In order to ensure the accuracy and reliability of administrative COVID-19 data capture for both internal and external uses, HIM professionals should follow best practice steps. The application of best practices in the steps below give examples using data coded with the standard transaction code sets. However, these steps are repeatable to explore logical, expected… Read More »COVID-19 Data Quality Best Practices
General best practices for interactive data quality management in both inpatient and ambulatory care settings involve the following iterative steps. Identify specific data elements that can be or should be collected for a specific data capture need. This includes identifying all relevant data fields, data types, data definitions, and the associated data values using the… Read More »Data Quality Management Best Practices
1. Reply Promptly Even if you don’t know the answer to a question posed in the email, it is courteous to send a simple response to say that you received their email and will respond shortly; give a specific time frame if possible This does two things: First, it lets the sender know that they… Read More »Corporate Email Etiquette
Ask yourself these questions when preparing for a remote presentation. Are you prepared for the presentation? Be very familiar with the content Read the presentation out loud several times Anticipate questions the audience may have Prepare a script or outline of the presentation, especially if you are nervous What is the goal of the presentation?… Read More »Preparing for a Remote Presentation
Ten Tips for Managers Establish regular check-ins. Check-ins should be a regular part of your schedule and can occur with individuals and groups. Keep in mind that some people might require more contact than others so schedule check-ins accordingly (e.g. daily, bi-weekly, weekly). Set clear expectations and goals. Gallup reports that employees with clear goals… Read More »Managing People When Working Remotely
For the first time since 1997 the American Medical Association (AMA), in collaboration with the Centers for Medicare and Medicaid Services (CMS), will implement significant changes to the Evaluation and Management (E/M) office visit codes and guidelines. This paper provides an overview of the E/M changes that will be implemented January 1, 2021. Background and… Read More »An Overview of the FY 2021 Evaluation and Management Code Changes
Topic: Multiple Significant Trauma Scenario: 65 year old male with a PMH of CAD, HTN, and Hyperlipidemia on Metoprolol and Lipitor who presented following a 10 foot fall onto the ground from a ladder while cleaning out the gutters. Per H&P pt. fell on his back striking his head with wife reporting to EMS he was… Read More »Monthly CDI Scenario Discussion – April 2020
As a country we continue to maneuver through the evolution of this COVID-19 pandemic and adjust to assist with containment of the virus. During this time, it is clear to us at UASI that Health Information Management (HIM) professionals will play a key role in the fight. On a daily basis our coding and consulting management… Read More »America’s Health Information Management Professionals Stand Ready to Fight COVID-19
ICD-10 MS-DRGs Version 37.1 Effective April 1, 2020 Coding Discharges on or after 4/1/2020 *Please note: As of 4/1/2020, new code ICD-10 CM U07.1 will be available Code U07.1, 2019-nCoV acute respiratory disease will be implemented into ICD-10-CM with the update effective April 1, 2020. National Center for Health Statistics (NCHS) developed interim coding advice… Read More »ICD Tip – The Latest on COVID-19
As of March 17, 2020 under President Trump’s leadership, the CMS has broadened access to Medicare’s telehealth services benefits with a 1135 waiver that will pay for office, hospital and other visits furnished via telehealth starting with March 6, 2020 and lasting for the duration of the COVID-19 emergency. Prior to this waiver these benefits… Read More »2020 CMS E&M Guidance Telehealth Services