Order in Epic: LAB5491 & “COVID-19 Antibody, IgG” Recommended Indications for Testing: • Participant in seroprevalence studies. • Asymptomatic individual with history of prolonged exposure to a confirmed COVID-19 patient. • Symptomatic patient consistent with COVID-19 who is repeatedly PCR negative. Do not rely solely on antibody results in this setting. Correlate results with […]
Author: Jennings
Update to COVID telephone E&M codes for physicians and APPs
As many insurance companies now allow telephone E&M codes to be billed as office visits, Epic code choices will be will be updated on Monday 6/15 to reflect the change. An expanded code set will be available in the LOS options in Epic: New Patients Telephone Visits: 9NTP1-5. Established Patients Telephone Visits: 9ETP2-5. Coding guidelines […]
Virtual video and telephone clinic visits
TELEPHONE VISITS If patient is already scheduled, click the encounter. Under notes use the phrase .virtualphonecheckin If you are initiating a visit that is not on the schedule, create a new encounter and for encounter type put: covid (or “virtual Phone Checkin (covid)”) To see how to bill, see this pdf: VirtualPhoneCheckInOnTheFly Virtual Phone Check-In […]
Pulmonary Inpatient Service (F-2) Curriculum & Reading List
Pulmonary Inpatient Service curriculum 2015
Errors with new server fixed.
Server errors fixed. Setting changed – disable strict mode. — for my future reference: in my.ini file (C:\wamp64\bin\mysql\mysql5.7.26) uncomment this: sql-mode=”” and comment out this line: ;sql-mode=”STRICT_ALL_TABLES,ERROR_FOR_DIVISION_BY_ZERO,NO_ZERO_DATE,NO_ZERO_IN_DATE,NO_AUTO_CREATE_USER” See https://www.linode.com/community/questions/17070/how-can-i-disable-mysql-strict-mode
MPM0 reference article (physiology score in the ICU)
Here is the reference article for the MPMO we use in the MICU Chest 2009; 136: 89–101
Sarcoid Tip – calcium
A nice review article on how to assess and manage calcium and vitamin D in sarcoid: Burke RR, Rybicki BA, Rao DS. Calcium and vitamin D in sarcoidosis: how to assess and manage. [Review]. Seminars in Respiratory & Critical Care Medicine. 2010;31(4):474-484
Issues with new outpatient referrals
When seeing a new patient there are times when the name of the PCP will be “none”. Other issues may include not entering the referring consultants into the “care team” and other administrative duties that should be done prior to the patient arriving. When this happens here are some contact names you can email to […]
Bronchoscopic Lung Volume Reduction
Inclusion: Ex-smokers (≥4 months) PFT: Post BD FEV1 15 – 45% TLC ≥100% RV ≥150% 6MWD ≥ 100 – <500 meters after pulmonary rehabilitation program BMI <35 Kg/m2 Completed pulmonary rehabilitation program (or is enrolled and completed 6-8 sessions) ABG: PaCO2 <60 Stable on prednisone <20mg/day Exclusion: Any contraindication to bronchoscopy and/or general anesthesia Lung findings: […]
Attestations Tip Sheet for Epic
The pertinent ones are in bold .CLINIC VISIT – I saw and evaluated the patient with the resident/fellow and agree with their findings and plan unless otherwise noted. @ME@ .INPATIENT SAME DAY – I saw and evaluated the patient on the date of my electronic signature and I agree with the findings and plan of the […]