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Clintegrity Connections

Newsletter                                                        

March 29, 2017

In This Issue

March Webcasts At-a-Glance

Webcast Education Opportunities
Clintegrity Product Updates
Healthcare Insights
Conversations Connect 2017
Clintegrity Clips
Coder's Corner
Ask the ICD-10 Expert
Contact Us
Helpful Links

New!  How to Design a Compliance Workflow that Works
04/11/17 and 04/13/17 @ 1:00 p.m. ET

For a full calendar of all client education webcasts open for registration, Bookmark Us!

To request a recording of a previous webcast, please email:  Clintegrity Coding Education

Webcast Education Opportunities

How to Design a Compliance Workflow that Works

Should coders validate for compliance while coding the record?  Or is it best to check with someone else after the claim has been coded?  The truth is there are pros and cons to both approaches depending on the facility.

During this session, we'll review some best practice workflows that fellow Clintegrity Compliance clients are using with success in their organizations.  You will learn:

  • Compliance best practice custom rules
  • Compliance best practice reports
  • Examples of client operational approach to using Clintegrity Compliance

Who should attend?  HIM directors, coding managers, and super users

April 11, 2017
1:00 p.m. - 2:00 p.m. ET
Register Now


April 13, 2017
1:00 p.m. - 2:00 p.m. ET
Register Now


***Nuance will provide one (1.0) Contact Hour Certificate on this relevant HIM topic.***

Clintegrity Product Updates

Clintegrity 17.1 Coming in May
Nuance is committed to providing you with advance notice for releases throughout the year.  Our next release will be Clintegrity version 17.1, which is targeted for release in early May.  This release contains key regulatory, feature and improvement updates including:

  • Key regulatory and value-added content updates:
    • A.D.A.M. Anatomy reference
    • Coding Clinic for HCBCS 1Q
    • Content Database Loading for HCC Indicator
    • HCPCS Index
    • IPF Pricer
    • ICD-10 Qlines PCS
    • JATA Content Update 17.1
    • Relational Edits ICD-10
    • Smartips ICD-10 CM/PCS
    • Tricare 34.0 DRG Grouper 
  • New state-specific groupers:
    • Nebraska Blue Cross/Blue Shield APR DRG
    • Nebraska APR DRG
    • North Dakota Blue Cross/Blue Shield APR DRG
    • Arizona APR DRG
  • HCC indicators on the coding grid
  • Testing and support for Microsoft Windows 10 Workstation

An update with more details on version 17.1, as well as the details on future releases, will be available to you through support notifications.  Look for these notices in your inbox in the coming weeks.

Testing and Support for MicrosoftTM SQL TM Server 2008 R2 Will End in July
Nuance will end testing and support for Microsoft SQL Server 2008 R2 for the ClintegrityTM products on July 31, 2017.  Clintegrity will be tested with and will support SQL Server 2012 with Service Pack 1 at that time.  Please plan to update your Clintegrity system server with this SQL release to avoid any potential issues and ensure ongoing support.  Please contact Clintegrity Support for questions or assistance.

Testing and Support for Microsoft® Windows® Server 2008 Ended in December
Please note that testing and support for Microsoft Windows Server 2008 ended in December 2016.  All Clintegrity servers must be upgraded to Microsoft Windows Server 2012 R2 to avoid any potential issues and ensure ongoing support.

Healthcare Insights

EHR study sheds light on how to improve clinician satisfaction.


While the finger has been pointed at electronic health records (EHRs) as the reason a physician spends more time looking at a computer than his patients, a new HIMSS Analytics study shows progress.  Healthcare leaders now see EHR's potential and point to ways to change the game for healthcare providers; improve the date input process and boost clinician adoption in hospitals.  Read full article.

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Get the latest Healthcare Insights at Nuance's What's Next healthcare blog.

Conversations Connect 2017

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Conversations Connect, Nuance's client conference, is coming up soon in Atlanta, April 24-26.  We understand that HIM and Quality need to work hand-in-hand to address value-based care challenges, and this is designed to help you bridge those gaps.  Please fee free to invite your colleagues in Quality.

In additiona to the valuable networking, you may earn up to: 

  • 8 AHIMA CEUs
  • 8 Nursing CEUs

The coding and quality track includes sessions that address today's big challenges including:

  • How to get the full value-based payment you deserve in 2017
  • Sepsis:  A back office playbook
  • Pay-for-performance:  Coming to a physician practice near you
  • Hidden eCQM dangers and how to avoid them
  • Are you ready to bundle (payments)?

Time is running out!  Register today at:  www.nuance.com/go/conversations.

Clintegrity Clips

Nuance is excited to announce the availability of Clintegrity Clips.  These short instructional videos will guide you through important and valuable Clintegrity features and funcationality.  You can now learn how to get the most out of Clintegrity and keep up to date on the latest features on your own schedule.  An introductory library that addresses some of the most frequently asked questions is available today, and it will continue to be updated with valuable information about future releases and new features.  See Coder's Corner below for this month's feature clip.

You can receive Clintegrity Clips through email simply by making a request to  clintegrityclips@nuance.com

Coder's Corner

Coding and compliance (CoCo) has the ability to send notes between the two modules by selecting the CoCo note.  View the Clintegrity Clip.

To perform this functionality, go to the Coding Module and select the Note icon.  When the pop-up Note displays, select the Note option from the drop-down menu of CoCo, Coding_Compliance_Note.  Type in your note, check the box, and click the ADD button.  The CoCo note will be sent over to Compliance for the Compliance Review.

Example: 

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Ask the ICD-10 Expert

Question:  What is the correct ICD-10-PCS assignment for endoscopic transbronchial needle aspiration biopsy of right mediastinal lymph node?

Answer:  The PCS code 07B74ZX, Percutaneous Endoscopic Excision of Lymphatic, Thorax, Diagnostic should be assigned for this biopsy procedure.

Lymph is considered tissue rather than fluid, therefore, the appropriate root operation for transbronchial needle aspiration biopsy of lymph is Excision.  The root operation Drainage is used when fluid or gas is removed.  The access the lymph tissue, the surgeon must "go through" the wall of the bronchus to reach the lymph node.  The surgeon cannot remain within the confines of the bronchus (tubular body part), which indicates that via natural opening, endoscopic would not be the best approach to reach the mediastinal lymph node.  The body part selection of Lymphatic, Thorax is based on the PCS body part key located in the Appendices.

Need ICD-10 audit and education support?  Learn more about Nuance's professional services.

Contact Us

Helpful Links

Clintegrity Support
If you have technical questions related to the coding product, please contact Nuance Client Support at 800.892.5049.

Clintegrity Coding Education
or call 703.390.2836. 
                                       

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