mcc/cc capture rate
Dear Collegues,
I think I have read somewhere recently where there is a benchmark for
CC/MCC capture rate? Does anyone know of this ? thanks!
Jamie Dugan RN
Clinical Documentation Improvement Specialist
Baptist Health System
3563 Phillips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
Cellular- 904-237-7253
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I think I have read somewhere recently where there is a benchmark for
CC/MCC capture rate? Does anyone know of this ? thanks!
Jamie Dugan RN
Clinical Documentation Improvement Specialist
Baptist Health System
3563 Phillips Highway, Suite #106
Jacksonville, Florida 32207
Office: 904-202-4345
Cellular- 904-237-7253
----------------------------------------------------------------------
NOTICE: This message is confidential, intended for the named recipient(s) and may contain information that is (i) proprietary to the sender, and/or,(ii) privileged, confidential and/or otherwise exempt from disclosure under applicable Florida and federal law, including, but not limited to, privacy standards imposed pursuant to the federal Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). Receipt by anyone other than the named recipient(s) is not a waiver of any applicable privilege. Thank you in advance for your compliance with this notice.
Comments
http://blogs.hcpro.com/acdis/2012/11/tip-use-ipps-data-for-your-cdi-program-benchmarking/
Overall, a secondary dx (cc or mcc) is present on 52.1% of all cases.
There is an MCC present 29.9%
Don
Hope that helps
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
Those numbers are different from what I was given. We're 250-300 beds and our overall MCC capture *benchmark* is 45% with overall CC benchmark rate of 60%. Surgical MCC/CC capture rates are a little different. But my benchmarks are only based on Traditional Medicare numbers, so maybe that's the difference?? Any suggestions, comments? Thanks in advance:)
Sharon Cole, RN, CCDS
CDI Specialist Team Leader
Providence Health Center
254.751.4256
Sharon.cole@phn-waco.org
The PEPPER reports are crude and do not adjust for size of institution.
We are a large hospital with Stroke Certification, so our incidence of TIA/DRG is 'beyond' the 8th percentile for others in the nation; but, we are being compared to every site in the USA and it is not relevant to compare our CC/ MCC rate or other such data to a 25-bed hospital in a small Midwestern city.
Paul Evans, RHIA, CCS, CCS-P, CCDS
The numbers I offered were for the entire acute inpatient medicare data as pulled from the IPPS final rule -- and thus has limitations for comparison. The advantage is the data is available to everyone and has no cost to purchase.
I'd take and translate (in my head anyway) by deciding where I'd expect my facility to be -- am I a large, academic medical center? If so, then capture should be higher.
We get our numbers from a consulting firm so it's always interesting to me to see what other people's numbers are/how they get them, etc. It would be nice to have a "hands-on, bring your laptop and follow along and input your own data" conference session on how to find and figure the data for one's own facility - hint, hint, wink, wink
**And I am as serious as a DRG 280 on that suggestion
Sharon Cole, RN, CCDS
CDI Specialist Team Leader
Providence Health Center
254.751.4256
Sharon.cole@phn-waco.org
great use of your PEPPER report. It is a valuable tool to determine areas of insufficient documentation for education and focus. Our consulting company also gives us a report comparing to like size/focus facilities and how we are functioning. We also do an internal audit of our reports to compare montkly how we are focusing on the areas we cover and level of questions posed/agreed upon. We rotate assignments quarterly so it gives us an idea when we return to a specific area how well the teaching was carried forward and if succeeding CDIs reaped the benefit of teaching by decreased queries for same topic by physicians.
Sara Baine, MSN-Ed, CCDs