Description
Clinical Documentation Improvement (CDI) Assignment
Part 3 - Your facility received an initial DRG validation denial letter from the RAC. The case scenario includes a 75-year-old patient admitted through the Emergency Department for renal failure and COPD exacerbation. The reason for admission is COPD exacerbation. The physician also documented protein-calorie deficiency malnutrition in the discharge summary. The Clinical Documentation Specialist notices that the physician’s supporting documentation is missing, including whether this condition was present of admission.
Task 1: Realizing that you will need to add Querying to your process list, clearly identify the intent of queries included in a procedure format and provide examples of why a provider might receive a query.
Task 2: It is time to address the case at hand.
The RAC suggests that the patient did not have protein-calorie deficiency malnutrition.
Identify a scholarly article on protein-calorie deficiency malnutrition (i.e. Google Scholar or other scholarly resources http://scholar.google.com/); then write a query to the physician to address the MS DRG for principle diagnosis of COPD exacerbation with protein- calorie deficiency malnutrition.
You may add additional detail to the case such as medications, treatments, and such to support query development. *Remember, you do not want to make your query leading!
Explanation & Answer
Hello it has been a pleasure working with you. Please let me know if you need any clarifications.
CDI
Clinical Documentation Improvement
Student’s name
Professor
10/13/17
CDI
Task 1:
Realizing that you will need to add Querying to your process list, clearly identify the intent
of queries included in a procedure format and provide examples of why a provider might
receive a query.
The intent of queries
-
To provide clarity when diagnoses has been listed without a statement o...
Review
Review
24/7 Homework Help
Stuck on a homework question? Our verified tutors can answer all questions, from basic math to advanced rocket science!
Similar Content
Related Tags
Silas Marner
by George Eliot
American Gods
by Neil Gaiman
Don Quixote
by Miguel de Cervantes
The Jade Peony
by Wayson Choy
Freakonomics
by Stephen J. Dubner and Steven D. Levitt
White Fang
by Jack London
Death Of A Salesmen
by Arthur Miller
The Calcutta Chromosome
by Amitav Ghosh
Wuthering Heights
by Emily Brontë