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ACDIS 2015: Doctors, Data, Decisions, and Disappointments
By Jon Elion, MD
The 2015 meeting of the Association for Clinical Documentation Improvement Specialists (ACDIS) just wrapped up in San Antonio, Texas. This was the largest ACDIS meeting yet, reflecting the growth in the industry. This year was characterized by the ‘Four Ds’: a greater doctor presence, an interest in better data, frustration with hospital decision makers, and disappointment with the constraints of many clinical documentation improvement (CDI) tools and EMR systems and delays and broken promises from some of the large HIM vendors.
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WEDI Launches Genomic Data Exchange Workgroup
At its annual conference in May, the Workgroup for Electronic Data Interchange (WEDI) launched the WEDI Genomic Data Exchange Workgroup. The initial taskforce explored the current landscape of genomic information exchange in early 2015 and they are about to announce their findings in an industry roadmap. The newly formed workgroup emerged from an initial investigation into a wide range of genomic information exchange issues—including genomic data formats, exchange, privacy controls, security, storage, management, governance, care coordination, and payer-provider collaboration—from the preliminary taskforce in the first quarter of 2015.
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Leah Kiesow Installed as President
of the
National Cancer Registrars Association
Leah Kiesow, MBA, CTR, was installed as the president of the National Cancer Registrars Association (NCRA) at its Annual Educational Conference in San Antonio on May 23. In her role as president, Kiesow will represent the organization at regional and national meetings and support its mission to promote education, credentialing, and advocacy for cancer registry professionals.
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Get Connected at ANI: The Healthcare Finance Conference
By Heather Hogstrom
The Healthcare Financial Management Association’s (HFMA) 2015 National Institute is set for June 22-25 in Orlando, Florida. Attendees can connect with colleagues at networking events such as a welcome reception at Orlando’s premiere Cuban restaurant and nightclub Cuba Libre, and a Blues Bash at BB King’s Blues Club at Pointe Orlando.
The HFMA conference will provide information on eight areas of interest, with sessions covering business intelligence, data, and analytics; regulatory and compliance updates; clinical integration; collaboration for decision making; payment trends and delivery models; revenue cycle and the patient experience; cost management/margin transformation; and finance/capital markets. For example, those interested in analytics may want to attend “Taking Analytics to the Next Level — Five Key Strategies” by Graham Hughes, MD, while those interested in collaboration could attend “Physician Collaborations That Drive Value in Healthcare” by Grace Terrell, MD.
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Have a coding or transcription question? Get an expert answer by sending an e-mail to edit@gvpub.com.
This month’s selection:
We have three general questions:
1. How would an interscalene pain block of a nerve post orthopedic procedure be coded? Currently in ICD-9 we use 04.81, injection of an anesthetic, or 04.81, 04.89 and 99.23 if it is a combination of anesthetic and steroid with CPT 64415 and an X modifier added to the CPT code.
2. Would it be appropriate to add a code for the facial nerve monitoring done during a procedure removing a parotid tumor? ICD-10-PCS manual notes under the Measurement and Monitoring Section: “If a device used to perform the measurement is inserted and left in, then insertion of the device is coded as a separate Medical and Surgical procedure.”
*There is no device left in for the monitoring after procedure completion, so are we correct to assume this would not be an added surgical procedure code?
3. Also, in a loop electrosurgical excision procedure (LEEP), would the qualifier be and X or a Z when a Conization is performed?
Colleen Braun, CCS
Toms River, New Jersey
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SecondOpinionExpert Launches
EHR Mobile App
SecondOpinionExpert has launched an EHR mobile app for iPhone, iPad, and Android devices. The mobile app provides access to SecondOpinionExpert’s eHealth Records service, allowing patients to easily view previously uploaded medical records and images, as well as update their personal health information using a smartphone or tablet. The app creates a comprehensive and personalized picture of patient health information that can be shared with any health care provider, family member, or other individual chosen by the patient. Further, physicians receiving this information can insert their remarks or recommendations directly into the eHealth Record for the patient to review. SecondOpinionExpert’s free eHealth Records app is completely secure and HIPAA compliant. The app includes a high-resolution image viewer that is equivalent to the image resolution used in radiological diagnostic interpretations. Learn more »
SEED Protocol Allows Patients Control
Over Their Own Health Care Records
The SEED Protocol—the Secure Exchange of Encrypted Data—will enable people to protect their own health records by storing them in a private Cloud Lockbox, secured with personalized locks. Users control their own keys, deciding who has access, to what, and for how long. The Watchdog feature will halt unauthorized attempts to access the information. The SEED Protocol will give patients the ability to access their health care records online anytime, from anywhere; and to manage them to optimize health outcomes, to keep them secure, and to ensure that they are being used appropriately. Users will be able to link fitness trackers and vital sign monitors to their Cloud Lockbox, providing an easy way to share the information with their physicians while still protecting their privacy. The SEED Protocol provides an easy-to-use solution, transparently integrating into the applications already used today. Learn more »
Solution Promotes Patient Engagement
HealthGrid improves the communication of patient data to clinicians and patients throughout the care continuum. As a fully integrated, secure mobile collaboration platform, HealthGrid meets all HIPAA security requirements and satisfies many meaningful use phase 2 requirements. The ONC-certified product comprises two services: CareNotify and CareNarrative. CareNotify updates patient families with real-time information; patient schedules, medication lists, nutritional updates, and relevant educational content are made available automatically. CareNarrative provides a snapshot view of a patient's clinical state, allows providers to communicate with each other about patient care, and delivers patient summary of care records during referrals and/or transitions of care. The integrated task management, notification, and note creation features in CareNarrative allow care teams to access critical information across the care continuum. Learn more » |
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