STSTVT-0224 - Sequence # 10116 | Cardiac Rehabilitation Referral-O224 - Sequence # 10116

O224 - Sequence # 10116 | Cardiac Rehabilitation Referral

Video Transcription

Video Summary

In this video, the case scenario revolves around a patient who underwent a transcatheter mitral repair procedure and subsequently experienced decline in strength, necessitating discharge to a skilled nursing unit. The focus is on the Cardiac Rehab Referral, specifically how it is coded. In this case, no reason for the absence of a referral is documented. It is emphasized that reasons cannot be assumed or correlated, and documentation reflecting a medical or health care system reason must be provided to code the absence of a referral. The importance of timely and appropriate referral to outpatient Cardiac Rehab programs is highlighted, as they have been shown to reduce morbidity and mortality in patients with valvular heart disease. The responsibility for the referral lies with the health care team and the health care system. This patient in the scenario does not meet any exclusion or exception criteria, so she does not appear in the numerator for the referral metric.

Keywords

vendor error

1130 error code

DQR

base and follow-up data

link problem

transcatheter mitral repair procedure

decline in strength

skilled nursing unit

Cardiac Rehab Referral

outpatient Cardiac Rehab programs