Elevating the Business of HealthcareCOVID-19 IP & OP Coding and CDI UpdatesResources & References

Kim Felix, RHIA, CCS

Jeanie Heck, BBA, CCS, CPC, CRC

Allison Van Doren, RN BSN CCDS CDIP CRC

Intellis

Updated: May 26, 2020 IntellisIQ.com 1

Our Educators

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Kim Felix RHIA, CCS Jeanie Heck BBA, CCS, CPC Allison Van Doren RN, BSN, CCDS, CDIP

• VP of Education• 25 years of HIM coding experience

including, coding, auditor, and

manager at various facilities• Project manager for KPMG and

Ernst & Young• Adjunct Faculty Gywnedd-Mercy

College, Pierce College, Thomas

Jefferson University, and Western Governors University

• Publishing Experience:- Coder Instructor Resource Guide for Elsevier Publishing

- Published articles in HFMA’s Revenue Cycle Strategist and For the Record

• Director of Education & Auditing for Intellis

HCC auditor and educator for

clinical documentation improvement, coding, risk

adjustment for physicians• Camden County College - Adjunct

Faculty

• Santa Barbara City College –Adjunct Faculty

• Physician Practice Manager for 28 years

• VP of Clinical & Quality Services• 10+ years of clinical nursing

experience at Level 1 Trauma,

Academic medical centers• Project lead for query compliance

project• National speaking experience:

- To Err is Human: CDI Impact on Patient Safety Indicators, ACDIS National

Conference 2016

- A Matter of Life or Death: CDI Impact on Mortality Risk Adjustment, ACDIS National Conference, May 2015 & UHC

National Conference, September 2015

- Query Compliance, SePHIMA Chapter

Meeting, PA/NJ ACDIS Meeting

- HCC’s Through the Patient Care Continuum, AHIMA CDI Summit, July 2019

Intellis IQ Education & Training Disclaimer• The information and opinions presented here are based on the experience,

training, and interpretation of the author. Although the information has been researched and reviewed for accuracy, the instructor does not accept any responsibility or liability with regard to errors, omissions, misuse, or misinterpretation. This information is intended as a guide; it should not be considered a legal/consulting opinion or advice.• This information is proprietary and should not be copied or distributed by

anyone other than Intellis. • Due to the evolving understanding of the nature of the disease, please

understand that the following information is subject to change. As a result, Intellis will not disseminate copies of this presentation.

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Coding ReferencesCDC:

• https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf (Feb 20, 2020)

• https://www.cdc.gov/coronavirus/2019-ncov/index.html (April 21, 2020)

• https://www.cdc.gov/nchs/icd/icd10cm.htm (April 1, 2020)Official Coding Guidelines/Coding Clinic:

• https://www.cdc.gov/nchs/data/icd/10cmguidelines-FY2020_final.pdf

• https://www.codingclinicadvisor.com/faqs-icd-10-cm-coding-covid-19 (May 26, 2020)• FY2021 Proposed Rule. Centers for Medicare and & Medicaid Services.

https://s3.amazonaws.com/public-inspection.federalregister.gov/2020-10122.pdfCMS:

• https://www.cms.gov/files/document/se20015.pdf (April 27, 2020)

• Also published in Coding Clinic First Quarter 2020IntellisIQ.com 4

OP Coding ReferencesCDC:

• https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf (Feb 20, 2020)

• https://www.cdc.gov/coronavirus/2019-ncov/index.html (April 21, 2020)

Official Coding Guidelines/Coding Clinic:

• https://www.cdc.gov/nchs/data/icd/10cmguidelines-FY2020_final.pdf

AHA:

• https://www.aha.org/issue-landing-page/2020-03-15-coronavirus-covid-19-coverage-and-reimbursement

American Academy of Pediatrics:

• https://www.gottransition.org/resourceGet.cfm?id=352 (March 2020)

AHIP:

• https://www.ahip.org/wp-content/uploads/Health-Insurance-Providers-Act-Swiftly-as-Part-of-the-COVID-19-Solution.pdf (April 2020)

• https://www.ahip.org/health-insurance-providers-respond-to-coronavirus-covid-19/(May 26, 2020)

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Telemedicine ReferencesAMA:• https://www.ama-assn.org/practice-management/digital/amid-pandemic-cms-should-

level-field-phone-em-visits (April 20, 2020)• https://www.ama-assn.org/press-center/press-releases/new-cpt-code-announced-

report-novel-coronavirus-test (March 13, 2020)• https://www.ama-assn.org/system/files/2020-05/covid-19-coding-advice.pdf (May 4, 2020)CMS:• https://www.federalregister.gov/documents/2020/04/06/2020-06990/medicare-and-

medicaid-programs-policy-and-regulatory-revisions-in-response-to-the-covid-19-public(April 6, 2020)• https://www.cms.gov/about-cms/emergency-preparedness-response-

operations/current-emergencies/coronavirus-waivers (May 15, 2020)• https://pbn.decisionhealth.com/Blogs/Detail.aspx?id=200871&spMailingID=17140947

&spUserID=NDMyNDk0NjU3MzE5S0&spJobID=1841644197&spReportId=MTg0MTY0NDE5NwS2 (March 26, 2020)

