Medical Billing Blog: Section - Medical Data

Archive of all Articles in the Medical Data Section

This is the archive containing links to all articles written in the Medical Data section of our blog.

Click any of the article links below to read the entire article or browse another section to the right to read articles on another subject.

EHR Satisfaction and Ease of Use

If you are a healthcare worker in any field, you are probably aware of the HITECH Act.  This Act was the inception of the electronic medical record (EHR), and meaningful use.  Meaningful use was the proposal from CMS and ONC.  The idea was to have the electronic medical record have interoperable capabilities throughout the United States (cdc.gov 2019).  We know now that is not in effect.   The introduction of the HITECH Act was to demonstrate to the reader that the front line healthcare worker (Physician, Nurse, Physician Assistant, Certified Nurse Assistant, etc.), are the workers that are the most impacted by the use of the electronic medical record.  If

By: Michelle Bottone, CCS, CDIP
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ICD Code Classifications for COVID-19

At the time I am writing this article, the U.S. has confirmed over 4.2 million cases of COVID-19 and 144,000 deaths nationwide, and as the threat of Coronavirus (COVID-19) continues to seemingly increase daily, The World Health Organization had to develop codes for classification of Covid-19 cases.   The World Health Organization Family of International Classifications (WHOFIC) Network Classification and Statistics Advisory Committee (CSAC) had an emergency meeting on 31st of January 2020 to discuss the creation of a specific code for the new coronavirus 2019 (COVID-19).   World Health Organization (WHO) has established a new International Classification of Diseases (ICD-10) emergency code (U07.1, 2019-nCov acute respiratory disease). The virus

By: Melissa Clark, CCS-P, RT - CEO
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EHR Training and Experience Lead to Decreased EHR Use by Residents

Are you satisfied with your EHR? Do you spend 40% of your day in your EHR? Research shows that some physicians do..   “Physicians at large community hospitals spend nearly four hours during work hours, or roughly 40 percent of their day, on the EHR, according to a study published in the Public Library of Science (PLOS ONE). Additionally, researchers found a significant decrease in resident EHR use with increased training and experience, although the overall amount of time spent on the EHR remained high. “Studies exploring EHR use emphasized extensive time as one of the significant drawbacks to EHR,” wrote the study authors. “It has been reported that physicians

Mentioned By: Melissa Clark, CCS-P, RT - President and CEO
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Recent Implementation of a New Set of COVID-19 Dataset Codes

Information from EHR Intelligence… “There will now be over 150 new LOINC dataset codes that are linked to COVID-19. Health IT professionals at Regenstrief Institute have added new COVID-19 standardized codes for laboratory testing and clinical observations to the Logical Observation Identifiers Names and Codes (LOINC) dataset. LOINC aims to streamline health data standardization for more efficient EHR use and health data exchange, which is key when a pandemic such as COVID-19 occurs. As one of the most widely-used code systems, LOINC seeks to provide standardization in medical test result identification, observations, and a variety of other clinical measures. LOINC promotes interoperability with new terms for tests and clinical observations

Mentioned By: Melissa Clark, CCS-P, RT - President and CEO
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How Do We Improve Data Collection and Exchange Following COVID-19?

How Do We Improve Data Collection and Exchange Following COVID-19? Christopher Jason answers this question in an article at EHR Intelligence.   Reducing measurement burden, addressing the lag in reporting data quality, and improving data standardization will be key to boosting clinical quality measurement, according to a recent journal article published in JAMA Network. “There is a lack of information that would help clinicians improve care delivery in the moment and learn for the future,” J. Matthew Austin, PhD, and Allen Kachalia, MD, wrote in the article. “This situation highlights how the current approach to quality and safety measurement remains too labor intensive, contains significant data lags, and lacks sufficient

Mentioned By: Melissa Clark, CCS-P, RT - President and CEO
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EHR and Interoperability Must Evolve to Integrate Genomic Data

“As genomic data becomes more prevalent and complex, EHRs must adapt and evolve to provide better patient care, according to a statement released by the American College of Medical Genetics and Genomics (ACMG). Genetic and genomic testing has become an important tool to enhance clinical decision-making and ultimately precision medicine. However, health IT, especially the EHR, are not able to integrate and interpret this data, ACMG said. In order to integrate genomic information into EHRs, amplifying patient autonomy, access, genetic literacy, privacy and protection, transferability of data, and assigning a data set must occur. “The electronic health record serves as a powerful interactive tool in improving the healthcare of patients

By: Melissa Clark, CCS-P, RT - CEO
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Better Data Collection is Key to Addressing EHR and Claims Data Discordance

“There is a moderate agreement between EHR data and Medicare Part D (MPD) claims data for the receipt of oral anticancer agents, which are a popular treatment option for cancer patients, according to a study published in JAMA Network Open. The study, conducted by the Texas Cancer Registry and The University of Texas MD Anderson Cancer Center (MDACC), found that 73.8 percent of the EHR data and MPD claims data overlapped, with 176 data sets shown in both and 123 sets not shown for either. Oral anticancer agents are becoming more popular and equally as expensive, leaving policymakers to uncover data about how patients use them, which then allows for

By: Melissa Clark, CCS-P, RT - CEO
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EMR Documentation Issues During the COVID-19 Pandemic

Physician News posted a great article discussing EMR documentation issues during the pandemic. As hospitals are overwhelmed with COVID-19 patients and staff are stretched to their limits, electronic medical record (EMR) documentation may suffer as a result of rushed, less detailed and error-prone entries. EMR workarounds are also expected to flourish. In the current medical malpractice climate where greater scrutiny can be placed on the EMR and audit trail over the medicine itself, it is very important to maintain an accurate chart. There are steps that can be taken now to prepare for anticipated documentation issues related to care rendered during the COVID-19 pandemic. The most important recommendation is to

By: Melissa Clark, CCS-P, RT - CEO
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