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Presented by:
George W. Jackson, MD
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Financial Disclosure
3 WellMed Medical Management Do not copy or distribute without written permission.
Dr. George W. Jackson has no relevant financial interests to disclose.
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Objectives
By the end of this presentation, you (the data miner) will be able to:
Explain the impact of the ICD-10 on Data Mining.
Identify data mining tools and protocols.
Identify RAPs tools.
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Vital Helpers
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Med List and Vital
Signs
Problem
List
Imaging
Specialty Consults
and Reports
Labs and Screenings
Hospital Records
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Getting Started
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ePRG-> e-Tools ->DataRaps->Provider Member List
DATARAP 2015 Risk Adjustment Diagnosis Quick reference guide
HCC Helper (app)
DATARAPS Support Tool
Data mining sessions
Access to hospital portals
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Access the DATARAPS Tool
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Log into ePRG: https://eprg.wellmed.net/Home/Index
Click eTools
Click Provider Member list
Click RAPS Support Tool
1
2
3
4
1
2
3
4
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The RAPS Support Tool
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Problem List
Review current medical problems to convert to possible DATARAP codes.
Example: J45.40 – Asthma NOS (not DATARAP)
J44.9 – Chronic Obstructive Asthma (DATARAP)
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Problem List
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Review “HCC helpers” to find possible “buddy codes”
Buddy codes: Two or more diagnosis we can combine to make one
Example: DM E11.9, BUDDY with Impotence of organic origin (Erectile Dysfunction) N52.1 (a complication of DM), and create an additional “RAPable” code = E11.69 Diabetes with Other Manifestations.
E11.69 DM w/Other Manifestations; ED
N52.9 Erectile Dysfunction; 2nd to DM
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Problem List
While reviewing the Problem List look for codes that can convert from non-Risk to Risk / HCC codes
Depression
Look for codes that suggest more complex problems
Diabetes, 80% have complications
Cancer
Active / Remission
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Medication List
Review medications and link them to the diagnosis they treat.
Metformin -> Diabetes
SSRI’s -> Major Depression Disorder Anticoagulants -> A. Fib; Chronic DVT / PE
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Medication List
Look for medications that suggest/confirm diagnosis (Dx).
Venlafaxine / Mirtazapine
Depression
Metformin
Diabetes
Diltiazem / Linsinopril
Hypertension (HTN) or Heart Disease
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Labs
Review lab results for possible DATA RAP codes such as:
Abnormal renal function test- CKD, Microalbumins (code the appropriate stage)
Abnormal Liver function test –
Chronic Liver Disease (Hepatitis Unspec.) Cirrhosis- (Alcoholic), NOS-
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Labs
Review lab results for possible DATARAP codes such as:
Abnormal blood counts –
Thrombocytopenia- (Low plt Count x 2)
Thrombocythemia- (High plt Count x 2)
Abnormal A1C’s –
>5.7- 6.4 – Pre diabetic or >6.5 x 2 Diabetes
Parathyroid Hormone (PTH)
Elevated PTH – Hyperparathyroidism -
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Lab Mining
Hunting for labs that confirm or provide a diagnosis of Diabetes:
FBS
A1c
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HEMOGLOBIN A1C
COLLECTION DATE 01/29/2015 10/29/2014 07/24/2014 05/06/2014
ORDER DATE 01/29/2015 10/29/2014 07/24/2014 05/06/2014
RESULT DATE 01/29/2015 11/17/2014 07/24/2014 05/07/2014
ORDERING PHYSICIAN
Hemoglobin A1c 5.8
(4.8-5.6%)H 8.1
(4.8-5.6%)H 12.0
(4.8-5.6%)H 9.1
(4.8-5.6%)H
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Lab Mining
Hunting for labs that confirm or provide a diagnosis of Chronic Kidney Disease (CKD):
eGFR
Micro / Macro albumin
Associated labs
iPTH
Lytes
Remember “Buddy Codes”
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93 (97-108 mmol/L)L
5.1 (3.5-5.2 mmol/L
134 (134-144 mmol/L
17 (11-26)
0.95 (0.57-1.00 mg/dL)
8.8 (8.6-10.2 mg/dL)
16 8-27 mg/dL)
7 (0-40 IU/L)
68 (>59 mL/min 1.73
59 (>59 mL/min/1.73)L
MICROALB/CREAT RATIO, RANDM UR
COLLECTION DATE 01/29/2015 07/24/2014
ORDER DATE 01/29/2015 07/24/2014
RESULT DATE 01/29/2015 07/24/2014
ORDERING PHYSICIAN
Creatinine, Urine 53.3 (15.0-278.0 mg/dL) 30.3 15.0-278.0 mg/dL)
Microalbumin, Urine 180.4 (0.0-17.0 ug/mL) H 59.9 (0.0-17.0 ug/mL) H
Microalbumin/Creat Ratio 338.5 (0.0-30.0 mg/g creat) H 197.7 (0.0-30.0 mg/g creat) H
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Pathology and Other Reports
Labs may suggest other diagnoses; A. Fib
Pathology reports
Cancer
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.D: 04/05/10 : 5:11pm
.T: INR
.PV: RJB 1.4 Range: SEE BELOW TESTING PERFORMED AT CLINICAL PATHOLOGY LABORATORIES, INC. 1501 N. MESA, SUITE 300 EL PASO, TEXAS 79902 CLA NO: 45D1064219
DIAGNOSIS (MACROSCOPIC AND MICROSCOPIC) RIGHT VOCAL CORD, BIOPSES: - INVASIVE SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED.
