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  1. Pam Warren

    Wiki HealthCon 2017 "Solo Meet Up"

    Every year there are a number of HealthCon attendees who are joining us for the first time, or are traveling alone to conference, and find themselves not knowing anyone once they get there. It can be overwhelming, and at the very least, lonely. I thought I'd start this thread so that maybe...
  2. Pam Warren

    Wiki 32-hour Coding Specialist I position in Dover, NH (NOT REMOTE)

    Under the direction of the Coding Supervisor and Coding Manager, identify and code assigned physician and/or outpatient medical records using ICD-10-CM and CPT codes as appropriate. Maintain a 90% accuracy rate in accordance with UHDDS definitions, AHA Coding Clinic...
  3. Pam Warren

    Wiki Use the official Draft ICD-10-CM

    Hi, I've had a couple of questions from coders who are evidently using online ICD-10 coding engines to code their charts. These online 'resources' are publishing erroneous instructions. All of these online coding resources have published disclaimers that indicate that they "get their...
  4. Pam Warren

    Wiki What do you want to see at HEALTHCON 2016??

    Even though registration hasn't quite begun....many of us are starting to think about HealthCon 2016. I'm hoping to hear what kinds of breakout sessions you are interested in? For those of you working in a facility setting....what sessions would be of interest to you? What kind of...
  5. Pam Warren

    Wiki What's your ICD-10 Favorite?

    Hi, everyone, I wanted to ask each of you which ICD-10-CM code you've identified within your own specialties that you're most excited to begin using....because it's such an improvement on ICD-9-CM, or because it has such an impact from either a medical necessity or revenue perspective. I'm...
  6. Pam Warren

    Wiki Physician Services Coding Educator/Auditor in Seacoast NH

    Under the direction of the Coding Manager, and following the pre-determined audit schedule, provide an evidence-based audit of select primary and specialty care E&M charges, to ensure correct coding, legal compliance and complete charge capture. Collate, transfer and analyze all auditing results...
  7. Pam Warren

    Wiki Coding Specialist Position (32 hours) in Dover, NH

    Identify and code Outpatient, and Emergency Room medical records using ICD-9-CM and/or CPT codes as appropriate. Using the 3M HDM abstracting system, abstract statistical data for Inpatient, Same Day Surgery, Interim Care, Outpatient, and Emergency Room medical records. Communicates with the...
  8. Pam Warren

    Wiki Interim Coding Director (Milwaukee)

    Director, HIM Coding Job Summary Reporting to the Executive Director of Revenue Cycle, the Director will have responsibilities for Coding for the healthcare system with over 750-beds. Three hospital healthcare system. . This person will be responsible for 70 FTE?s, operational...
  9. Pam Warren

    Wiki Outpatient Documentation Improvement Specialist Position (not remote) in NH

    Wentworth-Douglass Hospital has an opening for an Outpatient Documentation Improvement Specialist in the Coding Department. Job Description: Reports to the coding manager, and provides an analysis of clinical documentation related to targeted medically necessary therapeutic, diagnostic and...
  10. Pam Warren

    Wiki Remote or Onsite Western NY Outpatient Coder

    Remote or Onsite Western New York Outpatient Medical Coder- Must have experience with: New York State Article 28 and 31 Medicare Primary Medicaid Secondary Position will require scrubbing the claims and double checking when posted Contract length is indefinite starting on April 27th Small...
  11. Pam Warren

    Wiki Inpatient Coding Manager needed in NH

    I wanted to touch base with you about a Coding Manager position we are recruiting for in New Hampshire. Take a look at the details, and if this position interests you or someone you know please send me an email with your attached resume so we can discuss the position more in depth. Or, as...
  12. Pam Warren

    Wiki Mosaiq Users

    I'd be interested in networking with any Mosaiq users. We have some challenges with the ICD-9 library and wanted to know how others were handling this feature. I'd also like to hear from coders who work in an outpatient oncology clinic to learn about your role. Please feel free to contact...
  13. Pam Warren

