Signed Admission Orders Critical to Reimbursement

According to CMS Guidelines, Medicare patients must have a signed inpatient admission order before the patient is discharged so that Mercy Medical Center can charge (and be reimbursed) at an inpatient level. For the first two months of 2016, approximately 126 patients (36 Medicare) have been discharged without the admission order being signed by the…

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Education Opportunities: February – April 2016

Critical Care Focused Grand Rounds Lunch is at 11:45 a.m., and the lectures begin at 12:15 p.m. To register, call 330-489-1409 or email kathy.ruppert@cantonmercy.org. Transcutaneous Aortic Valve Replacement (TAVR) Update Wednesday, Feb. 17 Mercy Hall Auditorium Speakers: Ahmed Sabe, M.D., Simonette Jones, M.D., and Tasneem Khimji, M.D. The Health Care Professionals Role in Preventing the…

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Mercy Purchases New Surgical Robot

After recently purchasing the daVinci Xi Surgical Robot, Mercy is expecting to see growth in our hospital robotic surgery program because of the capabilities the new unit brings and more surgeons joining our robotic team. Mercy’s new robot will ensure that the latest technology is delivered to our patients in need of lung, colorectal, gynecological…

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Renovation Underway of Massillon Health Center

The former Moose Lodge, located on Lincoln Way West in Massillon, is being renovated to become a new outpatient Mercy Health Center. This is a very real commitment of dollars and health care resources to the Massillon community. We anticipate the center will open this fall….

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Expanded ED Shows Growth

Mercy Emergency Department (ED) treated more than 68,000 patients in 2015. This is up from 66,000 in 2014. In the first full year of operation in our new ED, we were able to increase volume by 3% and decrease our overall length of stay by over one hour. This allowed us to provide more nursing hours…

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Sound Physicians, Inc. to Provide Hospitalist Service

Mercy Medical Center has elected to change Hospitalist Service Providers effective June 1, 2016. We are grateful to Inpatient Medical Services for the medical coverage they have provided and look forward to working with them as they continue to provide hospitalist coverage through the transition period. Beginning June 1, our hospitalist service will be provided…

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Mercy Thanks Physicians with a ‘Global Adventure’ Appreciation Party

Mercy Medical staff and other guests enjoyed the hospital’s annual appreciation party at the Pro Football Hall of Fame last month. With a ‘Global Adventure’ theme, a worldwide sampling of international cuisine was served in a fun, festive atmosphere. This event is one way we like to show our appreciation for your dedication and service…

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Diagnosis of the Month: Electrolyte Imbalances

Documentation found in the Medical Record:                                                            ↑ K ↓ K ↑ Sodium ↓ Sodium ↑Mg ↓ Mg   • These are not diagnoses our coders can…

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We Can Help You Improve Documentation

On January 26, Dr. Gormsen, vice president and chief medical officer, Tracey Majors, director of quality management, and Gina Lewis, R.N., CCDS, senior documentation specialist, attended IMS’s monthly meeting to discuss medical record review findings and offer suggestions to improve documentation and help decrease documentation time.  Our goal this year is to meet with all…

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Lung Cancer Screening Now Covered by Insurers and CMS

Low Dose CT Lung Cancer Screening may arguably be one of the greatest game changers in cancer treatment over recent years as it now provides an early detection test for individuals at high risk for developing lung cancer. Most importantly, the Affordable Care Act now mandates this testing be reimbursed at no cost to patients…

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Welcome New Physicians

Welcome new practioners approved by the Medical Affairs Committee in October 2015. Provisional Active Jason L. Richards, DDS  Surgery, Dentistry Pediatrics Canton Pediatric Dental Center, LLC 1455 Harrison Ave., N.W. Suite 200 Canton, OH 44708 Phone: 330-994-0205 | Fax: 330-994-0207   Provisional Active Sarah I. Aref, DDS  Surgery, Dentistry Pediatrics Canton Pediatric Dental Center, LLC…

