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6 Thanksgiving ICD-10 Codes

Posted on November 27, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I thought it fitting that AdvancedMD sent me 6 ICD-10 codes to be thankful for. Healthcare Humor…who doesn’t enjoy that? Happy Thanksgiving!

Y93.G3 Activity, Cooking and Baking
Ah, the turkey is roasting and the potatoes are boiling. And Cousin Carl just chopped the end of his finger off while preparing the veggie tray. He will earn this ICD-10 code, along with W26.0, Contact with Knife, to forever remember this year’s Thanksgiving…and that nasty scar.

W61.42 Struck by Turkey / W71.43 Pecked by Turkey / W61.49 Other Contact with Turkey
Thanksgiving isn’t Thanksgiving without a turkey. If three is a terrible mishandling of dinner’s main dish, or if a still-flapping gobbler enacts revenge, ICD-10 has three codes that are perfect for the season’s avian-related incident.

W21.01 Struck by Football
Another Thanksgiving staple is the good ol’ American sport of football. Usually, unless there is cheering for opposing teams, televised football games are safe enough. But a well-intentioned family flag-football game can result in a quick trip to the emergency room.

R63.2 Polyphagia (Overeating)
Parrots aren’t the only ones to watch out for this season. If a vampire or zombie takes their costume a bit too seriously, this code will record the chomp.

Y04.0 Assault by Unarmed Brawl or Fight
Black Friday shopping has become just as much a part of Thanksgiving as stuffing and pumpkin pie. But this mass hysteria for great deals doesn’t come without risks—especially when there are two shoppers and only one great bargain up for grabs. Get your extreme shopping skills up to snuff or Y04.0 and Y92.59, Other trade areas (mall) as the place of occurrence of external cause, may be jotted in your electronic health records.

W21.01 Lack of Adequate Sleep
No matter how we choose to celebrate Thanksgiving, few of us escape the meal prep, early morning shopping and family togetherness without a mild case of exhaustion. For those who try to do it all, there is an ICD-10 code for that.

Now I’m off to recover from my W21.01 and R63.2. Although, let me tell you, I had one of my best Turkey Bowl days ever. So much fun! Happy Thanksgiving everyone.

The Devil You Know

Posted on November 25, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’d recently heard a practice manager talking about their EHR and Practice Management system. We talked about the EHR they’d selected and what they thought of the setup, and then I asked which practice management (PM) system they were using. They responded that they’d been using the same PM system for so long, they didn’t have any desire to change it. Then they dropped the bomb:

“There are a lot of things we hate about our PM system, but we kind of look at it as the devil we know.”

I see this happen really often when it comes to EHR and PM systems. In fact, it happens everywhere in the world of technology. Sometimes we don’t have any desire to change because we know the system we have and it works. Does it have its pain points? Yes. Do they drive us nuts? Yes! But at least we know about them and know how to deal with them.

There’s a real fear by many to switch to a new software where they have to learn about new “devils” for which they don’t know how to handle. I’m often reminded of the concept that “change isn’t always better.” So, in many situations, it’s better to not change. Maybe what you have isn’t very good, but if you’re not careful you could change to something even worse. That’s a real healthy fear.

That said, the fear can go too far. I’m reminded of when I had my first Android phone. I’d gone pretty cheap and gotten this really inexpensive phone. It worked, but was really slow. Plus, the battery barely lasted and it had plenty of devils I had to deal with whenever I used it. Luckily, I didn’t use it that much since I mostly work from home. However, when I was stuck in the depths of a massive exhibit hall at HIMSS and couldn’t get connectivity or I was waiting on the phone to do something, it was absolutely annoying.

The devils of that phone finally got to me and I upgraded to the Samsung S3. It was night and day difference. I must admit that I really didn’t know what I was missing. In many ways that was good, because it helped me to appreciate the upgrade. However, I’d kind of gotten complacent and was fine dealing with the “devils” I knew. (Side Note: Thanks to a few cracked screens from my wife and children, I’m now on the Samsung S5 and it’s awesome. The battery life itself is so compelling.)

