E/M Coding Lecture Slideshow Presentation For Hospitalists
Presented here is a slideshow evaluation and management (E/M) coding lecture presentation I was asked to provide for the local Society of Hospital Medicine (SHM) chapter meeting October, 2014. This lecture is not sponsored or affiliated with any SHM resource but is my interpretation of numerous resources, including CPT and CMS, I have researched over many years to help physicians master correct E/M coding. The 2018 CPT ® manual is an invaluable coding resource and can by found on Amazon through the image below and to the right.This slideshow presentation focuses on the difference between alevel 2 vs a ...
Source: The Happy Hospitalist - October 6, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
E/M Coding Lecture Slideshow Presentation For Hospitalists
Presented here is a slideshow evaluation and management (E/M) coding lecture presentation I was asked to provide for the local Society of Hospital Medicine (SHM) chapter meeting October, 2014. This lecture is not sponsored or affiliated with any SHM resource but is my interpretation of numerous resources, including CPT and CMS, I have researched over many years to help physicians master correct E/M coding. The 2018 CPT ® manual is an invaluable coding resource and can by found on Amazon through the image below and to the right.This slideshow presentation focuses on the difference between alevel 2 vs a ...
Source: The Happy Hospitalist - October 6, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
Fibromyalgia Allergy List Crashes EMR at Local Hospital
Arlington, VA - Officials at Saint Vincent Hospital are searching for answers after a fibromyalgia patient with 57 allergies crashed their electronic medical record less than two hours after going live. "We were not prepared for the destructive forces fibro[myalgia] had to our IT infrastructure," said CEO Lance Bestow. "We spent eighty million dollars and hired fourteen consulting firms and it still found a way to ruin our day."Pharmacist Jim Detter was working data entry duty when the malicious fibromyalgia attack occurred. "Everything was fine at first. Then I hit a string of allergies to ca...
Source: The Happy Hospitalist - August 26, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Hospital Matches Personality Disorders of Patients With Medical Staff.
Dallas, Texas - Saint James Medical Center began triaging patients last week using exact match personality disorder testing. In preparation for this groundbreaking process, all doctors, nurses and other hospital employees completed mandatory personality disorder questionnaires several months prior."We had narcissistic doctors telling antisocial drug seekers 'Dilaudid is not the right drug for you.' The borderline nurses were walking past paranoid schizo rooms whispering 'We're here to help you.' It was ridiculous," said, Frank Duschbaugh, Director of Patient Satisfaction at Saint James Medical Center.A re...
Source: The Happy Hospitalist - August 21, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
EHR Updates During Busiest Time of Day Preferred By Hospital Doctors.
Grand Rapids, Michigan - Epic Systems Corporation, the maker of a leading electronic health records (EHR) product, has confirmed most physicians prefer to have their patient data management system go offline during times of peak patient encounters.A recent study published in the Journal of Electronic Health Records asked 5280 physicians at four Michigan hospitals with at least two years of EHR experience when they prefer to have their system go offline for routine weekly maintenance. An overwhelming 77% preferred the hours of 3 - 7 pm on Mondays. The other 23% answered not applicable as they had not yet logged into t...
Source: The Happy Hospitalist - August 14, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Hospital Emergency Department Testing Drones To Deliver Bad News.
Newport, Connecticut - Trendy Hospital in Newport Connecticut is the first medical center in the United States to implement a drone program for delivering bad news in the emergency department.Frank Gilmore, Chief Technical Drone Operator at Trendy Hospital, says "Our beta testing results are through the roof."Drone is slang for an unmanned aerial vehicle. Their use has rapidly expanded into many facets of everyday life. At Trendy Hospital, drone use is currently limited to the delivery of bad news. "We don't want our patients associating bad news with any single physician. The risk of bad pati...
Source: The Happy Hospitalist - August 11, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Foreign Bodies Left in the OR. Major US Hospital Shut Down.
Baltimore, MD - The Centers for Medicare and Medicaid Services (CMS) announced the closing yesterday of world famous Johns Hopkins University Hospital after three foreign bodies* were left in the operating room on the same day. "I've been in the O.R. business for 20 years and I've never seen three foreign bodies left in the O.R. on the same day," said Amy Blamer, a random a surgical technologist from Kansas with 23 years experience who was interviewed for this story.On August 9th, 2014, a whistleblower notified CMS that that Dupang Mahepedra, Xiarp Xoxoxo, and Tariq Mohammad all died in the operating room. All three ...
Source: The Happy Hospitalist - August 10, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Ebola Virus Joins Medicare List of 30 Day Readmission Penalties.
