From our Mailbag: Telehealth, ICD-10-PCS, Coders and CDI, & More

We love to hear from you!  This week, readers commented on recent posts about a wide range of topics that affect their lives, their profession, and the overall healthcare industry.

Using Telehealth to Mitigate the Impact of COVID-19 on your HCCs by Rose T. Dunn, MBA, RHIA, CPA, FACHE
“We have had difficulty finding information related to capture of HCC’s with telehealth visits, during and after the pandemic. In the past there seemed to be a limitation of capture through this means but with the expansion of acceptable codes for these visits, we need to share any support for coding capture with our providers.” — KP, Mississippi

Opportunity in Disruption: Embracing Change in Healthcare, by Angela Gerbert, BS, CCS, CDIP, CIC, COC, CPC-I
“This is a great motivational article for coders still on their job facing the chance of having to code a different specialty. But what can you tell the ones who lost their jobs due to the pandemic? Training in new skills after being furloughed requires investment of our part and not all of us can afford it. How do we move to the future still working in the profession we love?” — IDS, Tennessee

“Thank you for this. People should also try to learn new types of coding that they normally don’t do. NOW is the perfect time to learn.”  — SL

ICD-10-PCS: The Potential Financial Impact of Root Operation Decisions, by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA 
“Lynn, I always enjoy reading your articles. As someone newer to the HIM field, I understand there is so much to learn even after getting my credential. Each time I read your articles, I take away something useful that I can apply to my studies and work. I just wanted to share my appreciation!” — CC, Minnesota

CDI Opportunities for Coding Professionals, by Richard D. Pinson, MD, FACP, CCS
“If we do a coding query for a diagnosis not documented, like sepsis, we have to know the clinical indicators and recognize the treatment for sepsis. That allows us to ask if a condition is present. Like a CDI role, if I am not mistaken.” — DK, Georgia

“Coders are trained to be clinical and know more about queries than anyone gives us credit for knowing. I’ve been coding since 1985 and always worked closely with the medical staff.” — CS,  Arkansas

ICD-10-PCS: Think Big Before You Think Small, by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA
“Thanks, Lynn – I try to stress when educating our coders to determine the intent of the procedure:  What is the goal? I guess that’s the “think big” part, but sometimes the technology of CAC gets in the way and coders may have a tendency to only code the key words in CAC. I always stress reading the entire Operative Report to really figure out what is being performed, then choose the root operation and fill in the rest.” — JN Utah

Kawasaki: COVID-19-related Illness in Children, by Gail I. Smith, MA, RHIA, CCS-P
“The multiple updates in the AHA FAQs have been very helpful. It would be great if these could continue with other topics as well for more timely information overall. I look forward to the CDC response. Thanks Gail!” — LD, Maine

We encourage your comments at [email protected]

About the Author

Libman Education
Libman Education Inc. is a leading provider of training for the health care workforce offering self-paced and instructor-led online courses designed and developed by leading industry experts in Health Information Management (HIM) and Medical Record Coding. Our courses are specifically designed to improve individual skills and increase the efficiencies and competencies of health care providers and institutions. At Libman Education, we understand the needs and challenges of a well-trained workforce and offer the right-mix of online education to ensure that the health care professionals are prepared to meet the challenges of the changing workplace.

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