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Compliance Communications

A good compliance plan has a communications plan in place.  Your question may be what type of communication?  Lets start with the definition of communication.

Communication is a three way process.  #1 Sender  #2 Receiver  #3 Response/outcome.

Your compliance communications should show documented evidence of education about compliance topics, that the information was received and results showing that the information is being carried out.

 

Coding for Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) refers to chronic bronchitis, emphysema, and alpha-1 antitrypsin deficiency, a genetic form of emphysema. COPD is characterized by the obstruction of airflow and interference with normal breathing. Chronic bronchitis and emphysema frequently coexist.

ICD-10- CM code J44 category also has guideline instructions indicating a diagnosis of Obstructive asthma is included in this code.

 

 

Tips For Internal Auditing

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Downloads/ehr-internal-monitoring-jobaid.pdf

CMS-Meaningful Use self Inspection

An inhouse inspection can increase the Practice’s revenue by qualifying for the CMS incentive program.  Medical provider filing to participate in the Electronic Health Record incentive program must attest to CMS EHR meaningful use objectives.   Those that are attesting to   This would cover the period of 1/12016-12/31/2016.  Attestation for the period may only be submitted after the period ends.  However you may do a test to see if your measurements demonstrating the ability to use the EHR  qualify to meet the MU EHR attestation process.

 

It is recommended that you run a EHR meaningful use report.  There may be time to meet the CMS objectives.  There are 10 objectives related to use of EHR tools to increase communication with patients and allow patients access to records.

Your EHR program must be an approve program.  There is a list to see which programs meet the CMS EHR certification approval.

The deadline to attest for 2016 is February 2017.  New providers must show 90 days of EHR use and meeting the measures.

Link to CMS current MU Overview

HealthTecSystems provides consultation to prepare for the attestation process.  Email or call to HealthTecSystems@consultant.com,  520-777-1363.

 

Coding COPD

Chronic obstructive pulmonary disease (COPD) refers to chronic bronchitis, emphysema, and alpha-1 antitrypsin deficiency, a genetic form of emphysema. COPD is characterized by the obstruction of airflow and interference with normal breathing. Chronic bronchitis and emphysema frequently coexist.

ICD-10- CM code J44 category also has guideline instructions indicating a diagnosis of obstructive asthma is included in this code.

J44.9 COPD, unspecified (includes asthma with COPD, chronic bronchitis w emphysema, chronic obstructive asthma, used when the documentation supports a unspecified type of COPD.

  • Code asthma severity (use 2 codes).
  • Use additional code to identify:

Z87.891 Hx of tobacco use

Z72.0 Tobacco use

F17.200 Tobacco dependence

copd

A CEU Resource

Free webinars and CEUs from navicure1 navicure.  

(This program meets AAPC guidelines for 1.0 CEUs in Core B. On Demand product requires successful completion of a Post-Test for continuing education units.)

Here is a link to Navicure’s On Demand Webinars

Compliance Communication

A good compliance plan has a communications plan in place.  Your question may be what type of communication?  Lets start with the definition of communication.

Communication is a three way process.  #1 Sender  #2 Receiver  #3 Response/outcome.

Your compliance communications should show documented evidence of education about compliance topics, that the information was received and results showing that the information is being carried out.

Additional parts of communication include reporting compliance violations, consequences.