PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 10287422

Addressing concurrent review coding problems.

N L Bulatow
View original source ↗Export metadata ↓

Abstract

The coding policy/procedure manual, as one would expect, requires that constant attention be given to updating and clarification of coding practices and issues, but the rewards make the time spent well worth it. Coding consistency is achieved (although this is not an easy feat when dealing with a greater number of coders) and the coding supervisor is able to readily refer personnel to the coding policies/procedures and reduce communication time. The coders no longer waste time digging through stacks of journals, publications, and memos trying to find information pertaining to their present coding dilemma. The manual provides a mobile, organized filing device for staff members who spend the majority of their days on the nursing units performing concurrent coding. Last, but not least, the manual provides for a comprehensive, timely and historical coding resource base which works nicely for those times when an undesirable Professional Review Organization DRG modification needs to be appealed by the facility.

Explore related subjects

Abstracting and IndexingConcurrent ReviewDocumentationHospital Bed Capacity, 100 to 299Hospital DepartmentsInservice TrainingMedical Record AdministratorsMedical Records Department, HospitalMichiganUtilization ReviewJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

N L Bulatow. 1988. Addressing concurrent review coding problems.. https://pubmed.ncbi.nlm.nih.gov/10287422/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2001

The validity of death certificates: routine validation of death certification and its effects on mortality statistics.

The 3478 death certificates (7.1% of all annual death certificates) of this study comprise those national death certificates in 1995 submitted for validation to the panel representing both medical and nosological expertise. As such, it is highly selected and represents, from the nosological point of view, the most inconsistently filled-in portion of Finnish death certificates. The routine validation procedure is essentially based on exploitation of the extra medical information, i.e. the case history, on the Finnish death certificate form. Altogether, 2813 (80.9%) out of 3478 certificates could be adjusted at the primary panel session; the rest required further clarification. The re-assignment of cause of death by the panel and the impact of panel adjustments on the national mortality statistics is assessed here by comparing the initial death certification and the finally registered underlying cause of death grouped into ICD-9 major categories with special reference to the subcategories of neoplasm, cardiovascular disease (HVD) and unnatural death. A statistically significant decline (p<0.0001) in deaths, both in the category of symptoms, signs and ill-defined conditions and in the pulmonary circulation disease subcategory of HVD with 37.6 and 35.1%, respectively, was observed. The decrease of 11.1% in the benign or NUD neoplasm subcategory and the increase of 8.6 and 7.0% in the categories of endocrine disease, and musculo-skeletal and connective tissue disease, respectively, are essential observations as to the quality of the cause of death register. The effect on the HVD major category was practically nil. At the HVD-subcategorial level, a decrease of 14.0% for diseases of the veins and lymphatics and other circulatory diseases and an increase of 3.5% for hypertensive diseases (HYP) were the two next most obvious alterations to the diseases of the pulmonary circulation, but were without statistical significance. For ischaemic heart disease and other subcategories, the effects were minor. The unnatural deaths as a whole increased in the final statistics with only 0.9%. In the study data, categorial changes ranged from the decrease of 75.2% for symptoms, signs and ill-defined conditions to the increase of 77.3% for endocrine diseases. In conclusion, the Finnish death certificate form, death certification practices and cause of death validation procedure seem to serve the coding of causes of death for mortality statistics appropriately. The results of the study form a relevant reference background to evaluation of epidemiological studies on mortality.

Abstracting and Indexing↗
PubMed2000

Paediatric dentistry.

Explore the source record for details and available documents.

Abstracting and Indexing↗