Provides a full overview of how to perform a chart abstraction using ClinixMD EHR.
MPAA is an expert in providing Document Conversion Solutions that helps organizations adapt efficient clinical data management workflows at much lower costs.
Medical Coding Question - How to Abstract a Medical Coding Case http://www.cco.us/practicode-codingcertification-org-partnership-interview-yt Laureen: OK, Alicia, abstracting a coding case. Alicia: Well, in our Thursday night lectures, webinars, we get together and often take a case. And so, this is one that we did but I decided to do this because we had a question coming. Q: I need more practice pulling the important information out of the case and where to get started. A: This is actually a case on Practicode, and this is the way more less that it's set up, you're going to have, ought to decide in Practicode where you're going to be able to put in your codes. But what I did was since it's several pages long and that's - you're not going to get cases on the exam that are several pages which you may get a page and a half or a full page, and that should not intimidate you because some of that stuff I like to call fodder and it's not really fodder but this information that you don't necessarily need to pull out the proper codes. So when I'm looking at this case, the things that are going to jump out at me when I'm scanning it first to abstract the information, I put in purple. So, why did the person come in for the visit, that's their chief complaint or the CC - they're dong med refill and bilateral back pain. And in the HPI (history of the present illness), I noticed right off they have GERD and then he goes in-depth about what's happening with the GERD. And then the next thing - you've got three paragraphs or its cut there on one diagnosis. Then we have back pain, so that jumps out at me; the person has back pain so we're going to find out more information about that. Get more medical coding training, medical coding tips, medical coding certification and free medical coding webinars at http://www.cco.us/cco-yt
Hi I’m Tom Hasara from CareNational and in today’s video we’ll be answering the question of “How do I get hired for HEDIS if I’ve never done HEDIS before? As one of the nation’s premier HEDIS staffing agencies, CareNational is always committed to providing the best service possible to our candidates and our clients. This includes continuing education through interactive conversations with contacts from both the client and candidate perspective. Since CareNational is a boutique third-party Medical Management recruiting and consulting agency, we are limited to very strict parameters for every search, as outlined by our clients. HEDIS season is no different, as we are tasked by our clients to find the most qualified and experienced nurses for their critical and time-sensitive HEDIS staff positions. The most essential piece of the candidate equation is the experience, particularly for limited-term temporary contract assignments. From time to time, nurses will ask me how they can gain the required HEDIS experience, if they have never worked a HEDIS assignment. To some it may seem like a Catch 22: “I need the experience to get the assignment, but I need the assignment to get the experience.” I decided to reach out to a few of my favorite nurses that have established HEDIS experience to ask about their early careers. They all had very similar answers when asked how they secured their first HEDIS opportunity. The most obvious answer was “you have to know someone.” This who-do-I-know approach is certainly one job search strategy that might secure a chance at a position without direct experience, but it is definitely not the only factor. Each of these nurses got the opportunity to be considered, not strictly because they knew someone, but because their background and skills were also a match. They all had a strong background in clinical nursing as well as other specific skills that lined up with the project requirements, such as chart review. There are a variety of ways you might gain supporting skill sets, and it is important to tailor your resume to showcase these past experiences in order to demonstrate that skill set. Maybe you worked as a medical assistant or a medical records specialist while obtaining your nursing degree. These experiences would have built a skill set that is considered an asset when pursuing your first HEDIS assignment. You may have supported scheduling or document management as a HEDIS associate for a season or two before becoming a licensed nurse. These associate positions assist the nursing staff in many ways and can give you valuable experience for future projects. As in many professions, you can gain directly related experience in your field before becoming a licensed professional; many current nurses started off as office manager or Medical Assistants. Of course if you did not gain the related experience early in your career it is not too late to develop the supporting skills. If you are passionate about HEDIS assignments, but cannot find work without the direct experience, volunteer to do chart review and coding activities at your current employer, or consider taking a step back in pay and responsibilities by serving as a HEDIS associate for a season. It may be just enough to get you where you want to be as a HEDIS abstraction nurse next season. That’s all I have for today. I’m Tom Hasara, signing off. CareNational http://carenational.com/ Phone: 1.800.974.4828 Western Region Office: ext. 1 Eastern Region Office: ext. 2
An abstract is a record that contains information about each patient from the time of diagnosis and continuing throughout his or her life. The abstract includes patient data about demographics, diagnostic studies, cancer staging, treatment, and follow-up. When they create and update abstracts, cancer registrars must follow abstracting rules set by their individual state central registries. Hospitals that are accredited through the American College of Surgeons Commission on Cancer (ACoS/CoC) also follow ACoS/CoC abstracting rules and standards. Cancer registries transmit abstract data to their state’s cancer registry and, if the facility is ACoS/CoC-accredited, to the National Cancer Data Base (NCDB).
Health information management software testimonial: Susan Meyer, HIM Business Analyst for the University Hospitals of Cleveland, talks about how Streamline Health delivers chart abstracting, chart coding, accounts receivable and health information management for the organization. Learn more about Streamline Health solutions at http://www.streamlinehealth.net.
Medical Records Clerk/Abstractor
An overview of the patient chart via Gillette's electronic medical record application.
Registry Partners presents a quick tutorial for tips on efficient remote abstracting.