MI Definitions / Type II MI coding

Our team has been working on a MI algorithm for the past year. Our provider documentation is all over the place with some facilities over-documenting Type II MIs, and other facilities under-documenting it. I have completed numerous audits to support this concern. Currently, we are at a standstill. There are numerous providers and quality staff members that are questioning why we need to change the documentation. They are concerned that the change will affect the numbers in our bundle payments. Our documentation should be thorough and accurate, no matter what the payment outcome is. I’ve been asked to reach out to other facilities, to ask what their process is. So what is your organization doing to get accurate MI documentation and how does it affect your quality scores and/or bundle payments? Thanks in advance!


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