diagnosis question

brenda.bailey@mercy.netbrenda.bailey@mercy.net
edited May 2017 in Home Care Coding General
I have a friend that is a coder for a home health agency and her staff is trying to make her code from nursing home sheets that just have a list of diagnosis codes. She knows that she cannot do this but she is getting a lot of push back because she won't. I have tried to find written information for her to take to them to back her decision up. Does anyone know where I could get this information for her?? Any help will be much appreciated.

Thanks,


Brenda Bailey, RN BSN HCS-D; HCS-D-10
Quality Monitoring Analyst/Coder
Mercy Home Care and Hospice
Fort Scott, Kansas
Brenda.bailey@mercy.net
620-223-8090

Comments

  • barbara.sheeler@gmail.combarbara.sheeler@gmail.com
    edited May 2017
    You could start by asking if those diagnosis are signed by the MD. Usually they are not.
  • Nancy.Wolverton@kindred.comNancy.Wolverton@kindred.com
    edited May 2017
    Hi Brenda.
    When a patient is referred to a skilled nursing facility from an acute care facility such as an acute care hospital or an LTACH, then the SNF will have copies of the Medicals from that facility which should have included a medical H&P and a DC summary. This could be a starting point. Also, the facesheet and admission information as well as the H&P from the admitting SNF will be helpful. Most SNF's want to send nurses notes and a physician's order for the HH at dc and I find this to be inadequate. Your HH consent also allows you to gather information from the referring facility (to the SNF) that you can request on your own for your HH admission.

    Nancy Wolverton RN, CCM, HCS-D-10
    Utilization Review Specialist
    Kindred at Home
    Little Rock, Arkansas
    501-508-8526 (o)
    501-690-2027 (c)
    Nancy.Wolverton@kindred.com
  • kerry.armogida@ashealthnet.comkerry.armogida@ashealthnet.com
    edited May 2017
    In the front of the ICD-10 Coding Book under Official Guidelines for Coding and Reporting - The physician or qualified health care practitioner who is legally accountable for establishing the patient's diagnosis. Oasis assessment strategies allow diagnosis information to be obtained through assessment WITH verification from the physician. If the sheets are not signed by the MD, you could query the MD for verification of those diagnosis.



    Kerry Armogida
    Director of Clinical Review, Stakeholder
    Alternate Solutions Health Network
    Office: 937-298-1111, 1159
    Mobile: 513-316-5151
    1251 East Dorothy Lane
    Kettering, OH 45419
    Kerry.Armogida@ashealthnet.com
    careers.ashealthnet.com
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