Thursday, December 8, 2016
Monday, November 14, 2016
Protect your data with MozyPro®
When you are ready to leave your practice for the day, data backups are probably the last thing on your mind. However, securing your data off site is not only one of the most important things a practice needs to keep PHI secure, it also protects you from theft and potential hardware failures.
The best of both worlds
MozyPro with Mozy2xProtect delivers the convenience and speed of local backup with the offsite protection of online backup.
A complete backup strategy
A sound backup strategy involves both a local and an offsite copy of your data. The latest Mozy innovation delivers both with Mozy 2xProtect, included in MozyPro 2.0 for Windows.
Mozy 2xProtect automatically backs up files locally to an external drive in addition to a Mozy data center for double protection of your critical business information.
With local backup, you’ll be able to back up large amounts of data quickly—usually within minutes—ensuring your files are backed up locally while they transfer to the MozyPro servers.
We can help your practice comply with the HIPAA Security and Privacy Rules
The Health Insurance Portability and Accountability Act (HIPAA) sets the standard for protecting sensitive patient data. Any company that stores protected health information must ensure that all of the required physical, network, and process security measures are in place and followed. As a provider of HIPAA-compliant backup services that safeguard protected health information, we ensure that your patient data is protected in a way that complies with HIPAA regulations. As a result, we have specific technical and administrative safeguards in place.
Within our Information Security Management System (ISMS), we incorporate a combination of technical, administrative, and physical controls to safeguard personal information consistent with the industry standards and laws. The principles behind each of these standards are for the data owner to retain control of sensitive data and ensure that only authorized parties can view that data.
Choose the size you need.
Monthly or annual contracts are available.
Need more than 100GB of storage? Call us for pricing!
The MozyPro® advantage
Seamlessly manage backup, sync, and mobile access for multi-user and server environments from a single web-based console.
Your data is safe with military-grade encryption, world-class data centers, and EMC—a company built to last.
Keep costs low with no hardware to purchase and minimal overhead required
Call us today to sign up-502-538-4665
Thursday, November 10, 2016
Don't snooze through ICD-10
Category Z Codes
Coding from category Z can be a little confusing, but keep in mind that the “Z” codes in ICD-10 were often “V” codes in ICD-9. Z codes are for use in any healthcare setting. Z codes may be used as either a first-listed (principle) diagnosis or a secondary code, depending on the circumstances of the encounter. Like the old “V” codes, certain Z codes may only be used as the primary diagnosis.
Z codes will indicate a reason for an encounter-they do not replace the CPT code.
There are several categories for Z codes:
These codes are for patients who do not show any signs or symptoms of a disease, but have been exposed to it by close personal contact with an infected individual or are in an area where a disease is epidemic.
Inoculations and Vaccinations
ICD-10 Code Z23 is for encounters for inoculations and vaccinations. It indicates that a patient is being seen to receive a prophylactic inoculation against a disease. The CPT/Procedure code would indicate which vaccine or immunization is being given. Code Z23 may be used as a secondary code if the inoculation is given as part of preventative healthcare, such as a well-baby visit.
In ICD-9, each inoculation/vaccination would have the appropriate “V” code attached to the CPT code. In ICD-10 those many inoculation/vaccination codes that were used in ICD-9 have been combined in to one code, Z23.
Status codes indicate that a patient is either a carrier of a disease of has the sequelae or residual of a past disease or condition. A status code should not be used with a diagnosis code from one of the body system chapters, if the diagnosis code includes the information provided by the status code.
There are two types of history codes, personal and family. Personal history codes explain a person’s past medical condition that no longer exists, and is not receiving any treatment for, but that has a potential for recurrence and may require additional monitoring.
Family history codes are for use when a patient has a family member(s) who has had a particular disease that causes the patient to be at higher risk of also contracting the disease.
Screening is the testing for disease or disease precursors in seemingly well individuals so that early detection and treatment can be provider for those who test positive for the disease.
Keep in mind the difference between screening for a disease and a diagnostic examination. A diagnostic examination is for patients that show signs or symptoms of a disease or disorder (and wouldn’t be coded from this category).
There are two observation Z codes categories. Z03 is Encounter for medical observation for suspected diseases and conditions ruled out. Z04 is Encounter for examination and observations for other reasons. Observation codes are to be used as the principle diagnosis only.
Aftercare visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase. The aftercare Z codes should not be used for aftercare of injuries.
The follow-up codes are used to explain continuing surveillance following completed treatment of a disease, condition, or injury. They imply that the condition has been fully treated and no longer exists.
Codes under this category are used for living individuals who are donating blood or other body tissue. They are not used to identify cadaveric donations.
Codes under this category are used when a patient or family member received assistance in the aftermath of an illness or injury, they are not used in conjunction with a diagnosis code when the counseling component of care is considered integral to standard treatment.
Encounters for Obstetrical and Reproductive Services
Z codes for pregnancy are for use in those circumstances when none of the problems or complications included in the codes from the Obstetrics chapter exist, such as in a routine prenatal visit or postpartum care. Encounters for supervision of a normal pregnancy are always coded first and would not be used with any other code from the Obstetrics chapter.
Outcomes of delivery (category Z37) should be included on all maternal delivery records, and is always a secondary code.
Weeks of gestation category codes (Z3A) are for use only on the maternal record to indicate the weeks of gestation of the pregnancy. Code from the Obstetrics chapter first any complications of the pregnancy.
Codes for family planning or procreative management and counseling should be included on an obstetric record either during the pregnancy or the postpartum stage, if applicable.
Newborns and Infants
In addition to the Newborn (perinatal) chapter (Chapter 16), the Z codes listed in here are for either health supervision and care of foundling (Z76.1); Encounter for routine child health examination (Z00.1); and Liveborn infants according to place of birth and type of delivery (Z38).
Routine and Administration Exams
Unlike its predecessor, the general exam code (ICD-9 Code V70.0), breaks into whether or not the exam is with or without suspected or reported diagnosis. These codes should not be used if the examination is for diagnosis of a suspected condition or for treatment purposes. During a routine exam, should a diagnosis or condition be discovered, it should be coded as an additional code. Pre-existing and chronic conditions as well as history codes may also be included as additional codes as long as the examination is for administrative purposes and not focused on any particular condition.
Miscellaneous Z codes
The miscellaneous Z codes capture a number of other healthcare encounters that do not fall into one of the other categories. Some of these codes identify the reason for the encounter, others are additional codes that provide useful information on circumstances that may affect a patient’s care and treatment.
Kelly Meeks, RHIT, CCS
Sunrise Services, LLC
MIPS- Merit-based Incentive Payment System
- If you decide to participate in traditional Medicare Part B, then you will participate in MIPS where you earn a performance-based payment adjustment.
APM-Alternative Payment Models
- If you decide to participate in an Advanced APM, through Medicare Part B you may earn an incentive payment for participating in an innovative payment model.
Who is eligible to participate?
Who is not able to participate?
- Hospitals/Medicare part A payments
- FQHCs/RHCs and Medicaid Providers (there is no dual eligible progam)
How can you be excluded from participation?
- You are a 1st year clinician
- You don't see patients
- You do less than 30K and/or have 100 Medicare patients
- You qualify for the Alternative Payment Model