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

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

3. 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

4. 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)

5. PCC Error Report  Daily Error Reports should be run  Most Common Errors: Missing POV Missing POV Missing E&M Code Missing E&M Code.9999 - Uncoded diagnosis (Separate Report).9999 - 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

6. 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.

7. 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?

8. Questions?