This has been my worry all along with the very over sensitive SIRS
criteria, but that is what is in the literature, despite my concerns expressed
to
Dr Levy...I would just make sure that the findings are persistent till
treated ( not just a one time triage vital signs)
William E. Haik, M.D., F.C.C.P., C.D.I.P.
AHIMA Approved ICD-10-CM/PCS Trainer
Office: _(850) 863-2110_ (tel:(850)%20863-2110)
Cell: _(850) 803-5854_ (tel:(850)%20803-5854)
Fax: (850) 864-4438
In a message dated 10/28/2014 8:28:38 A.M. Central Daylight Time,
[email protected] writes:
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)
_ (tel:(850)%20864-4438) [email protected]_ (mailto:[email protected])
(tel:(850)%20864-4438)
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