Coronavirus: Tips for Working from Home
Companies around the world have told their employees to stay home and work remotely. Whether you’re new to this concept or a work from home veteran, here’s some tips to staying productive from our #HIAfamily.
My passion is classic cars and now that I’m home I can attend more classic car shows in the area even during the week. Right now they are all postponed due to the virus but I can still get out and drive!
How do I stay motivated?
The countdown to Friday and the weekend!
My cat, Percy, is one of my favorite things about working from home. He shares my desk with me in the mornings.
My best tip is to have a routine for the day and stick to it. Just as if you were going into an office. For me, it makes things go more smoothly to stay in that routine day after day.
As far as staying motivated while working from home, I like to play my favorite music in the background while working. My house if quiet now that all the kids are gone, and if it’s too quiet my mind starts to stray a bit. My favorite thing about working from home is the flexibility of the work hours. If I can’t sleep, I get up and work super early in the morning. Also, it’s easier to work around any appointments I might have during the day. 😉
For me personally, my favorite things about working remotely…
- I don’t have to wake up extra early (2 hours earlier than my clock-in time) in order to get myself and my kids ready to get out of the door
- I can work in the most comfortable attire
- I don’t have to battle traffic on a daily basis
- I can avoid office drama that is common in large office spaces
- I don’t have to pack my lunch and therefore have access to my entire kitchen to make wise choices for lunch
- I can use my lunch hour to go for a run or a bike ride and come back sweaty without bothering my coworkers with my BO (haha)
- I can have a flexible schedule to drop off and pick up my kids from school
- Most of all, at this time in our lives, I can avoid being exposed to others being sick! (aka coronavirus).
And all of the above benefits in addition to great pay and benefits with the best employer in the world!
So why wouldn’t someone not want to work from home??
I would encourage everyone working from home to:
- Get up and get dressed. Staying in PJs seems fun, but not taking that extra time for yourself can be ‘depressing’.
- Take breaks – step outside and breath in the Spring season fastly approaching
- Find something to do with your hands: A jigsaw puzzle in the evening can be fun for all family members, and keeps you out of the refrig! Rumicube or a board card tossed in the back of the closet – time to pull it out.
- Get those planting beds ready. Rake the dead leaves, and turn the soil. You will be ready to plant when the trucks finally arrive and stores are ready for shopping again.
- Eat up the stored canned goods and freezer content – a good time to use stored items.
- Find a purpose – call the neighbors to check on them. Share good vibes.
- Live your faith – that this will pass, all things are possible, God is in control. Americans can and will be responsible citizens to each other and to the world.
If you have kids at home, work when they are sleeping. Even if you are getting up at 4am, which sounds crazy but that is what I did when I started working from home. I would love insomnia driven mornings where I was tired of the tossing an turning so I would start working at 1am or so. That way, I was still able have time with the kiddos and get all the household things done.
Favorite thing about working from home…NO COMMUTE! NO DRIVE TIME! It was like getting a bonus of extra time!
You get to use your own bathroom!!! You get to control the temperature in your workplace. Oh and no downtime from getting off of work and going to your next activity….
I love walking my dog on my lunch break or afternoon break. Gets me out in the fresh air and sunshine! I return to my work refreshed and with a clear head. 😊
Having a furry assistant available to stress release. Nothing like doggie kisses!
I love working from home because of the convivence and flexibility especially with having kids. Although my kids are old enough and are self-sufficient, it’s nice to be available to them when needed. I also like having to not get ‘dressed’ up for work! And the not having to drive to work in the winter is a plus especially living in Iowa the winters are very long.
My favorite thing about being able to work from home is being there when my teenage daughter gets home from school. I am able to know who comes in my home to hang with her and to help her if she has questions on homework or any other things that come up for her during the day while it is still fresh in her mind.
This is Part 5 of a five part series on the new 2021 CPT codes. For the remaining areas we will just briefly summarize the section. Due to the intricate nature of these sections in CPT, it is recommended that the coder read the entire section notes associated with the new codes.
