We have had some try to deny for sure. I try to help medical records out by defending why we feel they are sepsis/severe sepsis/septic shock. Sometimes they may just need some help with the criteria to be able to prove they are one of those.
Angela Craig APN,MS,CCNS Clinical Nurse Specialist Intensive Care Unit Cookeville Regional Medical Center 931-783-5035 From: Sepsisgroups [mailto:[email protected]] On Behalf Of Amanda Sigala Sent: Tuesday, October 10, 2017 2:43 PM To: [email protected] Subject: [Sepsis Groups] Claims denials using SEP-1 vs. Sepsis-3 definitions of sepsis Has anyone experienced denials from payers based on provider documentation using SEP-1 vs. Sepsis-3 definitions of sepsis? If so, what changes did you make to your documentation/coding/billing? Thank you, Amanda Amanda Sigala RN, BSN, MPH Clinical Quality Specialist Quality Improvement Harborview Medical Center Box 359731 325 Ninth Avenue Seattle, WA 98104 Phone: 206-744-9433 [email protected]<mailto:[email protected]> [cid:[email protected]]<http://uwmedicine.org/> This message and any attachments to it is protected by coordinated quality improvement/risk management/peer review confidentiality under RCW 70.41.200/4.24.250/43.70.510. Privileged confidential patient identifiable information also may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply email and then destroy all copies of the message and any attachments. The above email may contain patient identifiable or confidential information. Because email is not secure, please be aware of associated risks of email transmission. If you are a patient, communicating to a UW Medicine Provider via email implies your agreement to email communication; see http://www.uwmedicine.org/Global/Compliance/EmailRisk.htm The information is intended for the individual named above. If you are not the intended recipient, any disclosure, copying, distribution or use of the contents of this information is prohibited. Please notify the sender by reply email, and then destroy all copies of the message and any attachments. See our Notice of Privacy Practices at www.uwmedicine.org<http://www.uwmedicine.org/> This email message has been delivered safely and archived online by Mimecast. For more information please visit http://www.mimecast.com
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