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Inside This Issue - ICD-10 Reporting Update; Local Meetings; Call for delay MU - September 18, 2015:

Memo from THA regarding outpatient principal procedure coding

Tennessee Hospital Association Health Information Network (THA HIN)
September 16, 2015 

Changes to Outpatient Principal Procedure Reporting and Ambulatory Surgery Definition – Effective October 1, 2015
On August 25th, you received an email from me regarding the changes to the way outpatient records are reported with the transition to ICD-10 (see original email below).  Per that email, the Tennessee Department of Health (TDH) tentatively approved the recommendation to drop the dual coding requirement effective on claims dated October 1, 2015 and beyond.  This email is being sent as follow-up to let each of you know that the recommendation was officially approved by Commissioner Dr. John Dreyzehner.  All Tennessee hospitals will receive this notification from the TDH in the coming days.
THA’s analysis of the 2013 data revealed several hospitals that had coding issues.  THA did further analysis of the 2014 data and found the same inconsistencies.  We will be reaching out to the individual hospitals to assist you in resolving these issues.  Again, we ask you to please convey to those who are responsible for coding your hospital’s outpatient records the importance of correctly coding them with valid CPT/HCPCS codes, when applicable. 
Please contact me if you have any questions related to ICD-10 and the related changes effective October 1, 2015.

Larissa Lee
Director, Health Information Network
Tennessee Hospital Association

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Alexander Calls for Delay of Making Final Rules for Stage Three of Electronic Health Records Program

Chairman says “patients need an interoperable system that enables doctors and hospitals to share their electronic health records, but the government, doctors, and hospitals need time to do it right”

WASHINGTON, D.C., Sept. 16 â€“ Senate health committee Chairman Lamar Alexander (R-Tenn.) today called for a delay until January 1, 2017, of making final rules for stage three of the federal government’s program to require doctors and hospitals to create electronic health records systems.

He said that stage three requirements should then be phased in at a rate that reflects how successfully the program is being implemented. He also said that the modified rules proposed for stage two of the program should be adopted immediately because it will help most doctors and hospitals to comply with the government’s requirements.

“Patients need an interoperable system that enables doctors and hospitals to share their electronic health records, but the government, doctors and hospitals need time to do it right,” Alexander told a senate hearing.  “Some hospitals have told me they are ‘terrified’ by the prospect of stage three.  It does not help patients to makes these massive changes fast and wrong.  It does help patients to do this deliberately and correctly so that hospitals and doctors embrace the changes instead of dread them.”

Since 2009, the federal government has spent more than $30 billion to encourage the nearly 500,000 physicians and more than 5,000 hospitals who serve Medicare and Medicaid recipients to establish electronic health records systems. About half of these doctors and most hospitals have established such systems. Beginning this year, the government is assessing penalties on those who have not. About 257,000 physicians have begun losing 1 percent of their Medicare reimbursements and 200 hospitals may be losing more than that, the senator said.

Alexander said that all hospitals and most physicians met the requirements of the first stage of the so-called “meaningful use” program but that stage two requirements are so complex that only about 12 percent of eligible physicians and 40 percent of eligible hospitals have been able to comply. “That is why the government should immediately adopt its proposed modifications to the stage two requirements—so physicians and hospitals have time to adapt to these huge changes,” he said.

“Our senate health committee has held five hearings on this electronic health records program,” Alexander said.  “Many of those who testified have urged us to delay making final these stage three requirements in order to really help patients. I look forward to working with Senator Murray, Secretary Burwell and other members of the administration on finding the best ways to modify this program and these requirements.”
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ICD-10 Coding Guidance

How should claims be handled when they are split for an outpatient encounter spanning the October 1, 2015, ICD-10 implementation date?

You must separately bill claims for services furnished prior to October 1, 2015, from claims for services furnished on or after October 1, 2015. When claims are split for an encounter spanning the ICD-10 implementation date, you must maintain all charges with the same Line Item Date of Service (LIDOS) on the correct corresponding claim for the encounter. You must not split single item services whose timeframes cross over midnight on September 30, 2015, into two separate charges. Instead, you must place the single item service in the claim based upon the LIDOS as follows:
  • Emergency room (ER) encounters – Date the patient enters the ER
  • Observation encounters – Date observation care begins
For more information, refer to MLN Matters® articles Medicare FFS Claims Processing Guidance for Implementing ICD-10 and Institutional Services Split Claims Billing Instructions for Medicare FFS Claims that Span the ICD-10 Implementation Date on the CMS website.
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Call for Nominations

The Tennessee Health Information Management Association (THIMA) Nominating Committee wants you to suggest fellow members and/or yourself as possible candidates for the THIMA Board of Director and Nominating Committee positions.

Click here to complete the online nomination form and to learn more about the responsibilities of the positions.

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Local HIMA News and Meetings

Announcing Middle TN HIMA- September Meeting



September 23, 2015
11:00 am – 1:00 pm Central


Maury Regional Medical Center, Columbia TN
Auxiliary Conference Room (main floor)

CEU: 2


Donna Coomes, MBA, RHIA, CHPS, CPHQ, CCS, 
HIPAA Compliance Officer and 2015-2016 THIMA President

Segment One:  THIMA Update
Segment Two:  HIPAA: Privacy and Security in a Technology Driven World


The registration fee includes lunch.

MTHIMA Members:  $0
MTHIMA Non-Member:  $15
AHIMA Student -  includes lunch $5
AHIMA Student -  no lunch$0

Click here for registration

Online registration will close end of business Friday, September 18, 2015.

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KAHIMA Annual Coding Symposium



November 20, 2015
7:45am - 4:15 pm

Location - TBD

CEUs:  6

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SAVE THE DATE:  October 15.

More info to follow.

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More Free Webinars

Health IT and Patient Safety

Tuesday, October 06, 2015
11:00 am - 12:00 pm EDT

Properly used, Health IT can significantly improve patient safety. Many organizations, however, are not achieving all the safety benefits they should from their investment in technology.

Join us on October 6, as Advisen will host a free webinar that will examine poor clinician compliance, low patient event reporting and other factors that result in sub-optimal performance of Health IT. Panelists will also offer actionable recommendations for successfully using technology to enhance communication and coordination within a healthcare facility to reduce risk and improve the management of adverse events.

This free one-hour webinar on October 6th is sponsored by Riskonnect and PSQH.
The following panelists will participate in the webinar:
  • David Bradford, President, Research & Editorial Division, Advisen (Moderator)
  • Brian Stromberg, Sales Executive, Riskonnect
  • Paul R. Lindeman, Chief Medical Information Officer, veEDIS Clinical Systems, LLC
Webinar topics to be discussed:
  • What is Health IT? How can it help improve patient safety?
  • How can the use of technology be maximized to reduce risk in a healthcare facility?
  • What platforms are available in the market to improve patient safety?

TN Payment Reform Initiative (enter a name and email address to access the webinar) offers free live and archived webinars.

Leadership in Information Governance

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September 23, 2015
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October 15, 2015

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November 20, 2015

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