March Newsletter

March

Open Positions:

Radiology Technologist

We are seeking an experienced Radiologic Technologist for multiple locations. CLICK HERE to view these open roles.

Research Coordinator I

Credentialing Specialist

We are seeking a Credentialing Specialist that will be responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care for NANI.

CLICK HERE to view this role.

We are seeking a Clinical Research Coordinator I to join our team and be responsible for understanding and implementing multiple clinical research studies of a high level of difficulty under the direction of the Principal Investigator. This position will also oversee the work of the Research Assistant(s) assigned to the study and provide needed support to ensure the goals and objectives of the research project are met. CLICK HERE to view this role.

If any of these positions spark your interest, please contact a member of our team for application requirements!

Email: HR@nephdocs.com

Value-Based Care

Q2 Focus Areas

• Administering PHQ-9

• Focus on Optimal Starts

• Focus on Risk Adjustment

Patient Education

We have updated marketing materials for 2024. Here's a list of the following documents you can request for your office.

• Education on PAM topics (brochure)

• Kidney Transplant (brochure)

• Wolters Kluwer Treatment Options for Kidney Failure (business card)

• NANI | Strive services (2 sizes available)

• Dialysis Education

CLICK HERE to view PDF files

Care

Transplant Tracking

National Kidney Foundation of IL - 2024 Board of Directors!

Speaker Details:

Manish Tanna, MD

Senior Vice President and Value-Based Care Medical Director

Topic: Technology: Workflows to Reduce Provider Burden

Date/Time : May 16th, 12:30 PM

5

Compliance Uncomplicated – March 2024

NANI’s internal hub for quick and current compliance-related information, topics, and support.

TOPIC: GC Modifier

A GC Modifier is an informational modifier added to E/M or CPT code for services performed by a resident under a teaching physician's direction.

An attestation statement by the teaching physician is required and must include that he/she performed the service or was physically present during the key or critical portions of the service when performed by the resident, and the participation of the teaching physician in the management of the patient. The teaching physician must sign and date all documentation with an approved signature.

Examples:

• Acceptable Teaching Physician Attestation: “I have seen and evaluated the patient in conjunction with the resident physician. I have participated in and discussed the case with the resident and agree with the findings and plan of care with the following additions: XXX.”

◦ Billing for the visit would look like this: 99232 GC

• Unacceptable Teaching Physician Attestation: “I saw the patient and agree with the resident.”

The following is a scenario from CMS regarding the GC Modifier: The resident performs the elements required for an E/M service in the presence of, or jointly with, the teaching physician and the resident documents the service. In this case, the teaching physician must document that he/she was present during the performance of the critical or key portions of the service and that he/she was directly involved in the management of the patient. The teaching physician’s note should reference the resident’s note. For payment, the composite of the teaching physician’s entry and the resident’s entry together must support the medical necessity and the level of the service billed by the teaching physician.

Important Note: In a time-based setting, such as critical care or a hospital follow-up visit billed based on time, the time spent teaching does not count towards the time for the service; nor does the time the resident spent with the patient. Only time spent together with the patient or with the teaching physician alone can be counted in these situations.

Reference: MLN006347 – Guidelines for Teaching Physicians, Interns, & Residents (cms.gov)

Questions/comments/concerns? Please contact NANI's Auditing & Compliance Manager Kristen Poat (331) 216-1132, Ext. 1700, or at kpoat@nephdocs.com.

PLAY VIDEO

Deep Vein Thrombosis

We have had several patients over the last couple of weeks with DVT documented, so I thought this would be a good time to address documentation best practices for this potentially life-threatening condition.

Documentation recommendations:

• Chronicity:

◦ Acute: initial diagnosis and treatment initiated

◦ Chronic: one month to several months old

◦ Historical: resolved, no longer being treated

• Site and laterality:

◦ Upper or lower extremity, calf, thigh, etc.

◦ Left, right or bilateral

• Symptoms:

◦ Chronic swelling, ulceration, cellulitis, or other complications

• Treatment:

◦ Anticoagulants, vena cava filter, surgery to remove the clot, compression stockings

Documentation example:

Acute DVT-L calf, no pain or swelling, Apixaban I82.402

Chronic PE-mild SOB, Eliquis I27.82

History of DVT-coumadin stopped Z86.718

Katy E. Rotroff, COC, CPC, CRC Revenue Cycle Manager Krotroff@nephdocs.com

Douglas Leece

Cheryl Santovi

Hilcia Vazquez

Macy Morris Scheduling Coordinator, IKS Radiology Technologist, WSSC Medical Assistant, Crystal Lake Radiology Technologist, Fort Wayne Vascular Center

Happy

anniversary

1 year

Erin Brown

Jordyn Borgman

Sharon Marie Markiewicz

Kathleen Herman

Elisher Harvey

Hannah Kelly-Miller

Carolyn Walloch

Diann Taylor

Teri Rogers

Judith Jacob - Sharma

William Cheung

Anna Gorelik

Jenal Rosado

Richard Plovanic

Scott Carbon

5 years

Ginger Juarez

15 years

Praveena Thomas

Michelle Leatherwood

Teresa Floresca

Melina Hoyem

20+ years

Sue Roberts

Donna Jean Luna

Dawn Marchan

Judith Heilman