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In This Issue
Industry Insight
Analysis Identifies Most Popular Meaningful Use Menu Objectives

Sevocity has analyzed the December 2012 Centers for Medicare & Medicaid Services report “EP Recipients of Medicare EHR Incentive Program Payments” to determine which menu objectives were most often selected by providers attesting to meaningful use under the Medicare EHR incentive program. To qualify for an EHR incentive payment under the program, eligible providers must attest to 15 core objectives and select five of 10 possible menu objectives.

The most popular menu objective was “implement drug formulary checks,” with almost 85% of providers selecting this as one of their five menu items. This was followed by “generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach,” with more than 74% of providers selecting the objective. “Summary care record for transition of care” was selected least, with less than 16% of providers choosing this objective.

Read more »
HFMA Conference Preview
Be Inspired at ANI 2013
By Heather Hogstrom

The Healthcare Financial Management Association’s (HFMA) 2013 National Institute will be held June 16 to 19 in Orlando, Florida. New this year is an opening reception held in the exhibit hall, providing attendees with refreshments, entertainment, prize drawings, exclusive exhibitor promotions, and networking opportunities.

This year’s keynote speakers are the following:

Full Story »
Editor's E-Note
Coders have a lot on their plates these days; the list of looming deadlines is as long as M. Night Shyamalan’s collection of box-office bombs.

Nevertheless, there always should be time for education. For example, do today’s coders know enough about case mix basics? If not, it’s a good time to become more familiar with this “weighty” set of calculations.

This month’s E-News Exclusive provides an excellent primer for coders who want to better understand how case mix affects department budgets.

Lee DeOrio, editor
E-News Exclusives
Case Mix Basics
By Judith Sturgeon, CCS, CCDS

How many times are coders involved in discussions about their facility’s case mix index? And how many times do they actually understand how the index relates to coding? Most coding professionals in the diagnosis-related group (DRG) arena know their codes will somehow determine the hospital’s case mix index and their administrators consider case mix when they worry about the annual budget. Unfortunately, that often is the extent of coders’ knowledge regarding this calculated concept.

To understand the case mix index, HIM professionals need to know the following:

• Medicare pays hospital inpatient stays with a DRG.

• A DRG is a lump-sum payment method to average the cost of and payment for taking care of similar types of patients.

• Each DRG is assigned a numerical weight that reflects the current national average resource consumption for that patient population.

• Each facility has a standardized dollar amount assigned by Medicare, determined by factors such as the case mix index, local wage index, number of low-income patients, and type of institution (eg, teaching).

Full Story »
Recently in For The Record
Capturing Cancer Data in Real Time
The longtime battle against this horrific disease could get a boost from physicians electronically reporting data to state registries. Read more »

Dual Coding: An ICD-10 Jump-Starter
Kick the transition process into gear with a plan to code from both sides of the fence. Read more »

Read Between the Lines
Being able to spot ill-advised copy-and-paste documentation can save coders from recurring compliance headaches. Read more »

When Disaster Strikes
A comprehensive business continuity plan can help alleviate hospitals’ fears about unexpected data loss. Read more »
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Industry Insight
Physical by Smartphone Becoming Real Possibility
By connecting a variety of medical devices to smartphones, patients could get a physical without leaving their homes, according to USA Today.

UNM Hospital Stands
by Its Outsourcing Decision

The University of New Mexico Hospital announced plans to lay off 57 transcriptionists, KQRE reports.
Ask the Expert
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e-mail to edit@gvpub.com.
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ACDIS Conference News
Observations on the 2013 ACDIS Annual Conference
By Robert S. Gold, MD

Nashville rocked for the sixth annual national convention for the Association of Clinical Documentation Improvement Specialists (ACDIS) during the week of May 20. The event continues to grow larger and attract more speakers with broader interest by the exhibitors, which now demonstrate more than the traditional coding, grouper, and CDI tracking software. The industry is being recognized as an essential part of the health care delivery continuum and deservedly so.

That’s the good news.

Full Story »
Career Opportunities for HIM Professionals
A Secure, Anonymous Résumé Bank
Job Alerts Sent to Your E-mail
The nation's top employers and recruiters of HIM talent advertise in For The Record magazine and post their job openings on AlliedHealthCareers.com. Check out the most recent opportunities that have been submitted by employers across from the country!

Senior Manager, Inpatient & Same Day Coding/Medical Records—UMDNJ, NJ
Coding Specialist II—Yampa Valley Medical Center, Steamboat Springs, CO
Certified Inpatient/Outpatient Coders—Northport VA Medical Center, Northport, NY
Coder II—Anthelio, REMOTE, Texas
Inpatient Coding Specialist—Hackettstown Regional Medical Center, Hackettstown, NJ
Manager, HIM Coding—Crozer-Keystone Health System, Delaware County, PA
Coder II—Platte Valley Medical Center, Brighton, CO
Coders—South Jersey Healthcare, Vineland, NJ
Tech & Tools
bpSalsa Blood Pressure App
bpSalsa by DataDancer Medical Systems and iMobLife is an FDA-listed blood pressure app that directly compares the performance of different blood pressure treatments while improving the efficiency and cost of treating hypertension. Using a personal blood pressure monitor and bpSalsa, patients can directly track their blood pressure performance within and across multiple treatments and find their optimum treatment by viewing a graph comparing the performance of all attempted treatments, which can be lifestyle changes (eg, diet, exercise), prescribed medications, or combinations of both. The feedback helps patients become more compliant and engaged in improving their cardiovascular health. Learn more »

Pulse Ox Tool
Pulse oximetry screening is a life-saving test that can detect critical congenital heart defects in newborns before they’re discharged from the hospital. To help health care providers interpret the screening results, Children’s Healthcare of Atlanta has created the Pulse Ox Tool, a smartphone app that automates the test, decreasing the chance for errors and improving the accuracy of detecting children with possible critical congenital heart defects. Learn more »

Heart Health Mobile
Heart Health Mobile, an app developed by Marshfield Clinic Research Foundation, tracks users’ heart disease and stroke risk factors and monitors progress. Users answer questions and enter statistics such as height, weight, cholesterol levels, and blood pressure. The app offers educational information, allows users to find nearby locations for cholesterol and blood pressure screening, and incorporates achievements and a mini game, which features characters who represent an unhealthy lifestyle habit (eg, smoking, lack of exercise, poor eating habits). As the characters walk increasingly faster across the screen, users get points for dragging as many as possible into the correct buckets. Learn more »

MediSafe Project 2.0
MediSafe Project version 2.0, a medication reminder that uses cloud-sync technology, sends alerts when users miss a dose, color codes adherence rates to help users easily understand how well they’re taking medications as prescribed, and allows users to e-mail their personalized list to doctors, caretakers, or family members. New features allow users to record doses of medication taken as needed, adjust how many days in advance they’d like to receive prescription refill reminders, and have multiple profiles, which enables users in charge of medication regimens for more than one person to separate medications into different user profiles. Learn more »