Coding, Classification & Reimbursement

Topic: Facility Clinical Indicators Committee & Guidelines

1.  Facility Clinical Indicators Committee & Guidelines

Posted 23 days ago
Has anyone established a facility clinical indicators committee and developed associated guidelines for specific diagnoses (i.e. ABLA, Sepsis, Respiratory failure v. insufficiency)?  We are in the process of developing and I would be interested in seeing examples of guidelines that you have developed and how the process works at your facility. 

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Terri Benskin, MHA, RHIA, CCS
Manager, Coding and Data Management
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2.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 23 days ago
We have purchased the CDI Pocket Guide from HCPro and found it extremely beneficial.  It is updated annually and has a great deal of information regarding clinical indicators and some coding rules, DRG's with weights and LOS and much more.  All of our CDI's have a copy and I highly recommend it.  Check it out.

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M Carmella Mercer, CCS, CCDS
CDI Specialist
Tift Regional Medical Center
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3.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 23 days ago
  |   view attached
Encrypted email notification from Kearny County Hospital
Encrypted email message from "Nelda Laskey" (nlaskey@kearnycountyhospital.com)

This email contains a message that has been sent as an encrypted PDF document in order to ensure the secure delivery of its contents.

Open the encrypted PDF attachment to view your secure message.

To access this message, you should open the attached PDF using Adobe Acrobat Reader version 7.0 or higher. In order to view its contents, you must enter the password that will be communicated to you by the sender of this message.

If you have any problems viewing the encrypted message or do not know your password, please contact the sender of the message at the Hospital (620) 355-7111.

Note that Adobe Acrobat may restrict access to certain attachment types. If this is the case, you will need to inform the original sender and make alternative arrangements.


This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this email. Please notify the sender immediately if you have received this email by mistake and delete this email from your system. If you are not the intended recipient you are notified that disclosing, copying, distributing or taking any action in reliance on the contents of this information is strictly prohibited.


Attachment(s)



4.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 22 days ago
Thanks Nelda. 

What is the password to open the file ?

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Julianna Perez
Manager, Medical Records
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5.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago
Edited by Jill Weber 10 days ago
I am interested in your document.  If possible could you email me the password?  jillery10@gmail.com

Thanks!

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Jill Weber
Clinical Documentation Management Specialist
Cedars-Sinai Medical Center
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6.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago

I'm interested in tge document as well. Will you please email me a copy to:
Samanthasalgado46@gmail.com






7.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago

I am also interested.  Please email it to me at jaredp@uw.edu.  Thank you.

 

Jessica M Smith, RHIA, CCS

 






8.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago
I'm interested.  Please forward the document and password to lburke63@gmail.com.

Thanks,

Leola

Leola Burke MHSA,CCS 
NCHIMA Publications Chair 2016-2017
publications@nchima.org                                                    
"Experience the Power of ICD-10" 
www.poweroficd10.com
Independent ICD-10 Consultant                                 
AHIMA-Approved ICD-10-CM/PCS Trainer
AHIMA Ambassador
AHIMA Mentor
lburke63@gmail.com
919-357-3298 NC mobile

This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity named as recipients in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from any computer. Do not deliver, distribute or copy this message, and do not disclose its contents or take any action in reliance on the information it contains. Thank you.





9.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago
Nelda;
I am also interested in your document.  If possible could you email me the password?  sharonvi@optonline.net
Thanks!


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Sharon Villalobos
Coding Validation Auditor
HMS
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10.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago
I am also interested
Justformyjo@yahoo.com

Thank you

Sent from my iPhone




11.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago
Hi Nelda. I am also interested in your document please.

Sent from my iPad




12.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago
Hi Nelda,

Would you also send me the password to access the document.     ljwcoding@gmail.com

Thanks!

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Leonta Julien-Williams
Coding Director
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13.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago
I would also be interested in the password for this document.  My email is rjohna@uky.edu.

Thank you!

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Robin Johnson
Coding Compliance Coordinator
University of Kentucky Chandler Hospital
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14.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 10 days ago
I would like to receive this as well please.   
Melody.brown@mymlc.com

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Melody L. Brown, RHIA
Medical Inpatient Coder
MOSAIC Life Care
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15.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 9 days ago
I would also like to download the file you have posted please send me the password for the file at dwalkerthomas@lifespan.org
Thank You for sharing.

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Donna Walker-Thomas
Director of Coding
The Miriam Hospital
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16.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 9 days ago
I'm interested in reviewing your document.  Will you send me the password please?
Thank you

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Crystal Parker
Coding Coordinator
New Hanover Regional Medical Center
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17.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 22 days ago

I also would be interested in hearing what other facilities are doing.  We are having DRG revisions, especially with Medicaid, for Sepsis, ABLA and Acute Respiratory Failure.  We code what the physician uses for the diagnosis but then Medicaid doesn't think the diagnosis is supported by the documentation.  We have discussed this briefly during Medical Staff Meeting without resolution.  I don't feel comfortable questioning their diagnoses without some guidelines.  Thanking everyone in advance. 

Confidentiality Statement: The information transmitted by the following e-mail is intended only for the addressee and may contain confidential and/or privileged material. Any interception, review, retransmission, dissemination, or other use of, or taking of any action upon this information by persons or entities other than the intended recipient is prohibited by law and may subject them to criminal or civil liability. If you received this communication in error, please contact us immediately at (620) 355-7111 please dial 0 for an operator, and delete the communication from your computer or network system. Although this email and any attachments are believed to be free of any virus or other defect that might negatively affect any computer system into which it is received and opened, it is the responsibility of the recipient to ensure that it is virus free and no responsibility is accepted by the sender for any loss or damage arising in any way in the event that such a virus or defect exist.





18.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 9 days ago
I reposted without the encryption saying I would also like to see what anyone has to offer.  We are getting DRG revisions, especially from Medicaid for Sepsis, ABLA and acute respiratory failure.  I am from Kansas.  Sorry for the confusion. 

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Nelda Laskey
RAC Coordinator/Coder
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19.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 7 days ago
Nelda,

I'm still not able to open the file without the password.  Would you care to share with me?  I can be reached at rjohna@uky.edu.

Our facility is receiving denials based on patients not meeting clinical indicators for the coded/documented condition.  We refer those onto our CDI staff to appeal, and I'm not sure what the outcome of those denials.

Thanks, Robin

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Robin Johnson
Coding Compliance Coordinator
University of Kentucky Chandler Hospital
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20.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 23 hours ago
I would be interested as well- semiddleton@regmed.com

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Stormi Middleton
HIM Director
Morgan Memorial Hospital
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21.  RE: Facility Clinical Indicators Committee & Guidelines

Posted 19 hours ago
Do you all consider cpap at night dependence on other machine requiring the Z code?
Can't find guidance
Robin Sewell CCS CPC CHTS-PW
Medical Liaison Services LLC 772-546-1414