Talk Ten Listener Poll

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During broadcast, our popular Talk Ten Tuesdays listener poll provides a real-time snapshot of current healthcare initiatives.

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How did you attend the Coordination and Maintenance Committee Meeting:
  • Watched via webex
    12%
  • Via phone call to listen
    2%
  • Will watch on demand later
    37%
  • Did not watch/listen and have no plans to do so
    28%
  • What’s Coordination and Maintenance?
    21%
Which clinical criteria does your institution use to diagnose sepsis?
  • Sepsis-2 (Infection plus SIRS)
    18.18%
  • Sepsis-3 (Infection plus organ dysfunction)
    9.09%
  • CMS definition (Infection plus SIRS, specific limited organ dysfunction for severe sepsis)
    25.25%
  • Clinician judgment
    9.09%
  • I don’t know
    21.21%
  • Not applicable
    17.17%
Which best describes your institution’s experience with clinical validation denials regarding cerebral edema?
  • Seeing them with increasing frequency
    6.93%
  • Occasional denial, but constant frequency
    7.92%
  • Never or rarely see denials regarding cerebral edema
    9.9%
  • Unsure if the frequency is increasing
    22.77%
  • Not privy to denials rate in my institution, so I don’t know
    35.64%
  • Not applicable
    16.83%
February 28, 2017

At our hospital we have:

What is your overall ICD-10 coding accuracy?
  • 90-100%
    41.84%
  • 80-89%
    12.24%
  • 70-79%
    2.04%
  • 69% or lower
    0%
  • We have not done an assessment since the October 2016 update
    8.16%
  • We have done an assessment but I do not know the results
    9.18%
  • I do not know if we have done an assessment
    14.29%
  • Not Applicable
    12.24%
What have you been experiencing related to your Case Mix Index since the implementation of ICD-10?
  • Overall our CMI has increased
    15%
  • Overall our CMI has decreased
    8%
  • Overall our CMI has remained the same
    13%
  • We have not investigated yet
    5%
  • I do not know
    30%
  • Not Applicable
    29%
What percentage are you running below your normal coding productivity rate?
  • None we are meeting the same rates as we did in ICD-9
    11.81%
  • Up to a 10% drop
    12.24%
  • 11 - 20% drop
    12.66%
  • 21 - 30% drop
    6.33%
  • 31 - 40% drop
    3.8%
  • 41 - 50% drop
    1.69%
  • 51% and over
    1.27%
  • I don't know
    27.43%
  • Not Applicable
    22.78%
What is the most common type of ICD-10 coding difficulty you are finding in your organization with your coding staff?
  • New I-10 diagnosis feature (e.g. combo code increased specificity laterality etc.)
    8.7%
  • New I-10 procedure coding system
    20.87%
  • Lack of physician documentation /specificity for diagnosis codes
    32.61%
  • Lack of physician documentation / specificity for procedure codes
    8.7%
  • Other
    3.04%
  • I don't know
    7.39%
  • Change in I-10 Diagnosis Coding Conventions and Guidelines from I-9
    4.35%
  • Not Applicable
    14.35%
If you're experiencing a DRG shift have you begun to implement an action plan to analyze the shift?
  • Yes
    19.76%
  • No
    6.27%
  • No not yet
    17.11%
  • I don't know
    25.78%
  • Not Applicable
    29.4%
  • It's not my fault
    1.69%