Unfortunately, there’s no science to when to stick with the devils you know and when to upgrade. Without incentives, penalties or other regulations, there’s almost never a financial justification to upgrade software. It’s almost always cheaper to limp along with the old technology. However, there’s an extremely important sanity portion of the upgrade decision that is key.

I’ve personally found the time to upgrade and switch is when you know that the upgrade will solve the “sanity” issues you’re experiencing. If the upgrade won’t solve those issues, then it’s better to stick with the devil you know.

Fun Friday – HIPPA Sign

Posted on November 21, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Only readers of this site could enjoy this pharmacy sign. Thanks to HIPAA One for sharing the picture with me. Have a great weekend everyone! Stay Warm!
HIPPA Sign - Or Should We Say HIPAA Sign?

Maybe the pharmacy thought that HIPPA with two P’s stood for Patient Privacy. Of course, a quick search through posts on my site turn up 18 posts with HIPPA. So, this might be the pot calling the kettle black. I just enjoy the humor of humanity.

Healthcare IT Marketing

Posted on November 20, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I’m excited to tell you that we’ve officially announced the 2nd Annual Health IT Marketing and PR Conference happening May 7-8, 2015 in Las Vegas. We’ll do a full post in the future describing all the details, or you can check out the HITMC conference website for many of the details as well. It’s going to be the greatest gathering of healthcare marketing and PR executives that’s ever been done. People’s response to the first event has been amazing and I believe what we have planned for the second year will be even better. We hope we’ll see you there.

Here at EMR and HIPAA, we continue to grow and reach amazing new milestones. We just passed 10 Million pageviews on just EMR and HIPAA. We’ve done 2142 blog posts and you’ve contributed 9598 comments during that same time. Plus, I’m really excited that the Healthcare Scene blog network has over 29,500 Healthcare Scene email subscribers. I appreciate every reader that trusts us to provide thought leadership on the healthcare IT industry. We’ll keep doing everything we can to provide you value every day.

As part of our regular content, we’ve been working really hard on a number of amazing sponsored blog post series. They’ve been very well received by readers. I previously highlighted the content series that have been sponsored by Medical Management Corporation of America and The Breakaway Group. I’m sure that many of you have also enjoyed the recently started Cost Effective EHR Workflow Series that’s being sponsored by ClinicSpectrum. I’m looking forward to the amazing content these sponsored series provide readers.

Since our last post recognizing companies who support the work we do, we’ve had all of these great companies renew their sponsorships:
Ambir – Advertising since 1/2010
Cerner – Advertising since 9/2011
Canon – Advertising since 10/2012
gMed – Advertising since 8/2013
Colocation America – Advertising since 10/2013
Modernizing Medicine – Advertising since 1/2014

I’m extremely proud of those advertisers who’ve supported us for such a long time. Hard for me to believe that Ambir, for example, is about to reach their 5 year mark advertising on EMR and HIPAA.

A big thanks also goes out to our new sponsors. If you enjoy the content we create, take a minute to check out these companies and see if they can help you in your business:

HIPAA Secure Now! – I’ve written regularly about the need to do a proper HIPAA Risk Assessment in order to avoid any HIPAA penalties and to meet the meaningful use requirements. While you can do the HIPAA risk assessment in house, there’s some real value in having someone outside your organization being the one doing the HIPAA Risk Assessment. Avoids a conflict of interest. If you’re looking for someone to help you with your MU risk assessment, check out what HIPAA Secure Now has to offer.

Blue Horseshoe Network – I think their ad says it all. “Just Call Justina” if you need support for your EHR Go-Live, EHR Training or EHR optimization support. I’ve had a chance to interact with Justina myself and she’s got a lot of energy and passion for the work she does. Check out what Justina and Blue Horseshoe Network can do to help you in your EHR efforts.

Canon – You’ll see that Canon was listed in our renewing advertisers, but I wanted to highlight them here as well since they just started a big email sponsorship campaign with us. Canon is doing a lot of work to bring their fully integrated scanning solutions to healthcare organizations. We appreciate their support of our site and now our email lists as well.

