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E-Newsletter • April 2025 |
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Editor's E-Note
Interoperability is crucial aspect of modern health care. With that in mind, The Sequoia Project has launched a Pharmacy Workgroup as part of its Interoperability Matters Program. The program aims to promote pharmacy interoperability and highlight the role of pharmacists as members of the care team. Read all about it in this month’s exclusive.
In addition to reading our e-newsletter, be sure to visit For The Record’s website at www.fortherecordmag.com. We welcome your feedback at edit@gvpub.com. Follow For The Record on Facebook and X, formerly known as Twitter, too.
— Dave Yeager, editor |
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Industry Leaders Are ‘All In’ on Pharmacy Interoperability
The Sequoia Project, a nonprofit and trusted advocate for nationwide health IT interoperability, recently announced the official launch of the Pharmacy Workgroup as part of its flagship Interoperability Matters program. The Pharmacy Workgroup aims to close gaps in pharmacy interoperability by identifying and operationalizing information that pharmacists need to access and share with other providers and payers.
“Pharmacy interoperability supports better care coordination and patient services,” says Mariann Yeager, CEO of The Sequoia Project. “We are happy to spearhead this new initiative to collectively foster and broaden pharmacy interoperability. We are grateful for the generosity of our sponsors, Surescripts, the National Association of Chain Drug Stores (NACDS), and American Pharmacists Association Foundation for creating a space for broad stakeholder discussion, prioritization, and mobilization.”
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Reintroduction of the MATCH IT Act
The United States House of Representatives recently reintroduced the MATCH IT Act of 2025, aiming to improve patient safety, privacy, and health care delivery efficiency. The act addresses challenges that compromise patient security, such as patient misidentification, AHIMA reports.
Oracle Health Suffers Data Compromise
According to Healthcare IT News, Oracle recently suffered two data compromises. One of the breaches impacts the data migration of Cerner health servers; the other has affected medical records accessed via Oracle Cloud.
RFK Jr Plans to Cut 10,000 HHS Employees
Secretary Robert F. Kennedy, Jr announced plans to lay off 10,000 employees, consolidate 28 divisions into 15, and cut regional offices from 10 to five, reports Federal News Network. |
Have a coding or documentation question? Get an expert answer by sending an email to edit@gvpub.com.
This month’s selection:
What is the correct CPT for a left displaced femoral neck fracture? The notation under 27125 leads us to believe that 27236 would be the correct code. However, looking at the lay description this does not seem appropriate. Could you provide guidance between these two codes?
Gina Kerr, CCS
Coding Supervisor
Harrison County Hospital
Response:
CPT 27125 refers to hemiarthroplasty of the hip, a surgical procedure that involves the partial replacement of the hip joint. Specifically, this procedure entails the removal of the damaged femoral head and its replacement with a prosthetic device, while the acetabulum remains intact. The primary objective of this intervention is to stabilize the hip joint, alleviating pain and restoring function for patients suffering from conditions such as fractures or severe arthritis.
CPT 27236 refers to open treatment of femoral fracture, proximal end, neck, internal fixation, or prosthetic replacement.
Coding guidance states to use CPT 27125 for a planned hemiarthroplasty of the hip and CPT 27236 when unplanned, like a fracture. There is a note listed under CPT 27125, “for prosthetic replacement following fracture of the hip, use 27236.”
CPT 27125 is listed in the CPT book under the heading “Repair, Revision, and/or Reconstruction,” whereas CPT 27236 is listed under the heading “Fracture and/or Dislocation.”
Think about the acuity of the diagnosis. This patient fell and sustained a femoral neck fracture. I would code 27236 because the MD is treating the acute femoral neck fracture.
— Shannon C. Cameron, MBA, MHIIM, CPC, is chief operating officer for AFS and holds a spot on the AAPC National Advisory Board. She has extensive experience in health care operations and has authored numerous documentation manuals for revenue cycle management, billing, and coding for various specialties. |
Smart Meter Launches SmartHealth Solutions
Smart Meter, a remote patient monitoring technology company, recently announced a suite of AI-powered applications called SmartHealth Solutions at HIMSS25. SmartHealth Solutions includes five applications for chronic care management and behavioral science, gait and mobility monitoring data, consistent blood pressure monitoring, atrial fibrillation tracking, and an AI avatar for patient-provider interactions. Learn more » |
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