Sepsis, severe sepsis, systemic inflammatory response syndrome (SIRS), septic shock. These terms have caused confusion for coders for years. Similarly, documentation of organ failure with sepsis has been an item of concern for clinical documentation integrity specialists (CDISs). Sepsis is a commonly diagnosed serious medical condition. It does not, however, have a specific diagnostic test to confirm it. Physicians may diagnose the same conditions differently. Criteria have been established to aid in diagnosis verification, but these have also changed through the decades.
Sepsis has been identified as a focus for auditors, with many of them adopting the Sepsis 3 (SOFA) criteria. More and more payers are also using the Sepsis 3 criteria for claim reviews. It is imperative for coders and CDISs to become familiar with the Sepsis 3 criteria in order to educate their physicians accordingly. When coders and CDISs become more familiar with SOFA, the result is more accurate coding, more complete and timely documentation and, hopefully, fewer denied claims.
During this exclusive ICD10monitor webcast, Chris Geiger, MA, RHIA, CCS, CRC, AHIMA Approved ICD-10-CM/PCS Trainer examines the differences between the criteria, focusing on Sepsis 3 (SOFA), and with a review of the quick SOFA (qSOFA) and how it is used. By reviewing the evolution of sepsis criteria, coders, CDISs and clinicians will become more familiar with the Sepsis 3 (SOFA) criteria and its impact on coding documentation.
Why This is Relevant:
Sepsis is a commonly documented diagnosis that has caused coding confusion for many years. Since sepsis does not have one specific diagnostic test to confirm the diagnosis, different criteria have been used to help in this process. Currently, Sepsis 3, is the criteria being accepted by more and more payers. Understanding Sepsis 3 criteria is critical not just for correct code assignment, but also for developing effective queries that address sepsis documentation.
Take this quick quiz and see if you and your team, like so many others, struggle with the definition of sepsis:
- What is the definition of sepsis under Sepsis 3 criteria?
- How is SOFA different from qSOFA?
- What is the new definition of septic shock under Sepsis 3 criteria?
- Does severe sepsis exist under Sepsis 3 criteria?
- Who has accepted the Sepsis 3 criteria for claim validation?
From this webcast, you will…
- Learn the evolution of sepsis criteria;
- Understand the Sepsis 3/SOFA Criteria;
- Come to understand and assess current sepsis coding practices;
- Learn how to identify opportunities for physician education and documentation improvement in your organization; and
- Gain information on criteria payers are using when auditing/reviewing claims.
Who Should Attend:
Those who are expected to gain the most value from this exclusive ICD10monitor webcast include coding specialists, clinical documentation integrity specialists (CDISs) and physician advisors.