You can get more details on how to get your company added to this list of EMR and HIPAA supporters. Just drop us a note on our contact us page. We’re happy to talk with you and your company about our sponsored content, display ads, email marketing, and webinar options. I think you’ll be impressed by the fully integrated email, SEO, display, and social marketing campaigns we provide.

Are You A Sitting Duck for HIPAA Data Breaches? – Infographic

Posted on November 18, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

The people at DataMotion, cloud based HISP providers, sent me the following infographic covering the HIPAA data breaches. It’s a good reminder of the potential for data breaches in healthcare. As Marc Probst recently suggested, we should be focusing as much attention on things like security as we are on meaningful use since the penalties for a HIPAA violation are more than the meaningful use penalties.

Are You A Sitting Duck for HIPAA Data Breaches Infographic

What Do We Know About Minimum Necessary Coming to HIPAA?

Posted on November 14, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

We recently sat down with Alisha R. Smith, RHIA, HIM Compliance Educator at Healthport, to talk about HIPAA Omnibus and one of the components that was left out of the HIPAA Omnibus final rule: minimum necessary. In the video below, Alisha talks about what your company can do to prepare for minimum necessary and what minimum necessary might require if it gets included in future HIPAA requirements.

What do you think about Alisha’s recommendations? Do you think that legislation will be passed to include minimum necessary as part of HIPAA?

What the 2014 Election Means for Healthcare

Posted on November 13, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

After the landslide victory by republicans in congress, the house and many governor races, I was really interested to think about how this could impact healthcare and healthcare IT. Luckily, the really smart publishing company (ok, they’re not a publisher, but they publish really great content), The Advisory Board Company, has an article that talks about what the election outcome means for healthcare.

Here are their 5 key takeaways:

  1. Republicans face uphill battle to make changes to the ACA
  2. Reconciliation gives Senate opportunity to impact health care spending
  3. Congress will take up important health care policies beyond the ACA
  4. Republican victories in key governor races may slow Medicaid expansion
  5. Health care will remain a focus area at state and federal levels

The first point is the one that many people are talking about. Without the Presidency, I’m not sure that the republicans can do much to change ACA. They might make some of the programs miserable or somehow pull funding from pieces of the ACA, but with the President still in office they won’t be able to do much.

The biggest thing they’ll have to deal with very soon is the next SGR fix (or whatever they do to deal with SGR). The SGR Fix or patch if you prefer expires in March. The battle between Congress and the White House is going to be brutal. I see the same theater that we saw play out last year happening again. They’ll wait until the final hour and then pass a patch that will get us by another year with very little change. I do wonder if they’ll attach another ICD-10 delay to the bill like they did in 2014.

I still think that healthcare IT in general is pretty bipartisan. There are a few in Congress that have made overtures about the HITECH act and meaningful use being a waste of money. I’m sure we’ll see some similar tunes again, but I think it’s unlikely to really change anything when it comes to healthcare IT and EHR.

Those are a few thoughts on how the election results will impact healthcare. What do you think? Will these election results impact anything else in healthcare?

Healthcare IT Content The Way You Like It

Posted on November 12, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

As most of you know, I organized my first conference this year focused on Healthcare IT Marketing and PR (HITMC). I’m a few days away from officially announcing the HITMC 2015 event, so more information on that coming soon. One of my big takeaways from the HITMC 2014 event was that people want to consume the content the way they want to consume the content and that it’s powerful to repurpose the same content and display it in a different way.

Many of you have likely been reading Vishal Gandhi’s (@csvishal2222) Cost Effective Healthcare Workflow Series of blog posts that’s sponsored by ClinicSpectrum. I think it’s been a great series focused on many of the needs of practice managers and healthare clinics. However, Vishal and ClinicSpectrum decided to take the series to another level as they’ve repurposed the content in lots of different ways.

