Miscellaneous Archives

I had an issue today with creating a transfer file for submission. What steps do I need to take?

Please make sure you grab the transfer and retransfer logs which will either be named transferred transfer.log/retranfer.log or will have the name with the file extension name .tl or .rl. Please contact Gaby Wenger and give her the list with an email of issues you are having. *Please add the logs with your email so …

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We have patients with financial assistance programs, or use the Ablepay product. For Payor, are these considered ‘Other’?

The financial assistance gives free or discount, based on income, but if there is money due, they still pay it, so it would be self-pay. If primary insurance is self-pay, then secondary is None. In the comment field for primary, you could enter FAP, if you want to track it. Ablepay is a product which …

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I was wondering you the PTSF had a fairly recent list of Pennsylvania insurances categorized by indemnity/managed care?

Unfortunately, we do not have that information. We recommend you check with your financial, HIM, or billing department as insurance can vary regionally. These would be the best sources.

I have a patient who is admitted to the hospital and undergoes a COVID screening the same day which is negative. Two weeks prior to the patient’s admission they had a positive COVID testing. What do I record in the custom PTSF field? Should I send the question to NTDB to see if it should be included in the dx? I checked the guidelines and can’t find anything in the 2021 guidelines on covid or the guidelines.

For the PTOS, we recommend you record NO. While we do accept test results from prior to admission, a negative test on arrival at your hospital should be recorded with a NO response for the COVID-19 data element. We also recommend you do reach out to the NTDB for clarification regarding their specific COVID-19 data …

Continue reading “I have a patient who is admitted to the hospital and undergoes a COVID screening the same day which is negative. Two weeks prior to the patient’s admission they had a positive COVID testing. What do I record in the custom PTSF field? Should I send the question to NTDB to see if it should be included in the dx? I checked the guidelines and can’t find anything in the 2021 guidelines on covid or the guidelines.”

Can you please clarify part E of the NFTI audit filter? Does it read excluding anesthesia procedure code 5A19_5Z?

The intent is not that this code be excluded. Part E essentially means a procedure code of 5A19_5Z is captured in the record.

We currently have a patient admitted and undergoes a COVID-19 screening. Patient answers “yes” to the question, have you had a positive COVID-19 test in the past 20 days? For the PTSF field it states COVID19 test result available to answer yes or no. Do you need the actual test result or the hear say of patient answering is when screening is conducted? We are also seeing documentation within the physicians notes stating the patient’s were tested within the 30 day time frame with either a negative or positive value, however these patients were tested outside with no results available/viewable in patient’s records. Without the actual test value result within the record would this be insufficient to capture a value in the COVID element?

If a physician confirms a positive or negative test result within 30 days, we would accept that documentation, and you can record a yes or no value for the COVID data element. We would not accept hearsay from a patient or family member etc. without physician confirmation.

Our patient was not a transfer into us, but we can see other hospital EMR’s scanned into care everywhere in Epic. Is it a HIPPA violation to view that other facility chart? Or can we since it is part of care everywhere in Epic? If I can use the other facility chart, what information can I use?

PTSF cannot speak to what you are allowed to access or what the appropriate use is for Care Everywhere in your facility. Proper access and use of an outside facility chart in a shared database in Epic is something you will need to discuss within your facility. Specific to elements that you might abstract from …

Continue reading “Our patient was not a transfer into us, but we can see other hospital EMR’s scanned into care everywhere in Epic. Is it a HIPPA violation to view that other facility chart? Or can we since it is part of care everywhere in Epic? If I can use the other facility chart, what information can I use?”

When there is a primary insurance payor and no secondary payor, how should that field be filled in?

With no secondary payor, you can now enter “9 None”. This is a new option to report for 2021 admissions instead of n/a or leaving blank.

We have accidently created two trauma records for the same patient. We wanted to know the best way to address this.

Your best practice is to delete the second record entirely, and not reuse the number. If it was already copied over into v5 with the interface, then you want to delete it there as well. If you haven’t submitted to us yet, we will not need to delete here. But before you delete, ensure that …

Continue reading “We have accidently created two trauma records for the same patient. We wanted to know the best way to address this.”

We are still limited in calculating a TRISS when a patient does not have a documented unassisted respiratory rate. Is this being addressed?

You are correct that TRISS will not calculate for every patient. TRISS EOE, which is a Pennsylvania specific estimated TRISS used in these situations, is planned to be included in the next software platform.