This is Part 4 of a five part series on the new 2021 CPT codes. In this series we will explore the CPT changes in the urinary, nervous, ocular and auditory systems. There are 2 new urinary/male reproductive system codes with no revisions or deletions; 3 new female reproductive codes with 2 deletions, 0 new with 4 deleted nervous system codes with 5 revisions; 5 new eye category III codes; and finally a 2 new auditory codes with one deletion.
This is Part 3 of a five part series on the new 2021 CPT codes. In this series we will explore the cardiovascular system CPT changes. There are 5 new cardiovascular CPT codes added with 0 deletions and 4 revisions.
This is Part 2 of a five part series on the new 2021 CPT codes. In this series we will explore the CPT changes for FY2021 and include some examples to help the coder understand the new codes. There are 0 new musculoskeletal CPT codes added with 0 deletions and 2 major revisions along with an extensive update to arthroscopic loose body removal requirements. For the respiratory system, there were 2 new codes, one code deletion and no revisions.
This is Part 1 of a five part series on the new 2021 CPT codes. In this series we will explore the CPT changes for FY2021 and include examples to help the coder understand the new codes. For 2021 in general, there were 199 new CPT codes added, 54 deleted and 69 revised.
In January, new CPT codes were released. There were 248 new CPT codes added, 71 deleted and 75 revised. Most of the surgery section changes were in the musculoskeletal and cardiovascular subsections. These included procedures such as skin grafting, breast biopsies, deep drug delivery systems, tricuspid valve repairs, aortic grafts and repair of iliac artery.
We have seen many updates and changes to COVID-19 (SARS-CoV-2) since the pandemic started. On January 1, 2021 we will see even more changes as outlined in this post. Also the CMS MS-DRG grouper will be updated to version 38.1 to accommodate the changes.
In the previous three parts of this four-part series, we discussed the new ICD-10-CM diagnosis code changes, ICD-10-PCS procedure code changes and FY2021 IPPS changes. In this last Part 4 of the series, we will review the NTAP procedure codes and reimbursement add-on payments for FY2021.
In the previous two parts of this four part series, we discussed the new ICD-10-CM diagnosis code changes and ICD-10-PC procedure code changes. In this session we will review the major IPPS changes for FY2021.
This is Part 2 of a 4 part series on the FY2021 ICD-10 Code and IPPS changes. In this part, the ICD-10-PCS procedure codes are presented. For FY2021 ICD-10-PCS there are 78,115 total codes (FY2020 total was 77,571); 556 new codes (734 new last year in FY2020)…
This is Part 1 of a 4 part series on the FY2021 changes to ICD-10 and the IPPS. In this part, we discuss some of the new ICD-10-CM diagnosis changes. Here is the breakdown: 72,616 total ICD-10-CM codes for FY2021; 490 new codes (2020 had 273 new codes); 58 deleted codes (2020 had 21 deleted codes); 47 revised codes (2020 had 30 revised codes)
Acute pulmonary edema is the rapid accumulation of fluid within the tissue and space around the air sacs of the lung (lung interstitium). When this fluid collects in the air sacs in the lungs it is difficult to breathe. Acute pulmonary edema occurs suddenly and is life threatening.
“Client S” is a small, not-for-profit, 40 bed micro-hospital in the Southeast. HIA performed a 65-record review this year for Client S and found an opportunity with 15 of them. 9 had an increased reimbursement with a total of $43,228 found.
The coma scale codes (R40.2-) can be used in conjunction with traumatic brain injury codes, acute cerebrovascular disease or sequelae of cerebrovascular disease codes. These codes are primarily for use by trauma registries, but they may be used in any setting where this information is collected. The coma scale may also be used to assess the status of the central nervous system for other non-trauma conditions, such as monitoring patients in the intensive care unit regardless of medical condition.