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Vital Signs
Review BMI History for morbid obesity or malnutrition codes.
Example:
BMI > 40 morbid obesity
BMI > 35 w/co-morbidities
BMI < 18 Unspecified malnutrition
Review O2 Saturation levels for chronic respiratory diseases
Review blood pressure values for HTN
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Vitals
BP for HTN
Wt. / Ht and BMI
Protein – Calorie Malnutrition
O2 Sat
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Vitals: BP sitting: 138/72, RR 12/min, Pulse sitting: 100, Temp 97.7 F, Ht 5 ft 1 in, Wt 73 lbs, BMI 13.79 Index, Oxygen Sat Room Air: 91, Pain Scale 7 1-10, Nurse/MA
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Imaging
Review X-ray, ultrasound, CT scans and MRI reports for possible DATA RAP codes such as:
COPD,
Aneurysms,
Aortic Atherosclerosis,
Emphysema,
Pulmonary Fibrosis,
Compression Fractures
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Radiology Reports
Read the body of the report – not just the impressions! (443.81, 577.1, 440, ?)
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There are degenerative changes in the spine. There is an apparent old healed posterior right tenth rib fracture. Prominent vascular calcification is noted. Water density material is seen in the dependent pleural spaces bilaterally, and there is subsegmental atelectasis at the dependent lung bases. Cannot exclude mild edema or infiltrate at the dependent lung bases. There is a thin crescentic area of low attenuation at the margin of the liver. No focal abnormality is seen within the parenchyma. There may be a small amount of calcific material in the dependent lumen of the gallbladder. There are apparent tiny calcifications scattered throughout the pancreas. No focal area of abnormal attenuation is identified. No abnormality is seen in the spleen or adrenal glands. There is diffuse thickening of the wall of the colon. No small bowel dilation is identified. A Foley catheter is seen in the urinary bladder, and a fairly prominent amount of air is seen within the lumen of the bladder. Uterus is not identified. There are apparent stents in the iliac and femoral arteries bilaterally. Surgical clips are seen in the subcutaneous tissues at the groin bilaterally. Impression: 1. Prominent atherosclerosis. 2. Bilateral pleural effusions with subsegmental atelectasis and infiltrate/edema at the dependent lung bases. 3. Prominent degenerative changes in the spine.
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Special Studies
Review Echocardiograms and stress test reports for possible DATA RAP codes such as:
CHF-
Pulmonary HTM-
Aneurysms-
Ectasia-
Old MI-
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Special Studies
Review EKG’s for old Myocardial infarction (Mis) or arrhythmias
Atrial Fibrillation-
Paroxysmal tachycardia-
Review endoscopies and Sonograms for abnormalities
Cancer (colon)-
Cirrhosis-
Portal Hypertension-
Esophageal varices-
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Special Studies
Pulmonary function tests (PFTs)
Lung diagnoses
Diabetic peripheral neuropathy (DPN)
Neuropathy
FloChec /Ankle-brachial index (ABI)
Vascular Dz
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MEASUREMENT BEST TRIAL %PRED PRED LLN
FVC (L) 2.20 1 < 69 3.19 2.19
FEV1 (L) 1.15 1 < 49 2.34 1.70
FEV1% 52 < 68 76 65
FEF25-75 (L/S) 0.71 1 35 2.00
PEF (L/S) 1.50 1 24 6.07
FET (S) 5.01 1
Report Summary:
Pre Med: Tests 1 Acceptable 0 Reproducible 0 FVC VAR: FEV1 VAR: ATS Interpretation: PREMED – Severe Obstruction
Left Leg Right Leg
Velocity: m/s m/s
Amplitude: m/s m/s
54
2
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Specialty Consults
Review progress notes, consults, and results for existing medical conditions.
