July 09, 2009 | Glenn Krauss | Comments 0
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Critical care tutorials

I came across this excellent reference for critical care that case managers may wish to use in their review of cases as part of the admission to Intensive Care Units. While screening criteria provides guidance from an intensity of service and severity of illness standpoint as to clinical conditions warranted admission and continued stay in the ICU, there are instances where patients do not meet the ICU criteria as published, yet from a clinical perspective the patient appears to be “sick” enough to appropriately be admitted and managed within the confines of the ICU.

In an earlier post, I discussed the merits and importance of physician clinical documentation to support his/her clinical impression and reflection of medical decision-making and clinical judgment. With this in mind, one may find the critical care tutorials helpful in expanding one’s knowledgebase and clinical understanding of critical care from a physician’s perspective. The tutorial includes definitions of critical care including a discussion on the different clinical entities constituting critical care. A quick review of these tutorials will help in gaining a better appreciation for critical care, thereby assisting the case manager in recognizing possible physician clinical documentation deficiencies contributing to inaccurate reflection and reporting of patient acuity, patient acuity required to clinically substantiate admission to the ICU. To this end, the case manager can address the identified  documentation deficiencies with a clinical discussion with the physician.

The critical care tutorials can be found here.

Enjoy

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Glenn Krauss About the Author: Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, C-CDIS, is a consultant in the revenue cycle and health information management field. Glenn has more than 15 years experience in the healthcare industry as a consultant and has held various staff positions in numerous healthcare systems. For the past year, Glenn has devoted a great amount of time and effort assisting hospitals to meet the business and financial challenges they face under the Recovery Audit Contractor Demonstration project in Florida. He has spearheaded efforts at a four-hospital system to appeal medical necessity and coding denials identified by Health Data Concepts, the Recovery Audit Contractor in Florida. Glenn can be reached at glennkrauss@earthlink.net.

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