The impact of sepsis diagnosis and documentation, Part 2

This episode continues examining effective coding and documentation for sepsis cases and the impact accurate coding practices can have on clinicians and hospital operations. Paying attention to those who have sepsis present on admission (POA) is crucial to the process.

Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal
Clinical Operations and Quality
Vizient

Guest:
Linda Wiseman, BSN, RN, CCDS
Senior Consulting Director
Clinical Documentation Improvement
Vizient

Show Notes:

[00:50] Sepsis is one of the highest-denied DRGs; what documentation needs to include

[01:16] Coding guidelines to follow

[02:05] Is bacteremia sepsis?

[02:22] Present on admission (POA) – need to document even if sepsis only suspected

[03:51] Avoiding denials for sepsis

[04:58] Need to pay attention to “minimal” co-morbid conditions

[05:51] Sepsis due to graft or device

[07:12] Viral sepsis underdiagnosed

[08:37] Sepsis, expenses and fear of denial

[10:35] Need to link any organ involvement believed due to sepsis

Links | Resources:

To contact Modern Practice: modernpracticepodcast@vizientinc.com

Linda’s email: linda.wiseman@vizientinc.com

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