    Wiki Manager of Coding and Charge Processing; Central Massachusetts

    Manager of Coding and Charge Processing Interim OR Permanent The Confidential Search Company is an executive recruiting firm with over 25 years of experience specializing in the placement of healthcare administrative and financial executives, directors, managers and specialists. We have...
  14. Pam Warren

    Wiki Medical Billing/Coding Compliance Officer

    Reports to: Billing Compliance Manager Location: Needham, MA Salary Range: $65,000 to 95,000 Billing Compliance Auditor Under general supervision, the Billing Compliance Auditor participates in the development and implementation of a compliance program that conforms to the guidelines...
  15. Pam Warren

    Wiki Billing Manager needed in Stoneham, MA

    Billing Manager: Seeking a FT, experienced Medical Billing Manager needed in Stoneham, MA. All applicants should have at least 5 years of medical billing experience with coding and collections. Certified Professional Coder certification or willingness to obtain promptly is required. Experience...
  16. Pam Warren

    Wiki Boston area: Coding and Billing Compliance Analyst

    Coding and Billing Compliance Analyst Job Summary: Under the supervision of the Manager, Coding & Billing Compliance for the Clinical Coding and Billing Compliance Analyst (Analyst) is responsible for participating in the monitoring of existing and emerging coding and billing compliance...
  17. Pam Warren

    Wiki PT/OT/ST Travel Coder Position in Arizona

    Immediate need for a Physical Therapy/Occupational Therapy/Speech Therapy Coder. This is a full-time, all expenses paid travel position in Arizona. It pays very well and full benefits are available.1 PT/OT/ST Onsite Coder Location: Arizona Bed Size: 100 Type of Coding: Physical...
  18. Pam Warren

    Wiki Roll Call: Who's attending HEALTHCON in Nashville?

    I am looking forward to meeting up with my healthcare colleagues across the country and also hoping to meet lots of new friends as well. If you've never been to the Gaylord Opryland---be prepared to be dazzled. It's an over-the-top resort with lots to do (we won't ALWAYS be working!) and do...
  19. Pam Warren

    Wiki Swap of Nephrostomy tubes

    One of our radiology nurses asked if they could report the exchange of a nephrostomy tube for the internal ureteral stent (using existing guidewire) and/or the exchange of a nephrouretal stent with an ureteral stent. My expertise does not lie with either rad or urology, but from what I've read...
  20. Pam Warren

    Wiki Do you work from Home? Can we Chat?

    Hi, I'm working on a couple of projects---one is an article for the Cutting Edge regarding coders who work from home, and the myths vs. the realities. Additionally, I'm trying to firm up my hospital's home coder policies and procedures and wanted to know what the expectations are for other...
  21. Pam Warren

    Wiki OPPS 2014 Proposed Rule

    Any comments? What does everyone think about the proposal to consolidate the ED/Clinic visits into single G-codes? We've wanted a methodology, not a one-sized fits all solution! Grrrrrr. Another item that has me worried is the packaging of those costly skin substitutes. Ugh. And...
  22. Pam Warren

    Wiki Instructional Designer, Training Analyst-Medical Coding

    Position Summary: The Epic Health Information Management (HIM) Instructional Designers role is to successfully create, implement, and maintain training and training curricula for the HIM application. Responsibilities include: · Master the Epic HIM application · Develop lesson...
  23. Pam Warren

    Wiki Coding Supervisor needed in Phoenix Hospital

    Here are the details: · Salary Range- $61,379 - $98,236/year · Bonus for those who have ICD-10 training · Relocation Stipend (10 % of annual salary) · Continual Epic training (bonus after Epic training) · Working in a local Phoenix hospital · Smaller department (don't have the details but I...
  24. Pam Warren

    Wiki Inpatient Coder (remote possible) needed

    Wentworth-Douglass Hospital in the seacoast area of Dover, NH has an full-tim inpatient facility coder position available. This position can be held remotely. Coder III: Codes Inpatient, Same Day Surgery, Interim Care, Ambulatory Service, Emergency Room and Outpatient medical records for the...
  25. Pam Warren

