Coding
What is PDX?
Primary Diagnosis
What does ROI stand for?
Release of Information
Where is our main hospital located?
Sacramento/Mather
Who is our Complaince Officer?
Joseph Nozzolillo
What EMR does our facility use?
CPRS
What coding software do we use?
Nuance
What are the two types of requests?
First and Third Party requests
Who is VA NorCals Director?
David Stockwell
What is the monthly CBI audit checking for?
Coding Accuracy
What is H&P?
History & Physical
What does PQT stand for?
Physician Query Tracker
What software is used to process requests?
DSS ROI+ Document Storage Systems Inc Relase of information
What VISN do we fall under?
VISN 21
What does C & I stand for?
Compliance and Integrity
What required documentation is entered when the patient is leaving the hospital?
Discharge Summary
Where are the NONVA PTFs pulled from?
VSSC
What does FOIA stand for?
Freedom of Information Act
Which location did we lose to SFVA?
Oakland
What resource can you use to find where to report concerns?
Code of Intregrity
What is required when a resident is the one entering documentation?
Attending Cosignature
What E&M Changes occurred 2021?
E&M level based on either Medical Decision Making(MDM) or Time, whichever favors the best appropriate reimbursement
What does 38 u.s.c 7332 cover?
Confidentiality of certain medical records such as Drug Abuse, Alcoholism and Alcohol Abuse, HiV, Sickle Cell Anemia
What does ICARE stand for?
Integrity Commitment Advocacy Respect Excellence
What are the three things Compliance monitors?
Fraund Waste and Abuse
When is missing documentation considered delinquent?
Anything greater than 30 days