Sepsis: Do the Clinical Criteria Support the Medical Coding?
type: CreativeWork
description: Background: Sepsis is a condition that can be very costly and very deadly. Diagnosing sepsis can be challenging as there is not one specific test that will identify whether a patient has sepsis and there are varying opinions as to the true definition of sepsis. The definition of sepsis used for this research is a combination of System Inflammatory Response Syndrome (SIRS) with an identified infection. Medical Coders must review the documentation provided in a medical record to accurately assign an ICD-10-CM code. Administrative data is then used to provide statistical information for research purposes. When coded data is not accurate, this leads to errors in administrative data and inaccuracies in research. Objectives: The main goal of this study was to identify the accuracy of medical coding for sepsis patients. There were six research questions that guided the research. These included 1) Are cases coded as sepsis that are not clinically supported as sepsis; 2) Are infection cases not coded as sepsis clinically supported as sepsis; 3) Are there any variances for certain physicians; 4) Are there any variances for certain physician specialties; 5) Are there any variances for certain payers; 6) Are there any variances for certain medical coders? Methods: We used a convenience sampling of patient records from 4th quarter 2019 from Erlanger Health Systems that were coded as sepsis and a sampling that were coded as an infection without sepsis. Research Design and Study Procedures: Following Institutional Review Board (IRB) approval from both Erlanger Health Systems and the University of Tennessee Health Science Center (UTHSC), a chart review was conducted. Clinical indicators identified in the created data abstraction tool were abstracted from the patient records. Results: Data analysis concluded that the accuracy rate of medical coding for the sepsis patient records based on the clinical documentation was 98.5%. Physician specialty and payer type had no impact on the ac…
abstract: Background: Sepsis is a condition that can be very costly and very deadly. Diagnosing sepsis can be challenging as there is not one specific test that will identify whether a patient has sepsis and there are varying opinions as to the true definition of sepsis. The definition of sepsis used for this research is a combination of System Inflammatory Response Syndrome (SIRS) with an identified infection. Medical Coders must review the documentation provided in a medical record to accurately assign an ICD-10-CM code. Administrative data is then used to provide statistical information for research purposes. When coded data is not accurate, this leads to errors in administrative data and inaccuracies in research. Objectives: The main goal of this study was to identify the accuracy of medical coding for sepsis patients. There were six research questions that guided the research. These included 1) Are cases coded as sepsis that are not clinically supported as sepsis; 2) Are infection cases not coded as sepsis clinically supported as sepsis; 3) Are there any variances for certain physicians; 4) Are there any variances for certain physician specialties; 5) Are there any variances for certain payers; 6) Are there any variances for certain medical coders? Methods: We used a convenience sampling of patient records from 4th quarter 2019 from Erlanger Health Systems that were coded as sepsis and a sampling that were coded as an infection without sepsis. Research Design and Study Procedures: Following Institutional Review Board (IRB) approval from both Erlanger Health Systems and the University of Tennessee Health Science Center (UTHSC), a chart review was conducted. Clinical indicators identified in the created data abstraction tool were abstracted from the patient records. Results: Data analysis concluded that the accuracy rate of medical coding for the sepsis patient records based on the clinical documentation was 98.5%. Physician specialty and payer type had no impact on the ac…
author: Insco, April M.
keywords: Medical Coding, Sepsis, Analytical, Diagnostic and Therapeutic Techniques and Equipment, Bacterial Infections and Mycoses, Diseases, Health and Medical Administration, Health Services Administration, Health Services Research, Medicine and Health Sciences, Quality Improvement
date published: 2022-07-01T07:00:00Z
date modified: 2026-07-24T05:00:45Z
provider: University of Tennessee Health Science Center
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of Tennessee Health Science Center