    Wiki Outpatient Coding Supervisor needed in Alabama

    Client in Alabama looking for an Outpatient Coding Supervisor. The ideal candidate for this position will have 3-5 years of outpatient coding experience in an acute hospital setting, performing outpatient coding, as well as one year of supervisory experience. You will be responsible for...
  26. Pam Warren

    Wiki Coding Departments

    Does anyone out there work in or for a coding department that employs both professional and facility coders working under the same management? An example might be for a hospital that owns physician practices and that has consolidated the coding staff under one department. I would be interested...
  27. Pam Warren

    Wiki Pay For Performance: What can we expect?

    Recently, my organization is taking steps to move towards becoming an ACO (Accountable Care Organization), to provide healthcare through the Intsitute for Healthcare Improvement's "Triple Aim": Improving the patient experience of care (including quality and satisfaction); Improving the health...
  28. Pam Warren

    Wiki Director, Professional Abstraction and Compliance

    The Children's Hospital of Philadelphia is seeking an experienced Director, Professional Abstraction and Compliance to join our team. Under the direction of the Planning Officer in the Department of Pediatrics, and in collaboration with the Institutional Compliance Office, the Director...
  29. Pam Warren

    Wiki Attached from CMS: Transitional Care Management FAQs

    This came out Monday in response to the many questions about TCM.
  30. Pam Warren

    Wiki Coding based on time when using interpreter

    Hi, I'd like to hear some feedback and maybe some direction with regards to regulatory guidance surrounding an question that was posed to me recently. I'm in a geographical area where there is a large ethnic population of non-English speaking patients. Typically, when they are seen by the...
  31. Pam Warren

    Wiki Outpatient Coding Supervisor position in Alabama

    Our client is seeking an Outpatient Coding Supervisor for a FTE opportunity located in Alabama. Description: Assist the Coding Manager in maintaining a coding system which assures complete, accurate, timely data according to coding guidelines for all outpatients admitted/treated at the...
  32. Pam Warren

    Wiki prostate screening diagnosis for trans-gendered patient

    I just got a call from a biller who is trying to get payment on a prostate screening, which appropriately was billed with V76.44. This man is now a woman, having had all the surgery (although I guess they left her his prostate), and according to the payer, she is a woman. Given that, even...
  33. Pam Warren

    Wiki endovascular foreign body removal

    We're fairly new at vascular and interventional coding, and had a case come up that has us scratching our heads. A patient had a recent port-a-cath removal, but unfortunately, the device broke leaving a piece in the subcutaneous tissue and the subclavian vein. A percutaneous retrieval was...
  34. Pam Warren

    Wiki Inpatient Physician Charge Capture

    Hi, I wanted to shout out to my coding colleagues and survey you on how you collect your charge capture information from your physicians when they see patients in the facility? Do you use billing cards? Smart Phone applications like Patient Keeper or Ingenious Med? Do they use CPOE? Do your...
  35. Pam Warren

    Wiki Complex Chronic Care Mgt. and Transitional Care Mgt. Codes

    Hi, is anyone planning to roll out the implementation of the new 2013 codes for Complex Chronic Care Management and Transitional Care Management? We already have a work team assembled to put together an interim form and later an EHR template (NextGen) to capture the criteria and documentation...
  36. Pam Warren

    Wiki Supreme Court upholds Affordable Care Act

    http://www.boston.com/politicalintelligence/2012/06/28/supreme-court-grants-victory-president-obama-upholding-constitutionality-healthcare-law/4o5Rwiyv7QhlVPlaSBcmEP/story.html :)
  37. Pam Warren

    Wiki ICD evaluation codes

    Hi, I have a question with regard to the ICD evaluation codes 93282-93284. CPT defines them as being assigned based on single, dual or multi-lead system, but our cardiologist indicates she was taught (previously) to code based only on the leads that are actively being used. For this patient, she...
  38. Pam Warren

