Sepsis education, preventive care and denials management
October 22, 2024 | Diana Ortiz and Dr. Mary Bourland
Denials management is a challenge for organizations, and sepsis denials are at the top of the list. How can organizations break down silos between teams like revenue cycle, clinical documentation integrity (CDI) and finance to address sepsis and other denials? Dr. Mary Bourland of Mercy Health talks about the outcomes her organization has achieved.
We have a sepsis task force in Mercy, and they help us do the education and it's not just educating to prevent a denial. It's an education for preventative care and for patient care. And to really make those providers understand how to be aggressive with the severe sepsis patients with organ dysfunction, how to link that documentation, how important it is to identify the organism with sepsis if possible, and link it back to the sepsis. And that's important for our sepsis bundle compliance, which is the part of our value-based payment in today's world.
Dr. Mary Bourland, Mercy Health