Health Information Technologies & Processes

Discharge by Death disposition date and time

  • 1.  Discharge by Death disposition date and time

    Posted 8 days ago
    I am looking for an official definition or guidance for the date and time for disposition associated with deaths.  I have looked for a UHDDS, UB04 and quality metrics definition without success.  This is an ongoing debate at my facility for an administrative time of when the body leaves the building vs the date/time the patient is pronounced.  If the time crosses a midnight it creates charging/billing issues that we are correcting hence rework.

    I recall from my TJC days, they provided guidance to use the date/time the patient was pronounced when and if the times were different.  Does anyone have a resource or any official guidance for the correct way to capture this disposition?  Or did your facility just create its own data definition/standard for this data point.

    Thanks!
    Shelly

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    Shelly Wilson RHIA,CHP,CDIP
    Director His & Privacy Officer
    Stillwater Medical Center
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  • 2.  RE: Discharge by Death disposition date and time

    Posted 7 days ago

    Hi Shelly,

    We use the date/time of the actual death. If the body is retained until the funeral home can retrieve it, we create an outpatient account to account for the body being stored/held. We use a special Client Bill account to ensure that it doesn't accidentally get coded/billed to the insurance company. I hope this helps you.
    Katie

     

    Katie Wood, RHIA

    Assistant Director of Information Systems/Privacy Officer

    War Memorial Hospital

    5oo Osborn Blvd

    Sault Ste. Marie, MI  47983

    p: 906-635-4663   khwood@wmhos.org

     


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