• https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf(April 21, 2020)

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Telemedicine References

American Telemedicine Association:• http://legacy.americantelemed.org/policy-page/state-policy-resource-

centerMedicaid:• https://www.medicaid.gov/medicaid/benefits/telemedicine/index.html• COVIDUninsuredClaim.HRSA.govUnited Healthcare:• https://www.uhcprovider.com/content/provider/en/viewer.html?file=%2Fc

ontent%2Fdam%2Fprovider%2Fdocs%2Fpublic%2Fresources%2Fnews%2F2020%2FTelehealth-Patient-Scenarios.pdf (May 13, 2020)

Pennsylvania Medical Society:• https://www.pamedsoc.org/laws-advocacy/topics/articles/telemedicine-covid-19

(May 21, 2020)

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VA/TRICARE/Humana Telemedicine Resources• https://www.aafp.org/journals/fpm/explore/online/virtual_visits.html• https://tricare.mil/CoveredServices/IsItCovered/Telemedicine• https://www.humanamilitary.com/provider/education-and-resources/quick-access/policy-updates-and-alerts/telemedicine-111219• https://manuals.health.mil/pages/DisplayManualHtmlFile/TP15/54/AsOf/TP15/c7s22_1.html?highlight=telemental%20health%20program||xfilter%28name%20%22c7s22_1.xml%22%29%20and%20xfilter%28word%20%22CHANGE_TYPE%3a%3aASOF%22%29%20and%20%28xfilter%28word%20%22ACRONYM%3a%3aTP15%22%20andword%20%22CHANGE_NO%3a%3a54%22%29%29|.html• https://www.telehealth.va.gov/type/home

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CDI References• American Society of Hematology: COVID-19 and Coagulopathy. (2020, April 14). Updated on May 18,2020

from https://www.hematology.org/covid-19/covid-19-and-coagulopathy• Boggs, W. (2020, March 20). Liver Injury Common with COVID-19. Retrieved from

https://www.medscape.com/viewarticle/926628 on March 23, 2020. • Clinicaltrials.gov for COVID related research• Coronavirus Disease 2019 (COVID-19): Therapeutic Options for Patients with COVID-19. Updated on May 25,

2020 from https://www.cdc.gov/coronavirus/2019-ncov/hcp/therapeutic-options.html. • Coronavirus (COVID-19) infection–induced chilblains: A case report with histopathologic findings. Kolivras,

Athanassios et al., JAAD Case Reports, Volume 0, Issue 0. Retrieved from https://www.jaadcasereports.org/article/S2352-5126(20)30282-4/fulltext on May 18, 2020.

• COVID-19 Resources. (2020). Surviving Sepsis Campaign. Retrieved on April 15, 2020 from https://www.sccm.org/getattachment/Disaster/SCCM-COVID-19-Infographics1.pdf?lang=en-US

• Cytokine Release Syndrome (CRS) After Immunotherapy. (2019, March). Retrieved from https://together.stjude.org/en-us/diagnosis-treatment/side-effects/cytokine-release-syndrome-crs.html on March 22, 2020.

• Grein, J., Ohmagari, N., Shin, D., et al. (10 April, 2020). Compassionate Use of Remdesivir for Patients with Severe Covid-19. New England Journal of Medicine. doi: 10.1056/NEJMoa2007016. Retrieved from https://www.nejm.org/doi/pdf/10.1056/NEJMoa2007016

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CDI References

• Here’s the Damage Coronavirus (COVID-19) Can Do to Your Lungs. (20 March, 2020). Retrieved from https://health.clevelandclinic.org/heres-the-damage-coronavirus-covid-19-can-do-to-your-lungs/

• Mehta, P., McAuley, D., Brown, M., et al. (2020, March 16). COVID-19: consider cytokine storm syndromes and immunosuppression. Retrieved from https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30628-0/fulltext on March 22, 2020.

• Murthy, S., Gomersall, C., & Fowler, R. (2020, March 11). Care for Critically Ill Patients with COVID-19.Retrieved from https://jamanetwork.com/journals/jama/fullarticle/2762996?resultClick=1

• Oxley, T., Mocco, J., et al. (2020, April 28). Large-Vessel Stroke as a Presenting Feature of Covid-19 in the Young. Retrieved on April 29, 2020 from https://www.nejm.org/doi/full/10.1056/NEJMc2009787?query=RP

• SARS-CoV2 American Association of Respiratory Care Guidance Document. (2020). Retrieved on April 15, 2020 from https://www.aarc.org/wp-content/uploads/2020/03/guidance-document-SARS-COVID19.pdf

• Wang L, Li X, Chen H, et al. Coronavirus disease 19 infection does not result in acute kidney injury: An analysis of 116 hospitalized patients from Wuhan, China [published online March 31, 2020]. Am J Nephrol. doi: 10.1159/000507471

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Check out our website for the most reliable latest and greatest COVID-19 updates

https://intellisiq.com/covid-19/

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THANK YOUStay Safe, Stay Healthy and Stay Home

For more information, please contact:Dan Cooke, President484.264.1609dcooke@intellisinc.com

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