On October 1, 2013, the ICD-10-CM and ICD-10-PCSclassification systems will take effect, and should result in better data capture nationwide. The change means healthcare organizations urgently need to educate providers on the importance of improved patient care documentation.
New nurses just out of school often find themselves at work alongside veterans who have little patience for those who don't perform at par. It's no different for nurse case managers.
Case managers want their patients to leave the hospital with a successful transition to home or aftercare and not have to return to the hospital unnecessarily.
Many case managers today feel like they're overburdened, but it may not be clear whether they're actually shouldering too much work. This is because the industry doesn't really have any validated figures indicating what the typical caseload is-or should be, says Pat Stricker, MEd, RN, senior consultant at CMI in Little Rock, AR.
Q We're struggling with nursing documentation of stop times for IV infusions (e.g., piggybacks and hydration). The nurses also inconsistently document a patient's return to the unit from diagnostics. We know that CMS now allows us to use average times for common services, and we're interested in considering this approach at my organization. Can you share additional specifics?
In total, the AMA added 60 new codes throughout the surgery section of the 2012 CPT® Manual, 18 of which appear in the cardiovascular and respiratory system subsections. The AMA also revised 86 codes and deleted 48 codes in the surgery section.
