For now you are unable to use IBW, however check the new guidelines for January
2018. They address IBW for obese patients if the MD specifically mentions it.
From the Spec Manual starting in January 2018:
Use the patient's actual weight. Use estimated weight only if actual weight is
not
If the ventilator was set at 22 and is charted as such, you do not count the RR
as part of the SIRS component.
Here's the example from the definition:
"SIRS criteria or a sign of organ dysfunction due to artificial interventions
should not be used.
Example:
Mechanical ventilator rate set at 24
Here is the question that we submitted and the response that we received from
CMS:
If Covid-19 or Covid-19 suspect are in the final discharge diagnosis, do
patients excluded from the Sep-1 bundle (since it is a viral infection)?
Thank you for your question.
You would disregard documentation
