Recent content by Verna

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    Update We have had Athena EMR for a year, and it has been a huge disappointment. We were given a lot of promises, but found that most of them were not delivered. 1. We have a dictation service, and wanted to scan unsigned dictation into Athena for the providers to eSign (we had this capability...
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    Clinic E/M

    I have a really nice laminated emergency room E/M table (chart) from CMS. On the top it says "CMS DOCUMENTATION REQUIREMENTS SUMMARY." It helps decide what E/M level to use by going down the table. Do any of you know if there's one for OP or clinic E/M? Thank you!
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    I am the supervisor of Health Information Management in a rural hospital, and I am looking for a new Quality Assurance project. Our old QA project is ending and I need inspiration and fresh ideas. What do you do?
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    We are a rural Critical Access hospital, and we provide telespsych services through a psychiatrist in nearby city. The only part we play in the patient's visit is to rent the space for the service and set up the monitor for the psychiatrist. Other than that, we do not have access to the...
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    Emergency Room Birth

    We do not normally deliver babies at our Critical Access Hospital, so this is not my forte. We recently had a woman deliver at 35-weeks in our emergency room. The baby was immediately transferred, by life flight, to larger hospital. My problem is coding the baby's part of the ER. Someone here...
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    ED Consult

    A patient presents to the ED with a dog bite to the face. Our hospitalist called another physician (who is also a surgeon) to the ED to repair the wound. The patient is Medicaid and the bill has been denied. The patient was discharged to home (no admit). I billed 99283 for the hospitalist with...
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    Modifier Books

    Can any of you recommend a good modifier book? I code for a small CAH hospital and we see a little bit of everything. I would like to find a go-to book that explains all CPT modifiers. Any suggestions? Thanks, Verna
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    Our CAH hospital is currently using NextGen (Harris bought them recently) and have to find another EMR within the year. AthenaHealth was here last week showing us what their system could do. Have any of you worked with the Athena EMR hospital version? Thanks, Verna
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    Signature Verification

    Thank you, Chelle-Lynn. I tend to agree with you. vh
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    Signature Verification

    I work in a critical access hospital and have a question about our Signature Verification Log. We often have to hire traveling RN's to staff our hospital. They are usually only here one shift. Are they required to sign our Signature Verification Log or are they covered because we hire them from...
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    Proficiency Test

    Passed with an 89.33%. I ended up using Internet Explorer because that's all I have on my work computer and I didn't have any problems.
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    Proficiency Test

    I read somewhere that you should not use Internet Explorer to take the test. That's all I have at work, so I'm a bit concerned. Have any of you used Explorer when you took the test?
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    I work for a Critical Access Hospital and we just went live with NextGen last March. There are a lot of issues and we are constantly struggling to find ways to work around them. So far I haven't even been able to find a place in NG to document record requests and releases. This just doesn't make...
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    IP surgery questions

    Thank you for your help, I really appreciate it.
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    IP surgery questions

    I guess I needed to provide a bit more information. I work in a Critical Access Hospital and am the facility coder. That's why I need ICD-9 surgery coding for our inpatients.