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!
Comments
Good afternoon, happy to share our process. We have done a lot of education over the last year and have worked to improve this by building dot phrases in our EMR (Epic). We also share an document that easily shows the difference between types of MIs and what criteria is needed to make the diagnosis. You can reach out if you would like to see what this looks like.
@jcjohnson@premierhealth.com I would be interested in you document and appreciate the offer to share. Thank you!
Done
Would you be willing to share this document with us as well? We are struggling with when to capture the type II MI. I would be interested in the education tools regarding the criteria needed.
Thank you!
ncopper@capitalhealth.org
Get a copy of the Thygesen, K. et.al. Fourth Universal Definition of MI (2018). Defines all MI types and clinical indicators.