    Wiki ICD evaluation

    Hi, I have a question with regard to the ICD evaluation codes 93282-93284. CPT defines them as being assigned based on single, dual or multi-lead system, but our cardiologist indicates she was taught (previously) to code based only on the leads that are actively being used. For this patient...
  39. Pam Warren

    Wiki G0449, Screening for Obesity

    hi, can anyone tell me if your local contractor has indicated whether or not this service can be provided by a registered dietitian in a primary care setting? Thanks very much.
  40. Pam Warren

    Wiki Subcutaneous emphysema s/p VATS

    Hi, need someone else to take a look and see if there's a better solution to my coding question. This patient has a subcutaneous emphysema, s/p a VATS done 5 days prior. The surgeon performed a 1 cm incision on the anterior chest wall, inserted a blake drain and expressed the air. I'm...
  41. Pam Warren

    Wiki Article: Hospital refuses to hire obese workers

    I recently read this article, and wanted to post it on our board to see what everyone thought.....our hospital has recently initiated a 'wellness' program for all employees, since our health insurance costs are skyrocketing (apparently, we're the unhealthiest hospital employees in the area)...
  42. Pam Warren

    Wiki Don't let your certification lapse!

    I have an opening for a per-diem coding assistant in my department (in Dover, NH). I had a great application.....this person had attended a coding/billing course, had data entry experience, was willing to work part-time, and according to the resume, was a CPC-A. When I contacted the applicant...
  43. Pam Warren

    Wiki CPC-A to continue....This Just In!

    From AAPC News 3/15/2012 CPC-A® Designation to Continue... For Now At the recommendation of the National Advisory Board (NAB), AAPC leadership released a proposal in January to eliminate the "A" designation. As a result, we received hundreds of comments from members and spent a good deal of...
  44. Pam Warren

    Wiki HHS Press Release: Just announced

    HHS Press Release: HHS Announces Intent to Delay ICD-10 Compliance Date In a new press release from HHS, Secretary Kathleen Sebelius announced that HHS will initiate a process to postpone the compliance date by which certain health entities have to comply with ICD-10. The press release can be...
  45. Pam Warren

    Wiki This morning from AHIMA re: ICD-10 Compliance Date

    This morning from AHIMA: (however, I wouldn't put your ICD-10 plans on hold ---that would be very risky!) HHS Announces Intent to Delay ICD-10 Compliance Date Late Wednesday, Health and Human Services (HHS) Secretary Kathleen G. Sebelius announced that HHS will initiate the rulemaking...
  46. Pam Warren

    Wiki Which coding software do you use?

    We're looking at purchasing an all-inclusive coding software package to assist us with CCI edits, coding guidelines, and coverage determiniations. I've looked at Supercoder, and have a call into 3M. I'm also checking out Ingenix, Advanced MD and CodeCorrect. Up until now, we've done the...
  47. Pam Warren

    Wiki -54 modifier with Assist or Co-surgery

    If a surgeon who is on call is called into the OR to assist or perform co-surgery (depending on the documentation), and either an -80 or -62 is appended, do these modifiers also assume that this surgeon is responsible for "surgical care only", or would we also need to append the -54? In this...
  48. Pam Warren

    Wiki Who can document the HPI in the Electronic Health Record?

    Other than this (in the CMS's E&M Services Guide, below)does anyone have regulatory guidance that points to whether or not ancillary staff may record HPI information in an EHR? Our physicians are thinking (with some mis-guided support from our EHR vendor) that this would be a big time-saver. I...
  49. Pam Warren

    Wiki Can I interview you regarding ICD-10?

    As if I don't have enough to do, I'm currently working on my Master's Degree at St. Joseph's College of Maine. I am taking a healthcare finance course, and my final research paper is on "Financing ICD-10: Who Will Foot the Bill?" I'm interested in speaking with practice/billing managers or...
  50. Pam Warren

    Wiki Advice on Setting Up a Medical Billing Service.

    I happened upon this article from http://www.medicalbillinganswers.com/ this morning as I was doing some research about Revenue Codes. I apologize to the author...I couldn't see who wrote this to give proper credit, but it's well written and addresses a number of questions I've seen on this...
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