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March 24, 2014

Volume 1, Number 1 

Announcements & policy updates

Medical Records Completion Policy

Wright State Physicians now requires patient care information to be documented within seven calendar days of an encounter with a patient. Medical record documentation is required for patient care, coordination of care, quality reporting, research, billing, compliance and legal purposes. Each documented encounter reflects a standalone record describing the level of service provided. This is vital for meeting payer requirements appropriate for reimbursement.  But, more importantly, each documented encounter supports the integrity of patients’ records.

International Classification of Diseases

The U.S. Department of Health and Human Services has mandated that the 10th revision of codes to the International Classification of Diseases (ICD) be implemented by Oct. 1, 2014. These revisions allow for more specific diagnostic codes to be used in patient care. Wright State Physicians has purchased a comprehensive online training program for coders and billers of the organization. Premier Health has made its online training available to physicians of Wright State Physicians. The Wright State Physicians Department of Compliance is planning training sessions for business and operational managers and clinical support staff. 

Athenahealth is preparing for the change by reviewing flexible workflows, new diagnosis search functions and selection tools that make it easy to use the expanded ICD-10 code set, centrally monitoring Wright State Physicians’ readiness and providing guidance on how to keep on track. In addition, athenahealth is reviewing claims submitted with codes that get paid regardless of payer status or changes to the regulation. The athenahealth ICD-10 team is working directly with payers and clearinghouses to define and execute collaborative testing plans. Ongoing payer tracking will allow athena to address issues and react to changes in payers’ ICD-10 status and provide interface and reporting transition support.

Meaningful Use

The Centers for Medicare & Medicaid Services (CMS) Meaningful Use Program is moving forward, and many of our providers are in stage two of the three-stage program. Meaningful Use is part of the the Medicare and Medicaid electronic health record (EHR) incentive programs that provide financial incentives for the “meaningful use” of certified EHR technology to improve patient care. Stage two has new measures and increased performance requirements. Two of the new challenging and required measures are patient engagement measures requiring patients to use electronic messaging to communicate with the provider and the view/download/transmit measure requiring patients to use the portal to view, download or transmit their health information, which must be available to the patient within four business days after it is received by the provider.  Participation in Meaningful Use in 2014 is vital as negative payment adjustments are at risk for providers who are not meaningful users or exempt from the program.

physician at WSP Health Center

In This Issue Quick Links Welcome to Inside WSP

Welcome to Inside WSP, the newsletter for the physicians and staff of Wright State Physicians. Each issue will update you about what's new at Wright State Physicians.

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