Renal Coding Considerations (old): Difference between revisions

Revision as of 15:11, 27 August 2009

These checks are currently done partly by Pagasa (! Automated Data Integrity Checks) and are about to be implemented in CCMDB.mdb.

These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.

If comorbid CRF (351-00) exists then the following must not appear in Admit/Acquired codes

Dialysis task is required if

If comorbid CRF - Chronic Renal Failure exists, the ARF box in Apache Lab must not be checked.

About to implement that. Ttenbergen 14:05, 27 August 2009 (CDT)

Template:Discussion When these are addressed, please edit Requested CCMDB changes for the next version to state the discussion is done so the checks can be implemented in CCMDB.mdb.

I think we decided to get rid of the renal transplant part for this, right? If so, please remove both that part and this comment... Otherwise, the one-week clock is now ticking for its removal, pending an explanation why it should not be removed. Ttenbergen 10:57, 23 April 2009 (CDT)

The 364 is new since the discussion about the cleaner. What is it about? Ttenbergen 15:55, 5 November 2008 (CST)
- Yes, since I have been further reviewing patient profiles in more detail from the problems that SAS has generated, I see renal insufficiency (364) being coded in admit or complication DX slots for patients who have a comorbid condition of chronic renal failure (351).
This article mentions something about transplant. Is that still accurate? Ttenbergen 14:12, 18 February 2009 (CST)

@@ Line 2: / Line 2: @@
 == Data Integrity Rules ==
+These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
+=== competing diagnoses ===
 If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must '''not''' appear in Admit/Acquired codes
 * [[ARI]]  (364-00)
@@ Line 7: / Line 10: @@
 * [[ARF (Diagnosis)]]  (350 **)
+=== Diagnoses, Comos vs. Tasks ===
 Dialysis task is required if
+* CRF comorbid '''is''' present
 * LOS >= 3
-* CRF is present
+* Transplant diagnosis is '''not''' present
-* Transplant is not present
-These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
+=== Apache vs. CRF como ===
 * If comorbid [[CRF - Chronic Renal Failure]] exists, the ARF box in Apache Lab must not be checked.
 About to implement that. [[User:Ttenbergen|Ttenbergen]] 14:05, 27 August 2009 (CDT)