IHS EHR Indian Health Service Electronic Health Record PCC/Coding Krisanne Billy.

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Presentation transcript:

IHS EHR Indian Health Service Electronic Health Record PCC/Coding Krisanne Billy

Objectives for this Session  Role Changes  PCC Data Entry Coding Process  Error Report  Communication  New Coding Queue

Role Changes  Coding & Data Entry are a combined position.  Instead of 2 data entry clerks, we have 70 data entry providers who encode data.  Auditor  Educator

PCC Coding Process  Coders are assigned days. (ODD/EVEN)  Coding/Auditing from a coding queue  We code from EHR/RPMS not the chart  Corrections communicated to provider via notification (demonstration)

PCC Error Report  Daily Error Reports should be run  Most Common Errors: Missing POV Missing POV Missing E&M Code Missing E&M Code Uncoded diagnosis (Separate Report) Uncoded diagnosis (Separate Report) Duplicate Visits Duplicate Visits 2 visits created on the same day – have to be merged2 visits created on the same day – have to be merged

Coding Queue Coding Queue  Paperless list on RPMS that shows every visit for a specific date range, that have not been audited by the coder.  Pros No more VGEN lists (only for research purposes)No more VGEN lists (only for research purposes) Everything is there.Everything is there. Flag errors & incomplete chart notes.Flag errors & incomplete chart notes.

PCC-Business Office Communications  Bills are generated before PCC has reviewed the visit. Communicate with Business Office. What can they bill? What can they bill?

Questions?