Talk Ten Tuesdays

While PSI-90 is Suppressed, PSI-04, the Death Rate Payment, Lives On

August 16, 2022 Timothy Powell, CPA | Laurie M. Johnson, MS | John Zelem, MD | James S. Kennedy, MD | Erica Remer, MD Season 12 Episode 519
Talk Ten Tuesdays
While PSI-90 is Suppressed, PSI-04, the Death Rate Payment, Lives On
Show Notes Chapter Markers

The Centers for Medicare & Medicaid Services will continue using PSI-04, Death Rate among Surgical Inpatients with Serious Treatable Complications, in its Hospital Inpatient Quality Reporting program. Be advised. This affects your facility’s reputation and reimbursement through fiscal year (FY)2028. 

Unlike other PSIs, PSI-04 does not exclude cases based on the Present on Admission indicator of the applicable secondary diagnoses that include shock/cardiac arrest, sepsis, pneumonia, gastrointestinal hemorrhage/acute ulcer, or deep vein thrombosis/pulmonary embolism. Unlike the other PSIs that focus on the prevention of the identified patient event, PSI-04 looks at the success of rescue steps that a facility takes, when presented with severe complications that may already be present on admission, to prevent the patient’s death.  

During the next live edition of Talk Ten Tuesday, James S. Kennedy MD, president of CDIMD near Nashville, Tennessee, will outline documentation and coding strategies impacting PSI-04’s inclusions, exclusions, and risk-adjustment that can be implemented by any facility wishing to address any perceived shortcomings. 

Invite your director of quality to join as to learn how they can partner with coding and CDI in this important initiative. They will thank you for it.

Other segments during the live broadcast include the following:

  • Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC will report on the latest coding news.

  • News Desk: Timothy Powell, CPA will anchor the Talk Ten Tuesdays News Desk.

  • Journaling John: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will continue with his journal entry.

  • TalkBack: Erica Remer,MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.  
Timothy Powell, CPA
Laurie Johnson, MS
John Zelem, MD
James Kennedy, MD
Erica Remer, MD