Good Afternoon, Our PEPPER (Program for Evaluating Payment Patterns Electronic Report) data shows that we have had a significant increase in charts coded for DRG's 870, 871 and 872 in Q1 FY2014. This is raising some red flags and our institution is now auditing at the very least all Observation and less than 3 day length of stay sepsis charts, as well as some others. Through our discussions, it has also come to my attention that charts that have "ONLY" tachycardia and tachypnea as their 2 SIRS criteria alongside a confirmed or suspected infection are being disputed? Not being a coding expert, I would be very interested if other institutions are seeing the same thing and what your thoughts regarding the appropriateness of this data and process is? Additionally, if you have any evidence to support and/or dispute this kind of a data trend, etc. I would greatly appreciate it.
Thank you in advance for your time and expertise! Warmest regards, Claudia Claudia Orth BSN, RN Regional Sepsis Coordinator Munson Medical Center (231) 935-5692 (Voice) [email protected]<mailto:[email protected]>
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