In the past, there had been an Excludes1 note at I46.- Cardiac arrest that excluded R57.0, Cardiac shock. HIA had also received a letter from AHA on a case in the past that had stated that only I46.- Cardiac arrest would be coded if both were documented. In addition, the Third Quarter Coding Clinic page 26 had a similar case that asked if both could be coded, and AHA had instructed that only I46.9, cardiac arrest, cause unspecified would be coded if both were documented and that the CDC would be looking at possible revision to the Excludes1 note.
A higher CMI corresponds to increased consumption of resources and increased cost of patient care, resulting in increased reimbursement to the facility from government and private payers, like CMS. We know that documentation directly impacts coding.
Lately we have seen several cases where the endarterectomy was assigned along with the coronary artery bypass (CABG) procedure when being performed on the same vessel to facilitate the CABG. A coronary artery endarterectomy is not always performed during a CABG procedure, so when it is performed it becomes confusing as to whether to code it separately or not.
Assign code Z20.828, “Contact with and (suspected) exposure to other viral communicable diseases” for all patients who are tested for COVID-19 and the results are negative, regardless of symptoms, no symptoms, exposure or not as we are in a pandemic.
The Centers for Medicare & Medicaid Services (CMS) announced new procedure codes for treatments of COVID-19 – effective as of August 1, 2020. Among the new codes are Section X New Technology codes for the introduction or infusion of therapeutics including Remdesivir, Sarilumab, Tocilizumab, transfusion of convalescent plasma, as well as introduction of any other or new therapeutic substances for the treatment of COVID-19.
One common element in many value-based programs is risk adjustment using Hierarchical Condition Categories (HCCs) to create a Risk Adjustment Factor (RAF) score. This method ranks diagnoses into categories that represent conditions with similar cost patterns.
Why are so many AKI records being denied? It’s hard to give one answer for why so many AKI records are being denied lately, but most appear to be due to the multiple sets of criteria available for use in determining if a patient has AKI, as well as physician documentation. As stated in Part 3 of this series, there are three main criteria/classifications used to diagnose AKI.
In previous parts of this series we looked at the definitions of AKI/ARF, causes, coding and sequencing, and the common clinical indicators that patients present with that are diagnosed with this condition. In Part 4, we will look at the documentation that should be present to report the diagnosis without fear of denial, as well as when a query is needed to clarify the diagnosis.
If the facility does a COVID-19 test, and test is negative, do I need a diagnosis code. The answer is yes, you will report a Z-code. The Z-code depends on the record documentation and circumstances of testing. For any patient receiving a COVID-19 test, if negative, there MUST e a Z-code to describe why the test was taken. (Test negative for COVID-19 and MD does not override negative results).
The FY2021 IPPS Proposed Rule is out and here are some highlights from it regarding ICD-10 Code proposals. We will know if these changes are permanent after the public comment period is over on July 10, 2020 and CMS prepares the Final Rule, usually out by August 1.
As discussed in Part 1 of this series, AKI/ARF is a common diagnosis that coders see daily. In Part 2, we are going to focus on the different types/specificity of AKI/ARF. We’ll learn what they mean, as well as how to code the diagnosis.
This is part 1 in a series focused on coding of acute kidney injury (AKI) and/or acute renal failure (ARF). AKI/ARF is reported often, but is also one of the most common diagnosis found in denials.
With the proliferation of COVID-19 cases, we thought we would put together a quick reference listing of some of the common scenarios that coders have asked about. As with all coding, coders should follow Official Guidelines for Coding and Reporting and the COVD-19 Frequently Asked Questions document by the AHA.
Effective March 1, Medicare will pay physicians for telehealth services at the same rate as in-person visits for all diagnoses, not just services related to COVID-19. This great for providers whose patients are reluctant to visit the office.
The biggest reasons why some hospital systems are moving to single path coding is to eliminate duplicative processes and to optimize productivity. In addition, costs are reduced when only one coder “touches” the record and completes both types of coding.