The First VERA Analyzer Audit for FY16Q1 there was 85 potentials for increase hierarchy funds, and I audited them I found 23 totaling $409,803.00 in VERA funds. HIM inpatient coder only changed 4 or 5 of them. and I sent e-mails to Chief HIM, Chief HAS, Coding Supervisor and they said they were working on something else. Codes never changed. 9/18/15 – Compliance and Business Integrity Officer (CBI) , CBI Officer, came to my office at the “Lease Space” and sat with me while I explained the coding errors for TBI and all the rest of incorrect coding I had found. I know he understood what I was saying, but he continued to report 100% accuracy on the inpatient, because he did not want to go against , , , or . 7/23/15 – 10 Traumatic Brain Injury (TBI) Veterans records I had corrected 10 veteran TBI charts that were coded incorrectly, trying to help out, since no one in the hospital knew the TBI Special Guidance Criteria except me. I added correct E Codes and symptom codes, and deleted late effect codes per “TBI Special Guidance” 2015. I told I had corrected them and she had another coder to go in and change the codes back to incorrect. VERA – loss $127,698..00. Not to mention that the physician had dictated TBI and it needs to be coded correctly to be captured by our OIF, OEF, OND clinic, which I had fought to get set up correctly. And for the veteran to receive services for a service connected injury. TBI’s/ PTSD/Depression are all connected to the Suicide rate of appx 22 veterans a day, nationwide. and should be coded when diagnosed. September 26, 2014 – Metastatic Cancer I noticed an inpatient chart had been coded absolutely wrong. I queried the provider and he agreed with me that the skin cancer metastasized and had tunneled into the veterans lymph nodes under his arm creating a huge nonhealing infected ulcer. I opened the Medical Record and changed the codes to the correct ones. I then sent an e-mail to , and (the
Department of Veterans Affairs | Beckley, WV | 18-26 | Unknown
Published by the Office of Special Counsel on 2018-06-27.
Below is a raw (and likely hideous) rendition of the original report. (PDF)