CDI Reviews

sarah_wicks@urmc.rochester.edusarah_wicks@urmc.rochester.edu
in CDI Management

We recently started using the CDI Review tab in Epic to do our CDI reviews instead of doing them in Iodine and we are no longer concurrently coding. What information do your CDS’s include when they do a review of a chart? Do they list all diagnoses that are POA? If so, what is your reasoning?

Sarah Wicks, RN, MS, MBA

SMH Clinical Documentation Integrity Program Manager

HH Clinical Documentation Integrity Program Manager

Utilization Management | Strong Memorial Hospital | Highland Hospital

P: 585.602.1755 | F: 585.276.2801

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Comments

  • cgoeweycgoewey

    We work in software that the coders access to review our work, diags and working DRG. Our team includes PDx, Procedures, CC's, MCC's and what other diags they think are important to make sure get coded. We do not list all diags. In the narrative section they document what they think they need to know to understand where they left off from their last review.

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