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How you all are handling ICD-10-CM codes that are on problem list and expired from 10/1/16?
We have about 10,000+ charts with expired codes such as E78.0. CPS does not give warning if they are already on problem list and selected for charges on EMR side. Only warning we will see is on PM side when we approve claims.
It will be hard to give list of codes that are expired to providers to watch and change when they see patients.
Any ideas?
Thanks!
Posted : October 6, 2016 4:02 am
I would like to hear from others as well. We are curently runnning one of the GE reports that they supplied on Monday to determine which patients were being seen during a given time frame with deleted codes. Then we are going in and editing that deleted diagnosis code adding an updated code or if unable to determine the correct code specificity we remove(inactivate) that code and let the provider choose an updated code. Of course, that can only be done if you have loaded the 3000+ new codes and the Sept. KB Update. I only have 17 providers, however, so my lists are not huge. We give the list of scheduled patients to the clinical staff that are working up patients so they can edit those codes. I am also in the process of updating all my custom orders lists with the added codes. Fortunately for me there are not a huge number since we are a specialty that did not use a lot of the deleted codes. Still time consuming and very manually labor intensive though.
Posted : October 6, 2016 4:38 am
I ran the GE report as well and had a Crystal Report run for comparison. We have 65 providers so you can imagine how many charts we have to correct............8,400!
Our providers will not do this because they simply do not have the time.
Posted : October 6, 2016 8:02 am
We had an internal discussion about it. We have around 60 providers and there is no way they will go and update the patients. Even if we did update them off of that report, how long are we going to use such a report? What if we do not see the patient for a year or more? It seems like GE's solution would be to run this report forever.
My thought was to find a way to do a db update to swap the codes out with the new active ones. Many of the codes have a one to one mapping of newer codes (they just have one more digit).
I wish GE would give us a way to update codes in the patient charts in some sort of batch mode.
Posted : October 6, 2016 8:22 am
Is anyone having an issue when running the report that GE provided? I have multiple users that when they run the report it cuts off and does not display or print all of the information. I have a call out to GE but they have not provided any information yet. I am the one who uploaded the report and it works fine for me. Any thoughts?
BTW... we are on EMR 9.8.11
Posted : October 19, 2016 3:02 am
Is it printing in Portrait instead of landscape? If so try changing the printer. I have found that some print drivers do not properly switch landscape/portrait in EMR.
Posted : October 19, 2016 3:06 am
For practices having trouble with expired or invalid ICD10 codes in the problem list, I wanted to briefly mention that there is a 3rd party tool that can help. The Blackbird Solutions product integrates with Centricity much like a conventional encounter form. It renders the patient problem list with all expired/invalid ICD codes flagged, and makes it extremely easy for providers or staff to convert those invalid codes to valid ones. It is very inexpensive, quick to install, and can be used on a trial basis free for 30 days.
Posted : October 19, 2016 6:00 am
I would highly recommend Blackbird, our clinic installed it in July of 2015 and it has been a life saver! We are a multi-specialty clinic and I was able to use the Blackbird programming to build VFE problem forms for each specialty. A problem button can do one of two things, 1. Directly add the problem to the patients list 2. Direct a user into the problem search without the user needing to type. Blackbird takes the cue from the button and direct the user right where they want to be, example for Ortho the button can say Closed Tibia Fx, Blackbird directs them to closed tibia fx and then they need to answer additional dropdown question about the fx. NO TYPING for my physicians!!
Steph
Posted : October 19, 2016 7:10 am
Our group decided to go the route of attaching pop-up alerts in the patient's charts that were found to have expired diagnosis codes. We identified the list of codes that our physician utilize on a regular basis and alerted them along with the management and billing teams that these alerts will be appearing in patients charts and that they should take the time to update their problem list as they encounter the patients. While this isn't optimal, with a group of 60 or more providers and thousands of active patients, this is the best solution we could come up with.
Posted : November 18, 2016 8:07 am
