Code Me
These types of codes should never be documented within a provider’s note.
What is ICD-10 (diagnosis) codes?
This is how often labor mapping should be certified.
What is every pay period?
It is the location for capturing telephone encounters
What is a phone clinic?
This indicates on the cover sheet next to appointment that encounter isn’t complete
What is "Action Required"?
It is where diagnoses used in the VERA classification process are found
What is the medical record or encounter?
Before your diagnosis is entered in the encounter form, it must first go here.
What is the progress note?
This is who should you reach out to if you have questions about labor mapping
Who are Nicolette Borders or LaRue Sumner?
Telephone calls less than 5 minutes in length do not qualify for this
What is "workload capture"?
This is the box you check when entering documentation for contacts not meeting workload definitions
What is "historical".
If an encounter is not this, then it won't transmit for VERA/workload capture
What is complete/checked out?
All of these that were treated, addressed, and/or affect the treatment plan must be documented and coded.
What are diagnoses?
True or False: Workload can be disregarded if the employee is not working in their normal department
What is FALSE?
No workload should never be disregarded. The Golden Rule in MCA is MAPPING FOLLOWS WORKLOAD
$15 or $50
What might a Vet be billed for phone care captured in a F2F clinic?
You email this team when you need a progress note moved to a corrected encounter
Who are the Clinical Application Coordinators (CACs)? VHAMRNCAC
Documentation and coding should be to the highest level of this
What is specificity?
Should not be coded when more specific code available.
What are unspecified diagnosis codes?
Instead of the organizational chart, this is how an employee is mapped
What is mapped using workload or where the person physically supported?
This item that needs to be documented on every phone encounter because the CPT code description requires it
What is the time?
Before an encounter is entered, this is required to be complete
What is clinical documentation?
Use of ICD-10 codes beginning with this letter should be used judiciously
What are "Z" codes?
These should never be used in documentation when referring to time.
What are ranges of time?
This is how you map an employee on extended leave > than 2 pay periods
What is move employee to the Admin dept he/she usually works until they return?
VHA Directive 1082
What is VHA's policy for data capture?
Guidelines on how to answer the classification questions (SC/AO/etc.) on the encounter form may be found here in CPRS
What is the "Tools" menu?
Encounters left in this state have a negative impact on VERA patient classification, workload, and potential billing opportunities
What are incomplete encounters?