Capture past and current medical history prior to first touch visit with providers for more efficient documentation and DATA RAP process.
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Consult notes
Check the Impressions; but,
Don’t forget to read the body, as in the X-ray reports there is often more information there!
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HEMATOLOGY & ONCOLOGY DIAGNOSIS:
1. Laryngeal cancer, stage III disease, as T3, N0, M0, diagnosed on 09/13/2013. She received concomitant chemo/radiation therapy but she missed the last doses. Actually, she is in complete remission after the evaluation of the PET/CT scan. We are going to do a restaging on her in 6 months. Only, a right thyroid nodule was found. She elected to ask the primary physician for an ultrasound. She has a pulmonary nodule and needs to be followed up.
2. Pulmonary nodule, stable at the moment. She needs to have a CT scan repeated in 6 months since the last visit. 3. Thyroid nodule, right. She elected to ask the primary for an ultrasound to be done. 4. Lower back pain, actually receiving hydrocodone. 5. Very mild anemia with microcytosis, already resolved. 6. PAC catheter, continue with flushing. 7. Chronic smoker. She refused to quit. She continues with that. 8. Performance status, ECOG 2 because she is in a wheelchair because of a left above-the-knee amputation. 9. History of breast cancer, involving the left side, diagnosed in 2006, never received chemotherapy or hormonal
therapy. It looks like it is in remission. 10.Vision problems because surgery was done for cataracts. 11.Hearing impairment, actually advised by Dr. Garcia to use hearing aids but she refused.
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Hospitals
Log in to your local hospital portal for the following:
H&P, Discharge notes
Consultations
Progress notes
Labs & Radiology
Operative Reports
Any other hospital procedure
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Frequently Overlooked Diagnoses
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Description RAF
All Alcohol and Drug Dependency 0.420
Amputation Status 0.779
Tracheostomy Status 1.520
Artificial Opening Status 0.651
Insulin Dependent (long-term, current) 0.118
Parkinson’s Disease 0.691
Rheumatoid Arthritis 0.374
Systemic Lupus Erythematosus 0.374
Malignant Melanoma 0.154
Protein Calorie Malnutrition/Cachexia 0.713
Major Depression 0.330
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Frequently Overlooked Diagnoses
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Description 2014 RAF
Pulmonary Hypertension 0.368
Atherosclerosis of Aorta 0.299
Atherosclerosis of Renal Artery 0.299
Atherosclerosis of Native Arteries of Extremities 0.299
Simple Chronic Bronchitis, Smoker’s Cough 0.346
AIDS 0.470
HIV 0.470
DM with Complications
- Address Diabetes and Manifestation
- Link Manifestation to Diabetes (in progress note)
- Code Diabetic combo code & additional buddy code if indicated.
0.368
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Coding Clarifications: Risk vs. Non-Risk Conditions
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Code Non-Risk Condition HCC Code Risk Condition HCC
J45.909 Asthma, unspecified None VS. J44.9 Chronic Obstructive
Asthma 111
M12.9 Arthritis, unspecified None VS. M06.9 Rheumatoid Arthritis 40
F32.9 Depression, NOS
(MDD, single episode, unspecified)
None VS. F32.0 - F32.8
Major Depression, single episode, mild – severe or in
remission 58
F10.10 Alcohol Abuse None VS. F10.20 Alcohol Dependence/
Alcoholism 55
I70.91 Atherosclerosis,
generalized None VS. I70.20-
Atherosclerosis of the extremities
108
I51.9 Diastolic Dysfunction None VS. I50.30 Diastolic Heart Failure,
unspecified 85
K75.9 Hepatitis, unspecified None VS. K73.9 Chronic Hepatitis,
unspecified 29
R07.9 Chest Pain, unspecified None VS. I20.9 Angina, NOS 88
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Patient Charts
There are patient charts on your table.
In the next 30 minutes, go through the chart and find all of the codes you can.
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34
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Summary
You are now able to:
Explain the impact of the ICD-10 on Data Mining.
Identify data mining tools and protocols.
Identify RAPs tools.
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