After the recent presentation Jennifer Avery of HCPro and I gave on the ethical reporting of sepsis, we were regaled by several comments from totally opposite perspectives. They ranged from a listener who insisted that the only people admitted to inpatient status with an infection HAD to have sepsis to ones who recognized that the overcoding of sepsis was causing a massive impact on diluting the impact of severity of illness and risk of mortality of the septic patient.
They say what happens in Vegas stays in Vegas. But what happens in Disney World comes back with you! I think it was more fun than Vegas, actually.
I stepped into a couple of the sessions between meeting folks and discussing issues with the Board. One was presented by a lawyer who identified mistakes made in a hospital that involved the spectrum of errors from physician documentation when the condition wasn't there to coding despite the record stating a contrary opinion to the CDI
I'd like to hear from you. I've seen paperless hospital records, ranging from imaged written notes to totally dictated and transcribed to formatted. I have never seen one that helps a physician come up with the diagnostic information that is needed for coding to the accuracy and specificity we need. Can I hear about your experiences and with which product? I'd like to help get this fixed.
Or do you not HAVE a program?
Let's see who feels the pain. Are the docs giving you the support you need? Are they counterproductive "because it's all for the hospital?" Do some of your docs go overboard and document serious conditions when they don't really exist? (Remember, nobody can see who you really are) Do you see Medicare only? All DRG payers? All patients? Do you concentrate on CCs and MCCs or do you go for all codable diagnoses? Are you tracked by one