Saturday, September 20, 2008

Wound Ulcer Staging and New Standards for Documentation

Inservice: September 29th every hour on the hour in McCain B with Rhonda Bossie starting at 0700 with the last session starting at 1600.

Starting October 1st there are new CMS regulations going into effect that will effect repayment on pressure ulcers. The long and short of it is that if a pressure ulcer isn't documented at the time of admission(POA or present on admission) by the provider then payment is not guarenteed for the care of this ulcer. i.e. patient A admitted for CHF and hyperglycemia and has a stage II on his heel if the provider doesn't dictate or document the ulcers presence and the ulcer either gets worse or we have treatments to administer (lets say we order an air mattress) it's won't be reimbursed. Since the doctors rely heavily on our documentation of these items we need to be certain that the admitting provider is aware of these as soon as possible to ensure that money is captured by the coding folks.

Here are the staging guidelines for review.
http://www.medicaledu.com/staging.htm
and let's be measuring these-I have found that the white boards are helpful for communication of this info to any provider (wound/ostomy nurses and MD's) in addition to our coworkers who may be changing the dressing after you.

Rhonda will be reviewing some of this info also but I figured having it here too will be a resource for you also. And some of you have already attended the webcast Sept. 9th. This is not a repeat presentation of that information.

So attend 1 session with Rhonda on September 29th for one hour-it starts at 0700 until 1600-if you aren't working that day you have some latitude on what time to attend and if you are working we will do our best to get everyone there.

Questions and answers from the presentation on Sept. 9th; some of you had some questions and I poised them to Rhonda after the session I attended.

Q: Are the physicians being trained?
A: Yes at their monthly meeting this month.

Q: Can we take pcitures of wounds to document them?
A: Not at this time-there is alot of training necessary for this plus obtaining cameras for each unit and only specific formats are allowed by Medical records.

Q: Are we going to purchase/use the "Solutions Algorithms" mentioned in the webinar?
A: Not at this time but the Wound/Ostomy Affiliate group is working on standardized treatments based on the products we use in the system.

One more time: September 29th for an hour in McCain B-Wound updates with Rhonda Bossie.

Thanks for reading!
Tracy

2 comments:

Anonymous said...

Keep up the good work.

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