Electronic Forms Team Minutes Blank
|Topic |Discussion |
|Welcome & Introduction |Welcome & Introduction to Pinnacle Health |
| |CDI program reports to HIM department and began in 2002 |
| |They have 13.5 FTEs who review All Payers at 3 hospitals |
| |Utilize OPTUM and EPIC |
| |39 participants present |
|Hot Topics |Outpatient CDI |
| |Reading Hospital began in the ED. CDI review emergency room records and they have designated time to sit in the ED and verbally communicate with the physicians.|
| | |
| |Penn State Health is starting outpatient CDI |
| |There are no set criteria for outpatient CDI. Many of the diagnoses are not CC/MCCs. |
| |Need to work with clinicians to allow them to see what is in it for them. |
| |For outpatient clinicians have to document a diagnosis at least once a year to avoid being penalized |
| |Palliative Care |
| |Effective October 1st 2016, CMS is now requiring Palliative Care code, Z515, to be classified as Present on Admission. Only when the palliative care code is |
| |classified as Y, 1, E, W would the code contribute to the patient’s expected values in applicable risk models. |
| |Sepsis |
| |Surviving Sepsis Guidelines were updated using Sepsis 2 definition |
| |Facilities are being audited based on Sepsis 3 criteria |
| |Audits |
| |Many facilities are short staffed and do not have the time to appeal cases |
| |Facilities should appeal cases by sending the medical record, outline information in chart from ancillary departments to help support why clinician documented |
| |and diagnosed the patient with a specific diagnosis, include support coding clinics & guidelines |
| |Makes the case stronger if the record is reviewed and appeal letter is signed by a Physician |
| |Clinical Validation audits are being done. Hospitals should be able to provide the most up to date literature and supporting documentation from the record |
| |MI Type 2 |
| |Coding Clinic 1st qtr 2017 - Type 2 MI due to demand ischemia is captured as NSTEMI and can be captured as principal or secondary dx depending on reason for |
| |admission |
| |Discussion of these patients being captured as a MI and failing core measures |
| |Physician Advisor / Champion |
| |Benefits of having a proactive physician advisor |
| |Assist with queries, escalation process, audits, education and much more |
|Speaker: Documentation Opportunities in TAVI/TAVR |Dr Hemel Gada |
|Population |Medical Director of Structural Heart Program |
| |Presentation included information on: |
| |Patients who receive TAVR |
| |Pathophysiology of AS |
| |Common CC/MCC associated within this population pre and postoperatively |
| |What Drives TAVR cost |
| |DRG 266 vs DRG 267 |
| |See powerpoint presentation |
|Business Meeting |Thanked E4 for supporting our chapter and sponsoring this meeting. They provided literature and lunch |
| |Topics suggested for future meetings – outpatient CDI, CDI/Coder Collaboration |
| |ACDIS Annual Conference will be in Las Vegas May 9-12 2017. A few people stated they will be attending |
| |Vote for Advisory Board for ACDIS. |
| |Gave away four prizes and E4 raffled off a $50 gift card |
| |Need a host for next meeting in June 2017 |
|Speaker: Improving Clinical Documentation through |Dr Douglas Anderson |
|Collaboration with Surgical Residency Program |Surgery Resident |
| |Presentation included information on: |
| |General Surgery resident role with CDI |
| |Communication system |
| |Escalation policy |
| |See powerpoint presentation |
|New Email / New Member Link |Please send all emails, questions, comments concerns to acdiscentralpa@ and also add to your address book to avoid emails being rejected. If you have a|
| |different email you would like to use please send so we can update the list |
| |If you know anyone that would like to become a member please have them complete this link to register: Electronic Membership Roster |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.