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Clinic Helps Patients Manage Anticoagulant Therapy

Staffed by pharmacists with specific knowledge in anticoagulation therapy, Mercy’s Anticoagulation Clinic aids physicians in managing their patients’ anticoagulant therapy by maximizing the benefits of oral anticoagulant therapy and preventing complications of treatment. Oral anticoagulant care is managed under the supervision of the patient’s referring physician and the Program Medical Director. Referral to the clinic…

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Stark County’s Only Orthopedic Traumatologist at Mercy ED

Ericka Johnson, M.D., board certified orthopedic surgeon and Stark County’s only orthopedic traumatologist, is part of the on-call coverage provided in Mercy Emergency Department, offering specialized care for orthopedic trauma patients. Johnson received her medical degree from Medical College of Ohio in Toledo, where she was selected as the Orthopaedic Surgery Student of the Year….

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Meditech, Order Sets and P-Doc

Reminder for Meditech: Please do not use the VIEW/CHANGE button to edit orders for the Health Care Status (inpatient/observation) or for the Diet order. For these two orders, a new order should be entered into the system to be sure that all parts of the order crossover correctly. Nursing staff is now using Meditech’s BMV…

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ICD-10: Obesity Hypoventilation Syndrome

Obesity Hypoventilation Syndrome is defined as chronic (awake) daytime alveolar hypoventilation in obese patients after other causes of hypoventilation have been ruled out. Hypercapnia (PaCO2>45) and hypoxemia (PaO2<70) are seen.  Major criteria for OHS: Obesity (BMI>30) Exclusion of other respiratory/neuromuscular/skeletal reasons for hypoventilation Awake daytime hypercapnia is the defining diagnostic feature Tests to diagnose: ABG’s,…

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Clinical Documentation Improvement: RN CDI Specialist and Queries

What is the purpose of our RN CDI Specialist and queries? October 1, 2015, ICD 10 rolled out thousands of new codes requiring increased specificity. Some physicians are unclear of the purpose of a query. A query is a communication tool used to help clarify medical record documentation to help ensure accurate coding and DRG…

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Mercy Offers Home Sleep Studies

If you have patients in need of sleep testing, Mercy Sleep Disorders Center offers overnight testing at its sleep labs at Mercy Medical Center and Mercy Health Center of Jackson. Mercy also offers home sleep testing accredited by the American Academy of Sleep Medicine for individuals who qualify. Who qualifies for home sleep studies? Those…

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AccessMedicine and ClinicalKey Available

Mercy Medical Library has two tremendous point-of-care resources available to you from your office/home and at the Medical Center: McGraw-Hill’s AccessMedicine and Elsevier’s ClinicalKey. AccessMedicine AccessMedicine contains more than 60 medical titles including Harrison’s Principles of Internal Medicine – thousands of medical images and illustrations, videos, interactive self-assessment tools, and diagnostic tools. To use this…

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The Coding Corner

As you know, the compliance deadline for health care providers to transition to ICD-10 was October 1. We will continue to share tips and resources to help you with coding in Physician Update. Stroke Hemorrhagic strokes (categories I60-I62) specify location or source of a hemorrhage. For instance code I60.51 = nontraumatic subarachnoid hemorrhage from right…

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Best Practice Key Concepts for Documentation in ICD-10

Diagnosis Specific Tips: For injuries, note whether this visit is the initial one, a subsequent one, or due a sequela of an injury. Estimated time since a recent MI should be documented in days/weeks, not months. AMI defaults to a STEMI, unless the documentation states otherwise. For AMI, both the wall and the artery affected…

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ICD-10: General Topic Tips

Carry all significant diagnostic/lab findings into the progress notes with their relevant significance. Conflicting, incomplete, or ambiguous documentation will lead to a query. Late effects will be known as sequelae. Note any procedural complications: Whether it is related to the procedure  Whether it is expected or not (will not be coded as a complication) Whether…

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