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Coders’ Corner

Twelve New COVID-19 Therapeutics Added to ICD-10-PCS for Discharges On or After August 1, 2020
August 1, 2020
By Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA
by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The Centers for Medicare and Medicaid Services issued an update to the FY2020 ICD-10-PCS code …
ICD-10-PCS: New for FY 2021! The Alphapump Solution to Repeat Paracentesis Procedures
August 1, 2020
By Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA
by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Imagine having to have a paracentesis several times a week, just to drain off peritoneal …
4 Steps to Making the Most of FY 2021 ICD-10 Coding Updates
August 1, 2020
By Angela Lehoux, BS, CDIP, CCS, CIC, CPC-I
by Angela Lehoux, BS, CCS, CDIP, CIC, COC, CPC-I Changes to the ICD-10-CM and ICD-10-PCS code systems and guidelines for FY 2021 have …

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My workload as a director has increased during this time, but my staff’s time has decreased drastically.
Dramatically shifted workload. Less focus on typical day to day operations.
We are protecting staff and created a COVID EIT pool of hours, staff may use if we do not need them elsewhere.
We are cross training coders to refresh their IP coding skills in preparation for Influx of IP.
We sent all coders, CDI and UR staff to work from home, I am Director and am onsite, Coding has drastically decreased but I am incredibly busy assisting Administration.
I am being trained on new coding responsibilities while working remotely. It’s not the same as hands on. Training is through emails, conference calls, and screen sharing.
Getting to work from home occasionally was a privilege. Now it is mandatory. I miss the interaction with peers and physicians. Also initially got to work a 40 hour week.
I am reviewing Telehealth visits rather than onsite visits.
We are doing curbside lab draws and outdoor screenings.
We are screened for fever twice a day on the job, and have put have shields in patient access, and are doing all consents as verbal (documenting due to public health emergency).
We have implemented telehealth services, and have had an increase in our patient portal use.
We have had to place OR nurses in COVID-19 screening roles and in other areas as needed. Our volumes have sharply decreased.
I work in a critical access hospital. We have sent coders, transcription, and patient accounts staff home to work remotely.
I code Observations for a major hospital. My workload has dropped by about 60% a week.
Since I am in management, we were instructed not to work from home unless we had a physician order stating this.
I am participating in more telephonic work meetings. I have the capability to work from home and have done so on weather-related and/or sick days.
We are experiencing lower than normal inpatient and outpatient patient census so managing employees low-time schedules (55 employees).
Quickly adapting to teaching classes online. This has been particularly hard for some faculty and students who do not have computer equipment, or are not computer savvy.
I now finish working and have to homeschool three children ages 15, 11, and 6.
The coding workload has gone down 65% at my US company as a whole, even the IP and ED coding is down.
Coordination of 20 staff members’ work distributions with decreased elective volumes, and supplementing with cross training for 1/2 staff.
I have not worked since March 31, 2020. California is not ready to offer the special unemployment for independent contractors yet, thus I am without income for now.
The work load for all of my coders has been greatly effected. Our facility is no longer performing some services so, coding is down.
My employer just announced we have to take 16 hours of PTO a week for 12 weeks. No one is furloughed or laid off. We can go up to 180 hours into negative PTO balance.
Work flow less so using PTO hours, harder for meetings as we are working limited hours- can’t have team meetings regularly. Everyday changes in scheduling.
My staff’s volume might be low but mine has never been more in demand!
The urgency with which I must identify and develop education for my team and providers, policies & procedures for coding and billing, provide reassurances to my team.
Sadly, 100% of my remote coding work has been taken over by in house coders due to shelter-in-place restrictions and I find myself scrambling for financial help without success thus far.
Non-critical surgeries have been postponed, so inpatient stays have decreased some equalling decreased workload.