Washington, DC - The Centers For Medicare and Medicaid Services (CMS) announced new payment guidelines for treatment of Ebola hemorrhagic fever. Starting August 1st, 2014, Ebola virus disease, or ICD-10 A98.4 for short, has been added to the list of diagnoses with 30 day readmission penalties."Most Ebola patients will die within 30 days. If they survive, we want to make sure CMS isn't stuck holding the bag," said Jane Fragbleff, Head of Operating Margins at Medicare.Section 3025 of the Affordable Care Act, known by the street name Obamacare, requires CMS to reduce payments to hospitals with exc...
Source: The Happy Hospitalist - August 8, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Ebola Virus Humor Memes and Stories.
I know it's hard to imagine that something as awful as Ebola virus could be funny. Well, it's true. The Happy Hospitalist has created a collection of mostly original Ebola humor content that can't be found anywhere else on the internet, except on Facebook, Twitter and Pinterest. This humor is not meant to make light of the devastating disease and morbidity this virus has brought upon hundreds of West African natives and a couple of white Americans. That pain and suffering is fully understood and appreciated. We're all in this together, except for those in isolation. They're in it alone. ...
Source: The Happy Hospitalist - August 8, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Ebola Patient at Emory University Denied Inpatient Status By Insurance.
Atlanta, GA - UnitedHealthCares (UHC) of Dekalb County has informed hospital officials at Emory University that Ebola patient Dr. Kent Brantley does not meet inpatient criteria. UHC's commission based claims reviewer, Sven Tweeny, CNA, has recommended 24 hours of observation care instead. "If we paid inpatient for every viral syndrome, we'd run out of money before New Year's Eve."Attending physician Dr. Frank Johnstick was informed of the decision during a physician-to-CNA courtesy briefing. "That doesn't surprise me. We've been battling Dekalb United CNAs for years."Ebola virus cause...
Source: The Happy Hospitalist - August 6, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Orthopedic Surgeon With Ebola Estimates Own Blood Loss at 5 RBCs
SIERRA LEONE - Orthopedic Surgeon Dr Stan Bostek is in critical condition after contracting the deadly Ebola virus while providing mission work in West Africa. Dr. Bostek was traveling with Doctors Against Hammertoes, an international organization of orthopedic surgeons who risk their lives to travel the world tax free and provide life saving hammertoe surgery for local residents.I can confirm I have Ebola, but I'm not worried," said Dr Bostek, a Harvard graduate. Dr. Hans Fenceworth, an internist hired by the team of surgeons to provide accurate documentation, disagreed. "I think the only reason Stan isn't worried i...
Source: The Happy Hospitalist - August 5, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Ebola Virus Mutates On Entry Into United States. Responds To Antibiotics
Atlanta, GA - The Centers for Disease Control and Prevention (CDC) is reporting two American aid workers who contracted Ebola hemorrhagic fever while treating others in West Africa have started responding to treatment with antibiotics. "Never in my wildest dreams did I imagine Ebola would respond to antibiotics," Dr. Feldor Baldink, a public health physician with the CDC, said in a statement Sunday. Dr. Kent Brantley and Nancy Writebol were flown urgently back to the United States and transferred to Emory University, one of just a handful of American medical centers that are specially equipped to do nothing...
Source: The Happy Hospitalist - August 3, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
Dyscrazia: A Diagnostic Conundrum Solved.
NEAR CRAZY WOMAN CREEK, WY - Hospitalists in Wyoming have discovered a remarkable illness that has eluded physicians for decades. Dyscrazia, first reported in the Journal Of Throw Away Journals, was coined by Park Ranger and Father of Native American Hospitalist Mountain Medicine, Dr Run Fast Like Bear PR, MD, MPH, FHM, PHD, PQRI, ABIM, CPOE.After years of being terrorized by nonsensical middle-of-the-night patient requests, Dr Bear hypothesized, "We always thought dyscrazia was the only rational medical diagnosis to explain why healthy women with 62 complaints but no actual medical problems would demand an or...
Source: The Happy Hospitalist - July 8, 2014 Category: Internists and Doctors of Medicine Authors: Tamer Mahrous Source Type: blogs
99232 vs 99233 Coding Comparison (Subsequent Care Hospital Follow-Up).
This lecture will assist physicians and non-physician practitioners (NPP) determine if their inpatient hospital follow-up note documentation meets criteria for a level 2 (CPT ® 99232 mid level subsequent care) or a level 3 (CPT® 99233 high level subsequent care)evaluation and management (E/M) code. Recovery Audit Contractors will most likely continue to target E/M codes for improper payments. Physicians and NPP must pursue documentation education to prevent accusations of over billing and to prevent under billing for work provided. I am an internal medicine physician with over 10 years experience ...
Source: The Happy Hospitalist - June 24, 2014 Category: Internal Medicine Authors: The Happy Hospitalist Source Type: blogs