For example, they took a blog post on building accountability and consistency into your practice and created this slideshare presentation. They also created this video on the subject. I won’t be surprised to see an infographic on this soon too.

In another example, ClinicSpectrum took this EHR Workflow video interview I did with Vishal and turned it into a 3 part blog post: Part 1, Part 2, Part 3. I loved the approach since many people don’t want to sit down and watch a video which has a specific amount of time required to consume the video. However, they’ll happily read through a blog post on a subject that matters to them. While some do prefer the video format because you can hear the inflection in someone’s voice and the energy behind what they’re saying.

At Healthcare Scene, we’re doing everything we can to provide a wide variety of formats to people to allow them to consume the content we create the way they want to consume it. I’d love to hear what you think of all of these various forms of content. Which content format do you prefer? What could we do better? I look forward to hearing your thoughts on the subject.

Happy Veteran’s Day

Posted on November 11, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Today, I wanted to take a moment to remember the veterans who have sacrificed so much for us. I recently read an article that talked about how we use to celebrate the WWII veteran’s when they would return from war. They talked about the glorious welcome home that each of these veterans would receive. Then, they discussed how our current veterans don’t seem to get the same welcome home as those WWII veterans did. They suggested that it was because our current military is a volunteer force whereas many WWII military were drafted.

I think this is true to some extent and it’s unfortunate. Certainly our current volunteer military deserves as much support and praise as those who were drafted to go to war. Hopefully on this Veteran’s Day we can all take a little time to think about this and support those people who literally risk life and limb to keep our country free. That’s worthy of support and celebration.

I know that so many in healthcare are Veteran’s. At the recent CHIME Fall Forum the big party was a full on rodeo at this amazing ranch in Texas. At one point during the rodeo the announcer honored the military veterans and asked that they all stand up to be recognized. I was impressed by the number of people who stood up. They fought the war for our country and now they’re fighting the war for patients. That’s definitely worthy of our honor and respect.

Veteran's Day

Salesforce Reportedly Working to Create $1 Billion Healthcare Business

Posted on November 10, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

That’s the news as reported by Reuters in late October. The article talks about Salesforce’s interest in creating a healthcare business and believe it can reach $1 billion in revenue. The article also highlights how SalesForce has recently hired over a dozen people from the healthcare and medical device sectors.

Plus, they even talk about the roll out of the CareWeb Messenger product that is built on the top of Salesforce’s technology:

The University of California at San Francisco, for instance, rolled out CareWeb Messenger, built on top of Salesforce’s technology, through which doctors, nurses and patients talk online and on mobile devices. UCSF and Salesforce have close ties: in April, CEO Marc Benioff donated $100 million to its children’s hospital.

I’ll be interested to see how this first product plays out. It actually fits into Salesforce’s core competencies quite well. Although, the secure healthcare messaging space is a crowded one. With that said, I was invited to a Salesforce event to talk about healthcare. Unfortunately, the timing was bad so I couldn’t make it, but now I’m particularly interested in what was said at the event.

It seems that sooner or later, all of the big tech companies come after healthcare. We’ve seen the same with Google, Microsoft, Dell, Apple, Samsung, and many more. While it must be incredibly enticing for these companies to come after a trillion dollar market like healthcare, most of these companies come into healthcare with an amazing amount of naivety as to the complexities of healthcare. Once they get in, they find these complexities and change their mind. We’ll see if Salesforce does something similar.

With that said, Salesforce has the money, the platform and the connections to do something in healthcare. Plus, I welcome fresh ideas and perspectives from companies like Salesforce in healthcare. I think that we all agree that there’s a huge opportunity for technology to improve healthcare. I want as many people working on finding those solutions as possible. Doesn’t hurt to have a multi-billion dollar company taking an interest in it as well.

What do you think of Salesforce’s entrance into healthcare? Will they be a major player? Where do you think it makes sense for them to focus their efforts?

Some of the articles on this talk about Salesforce building an EHR or things like that. Given the regulations and the environment, I never see that happening. Although, with the money they have available to them, maybe they’ll surprise us all.