Coder/cdi communication
I have a few questions.
1. Are you and the coders under the same department?
2. Does you perform a coder/cdi reconcile for APR and or DRG mismatch?
If so, for those CDI programs without 360, what is your communication style when you have a discrepancy with your coder mismatch.
Do you communicate via phone, email, in person?
We are having problems with knowing what the coders need in the chart. We are trying to work on our coder communication, but having issues.
.
Thanks in advance for your help.
Best,
Stephanie Sandoval CDI lead
CHOP
1. Are you and the coders under the same department?
2. Does you perform a coder/cdi reconcile for APR and or DRG mismatch?
If so, for those CDI programs without 360, what is your communication style when you have a discrepancy with your coder mismatch.
Do you communicate via phone, email, in person?
We are having problems with knowing what the coders need in the chart. We are trying to work on our coder communication, but having issues.
.
Thanks in advance for your help.
Best,
Stephanie Sandoval CDI lead
CHOP
Comments
1. Yes, CDI and In-pt coders are under one department.
2. Yes, we review and reconcile APR/DRG/SOI mismatch with the coders and if necessary and appropriate, we will do a query.
When did not have 360, we thru all of the above.
Raymond C Ramos
Clinical Documentation Integrity
Texas Children's Hospital
832-824-3196
rcramos@texaschildrens.org
_
From: Pediatric CDI Talk [mailto:pediatric_cdi_talk@hcprotalk.com]
Sent: Thursday, February 04, 2016 1:45 PM
To: Hill-Sandoval, Stephanie D
Subject: RE: [pediatric_cdi_talk] Coder/cdi communication
Good day Stephanie
1. Yes, CDI and In-pt coders are under one department.
2. Yes, we review and reconcile APR/DRG/SOI mismatch with the coders and if necessary and appropriate, we will do a query.
When did not have 360, we thru all of the above.
Raymond C Ramos
Clinical Documentation Integrity
Texas Children's Hospital
832-824-3196
rcramos@texaschildrens.org
Thank you.
raymond
rcramos@texaschildrens.org
Here are our answers from CHOC Children's:
1. Are you and the coders under the same department?
Yes, we all report to HIM. Coders have a coding lead and coding manager and CDSs report to manager for CDS. Our offices (coders and CDSs) are right next to each other.
2. Do you perform a coder/cdi reconcile for APR and or DRG mismatch?
We reconcile all accounts for DRG match (CDS software is based on MS-DRG, not APR-DRG). If there is a discrepancy and CDS cannot see reasoning for mismatch (ie different, equally valid PDx sequenced, procedure code difference, etc), we contact coder directly via e-mail or in person to discuss. We track all cases (negative as well as positive impact) that have impact based on CDS/coder collaboration (even if a clarification is not generated). Coders and CDSs have monthly task force meetings and ad hoc huddles to discuss issues. CDSs also have access to view the post-discharge queries that are sent by coders (extremely helpful!) and coders have access to view the CDS worksheets.
If so, for those CDI programs without 360, what is your communication style when you have a discrepancy with your coder mismatch.
Do you communicate via phone, email, in person? As above.
I hope this helps!
Jackie Touch, MSN, RN, CCM
CHOC Children's
1. Yes.
2. Yes. We review and reconcile with the coders for mismatch and when appropriate, will generate a query to the provider.
We communicated thru email, phone when did not have 360.
Thank you.
Raymond C Ramos
Clinical Documentation Integrity
Texas Children's Hospital
832-824-3196
rcramos@texaschildrens.org
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has been very helpful.
Steph