting in cardiac death, while types 4 and 5 are PCI- and CABG-related MI.
http://my.americanheart.org/professional/General/The-Third-Universal-Definition-of-Myocardial-Infarction-Clinical-Insights_UCM_443744_Article.jsp
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D088AA.F694D030]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:14 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
I reviewed the most recent 3M brief this week and they clarify that a type II MI is not an MI because there is no infarction (cell death). If not clarified, it will code to an MI but they recommend clarifying.
I do not feel that I have enough clinical knowledge to make my own determination fo the clinical situation but I figured I would pass it on....
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 11:08 AM
To: Kathryn Good
Subject: RE:[cdi_talk] CDI screening tools
A type II MI due to 'whatever cause' does code to an acute AMI. An infarct is an infarct, regardless of the etiology.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D088AA.F694D030]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:03 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Demand/Mismatch does not code to acute MI. It has been recommended that a query be initiated. This can affect many metrics. The cardiologists are even divided on this issue. Some cardiologists in our facility will dictate that although troponins are elevated this is not a MI but a supply demand mismatch issue. Other physicians, dictate that it is a MI with supply/demand mismatch. We struggle with this in our facility.
Syndi Hudson, RN, CCDS,CCM
CHRISTUS Santa Rosa New Braunfels
CDI Specialist
cynthia.hudson@christushealth.org
830-643-6116 (Office)
830-643-5139 (Fax)
[cid:image002.jpg@01D088AA.F694D030]
"We are His hands". Isaiah 64:8
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:54 AM
To: Hudson, Cynthia
Subject: RE:[cdi_talk] CDI screening tools
Thank you!
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 10:47 AM
To: Cindy Slavin
Subject: RE:[cdi_talk] CDI screening tools
If a Type @ MI is clearly documented, it is coded as either an STMI or NSTMI, depending upon the specific statement in the record. Am MI due to demand/mismatch is an AMI. It has been stated by some on this site that some coders do not consider a Type II an MI; however, it is clear these are acute Myocardial Infarcts.
[cid:image003.png@01D088AA.F694D030]
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.412.9421
evanspx@sutterhealth.org
[cid:image001.jpg@01D088AA.F694D030]
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 7:26 AM
To: Evans, Paul
Subject: RE:[cdi_talk] CDI screening tools
Does anyone have an example query for when the physician documents Type 2 in the record? And how is it being coded. Tx!
Cindy Slavin RN, BSN, CCDS
Manager Clinical Appeals and Data Integrity
Botsford Hospital
248-615-7103
From: CDI Talk [mailto:cdi_talk@hcprotalk.com]
Sent: Wednesday, May 06, 2015 9:59 AM
To: Cindy Slavin
Subject: [cdi_talk] CDI screening tools
Good morning everyone. I posted yesterday, but really not get any feedback. So I am trying once again. I have seen on CDI talk previously some posts regarding screening tools (exams) for CDI candidates. Would anyone be willing to share if they currently use one or have any ideas for one? Thanks!
Jamie Dugan RN, CCDS
Clinical Documentation Improvement Specialist
3563 Philips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
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We use this definition in our practice. Our Cardiologist are on board with this reference. I have found it very helpful to cite this in our work as often there may be considerable dissonance regarding the documentation of 'myocardial ischemia, ACS, AMI".
CLINICAL REFERENCE
* My necrosis:
- An elevation of troponin above the 99th percentile of normal.
* Myocardial infarction (Myonecrosis 2