Thursday Apr 04, 2024

Issues around elective surgery documentation, Part 3

On this episode, we finish the discussion about the challenges and issues involving documenting elective surgeries in order to improve care and maximize reimbursement.


Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal, Performance Improvement Consulting


Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC
Consulting Director, Clinical Documentation Improvement


Show Notes:
[00:37] Anticoagulation – often overlooked in documentation
[01:30] PSI 9
[02:20] Thrombocytopenia
[03:57] Antiplatelets and elective surgeries 
[05:56] Every PSI reported means money lost to the practice


Links | Resources:

To contact Modern Practice:

Rachel Mack’s email:

“Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA): Click Here


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