3m encoder question

katysuegood@gmail.comkatysuegood@gmail.com
in Clinical & Coding
I've noticed in a few cases that when I use the encoder I get a high SOI/ROM (4/4) but when the coding summary is saved the SOI/ROM is lower. For instance in my current case (expired patient), when saved, we have an SOI/ROM of 2/2. However, when I open the encoder it shows this as a 4/4. I realize that there are CC/MCC exclusions on this case and am assuming this is the cause of the low SOI/ROM but I don't understand the variance?

I just want to make sure this is functioning appropriately??

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Thanks!


Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404

Comments

  • julie.cruz-sjejulie.cruz-sje
    edited May 2016
    This has happened to me and it came down to the "disposition" of the patient that impacted the SOI/ROM for me (per our discussion with our coding leader).

    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


  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    Yes, this would be true if I was using the free standing encoder and entering the codes without the disposition of expired. But what I am not understanding in this case is that I am actually in the coders encoder. This is a chart that has been saved in draft and I can access the coding summary in the coders system. So all the info should be the same? The coder has the disposition as 'expired' in the encoder.

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404


  • annnd2009@gmail.comannnd2009@gmail.com
    edited May 2016
    I thought shock could never be Pdx.


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