ACEP Now

OCTOBER 26, 2023

One of the HCFA letters, written by then Medicaid Director Tim Westmoreland (the Westmoreland Letter) specifically cited that the CPT 9928X codes should be reimbursed under federal PLP unless the Medicaid plan believed there were program integrity issues with the claim.

Documentation/Coding 124

Documentation/Coding Hospitals Administration Emergency Department 124

PEMBlog

JUNE 14, 2023

Pediatrics October 2020; 146 (4): e20201174. 2020-1174 AAP-AACAP-CHA Declaration of a National Emergency in Child and Adolescent Mental Health Jennifer A. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. 2020-030692 Lo CB, Bridge JA, Shi J, Ludwig L, Stanley RM.

Psychiatric 98

Psychiatric Emergency Department Pediatrics Best Practices 98

RCEM Learning

MAY 20, 2022

Author: Govind Oliver / Code: / Published: 06/02/2020 In December 2019 the NIHR announced a themed call for applications in urgent and emergency care, injuries and accidents. The NIHR Academy fellowship scheme is included in this themed call.

Documentation/Coding 52

Documentation/Coding 52

EB Medicine

DECEMBER 8, 2020

Use code AMAZON20 Write us at emplify@ebmedicine.net. Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20. Write us at emplify@ebmedicine.net (mailto:emplify@ebmedicine.net).Don’t Don’t forget about the $50 Amazon card with any order over $300 through 12/31/20.

Emergency Department 52

Emergency Department Documentation/Coding Hospitals 52

Pediatric EM Morsels

FEBRUARY 2, 2024

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk.

Infectious Diseases 161

Infectious Diseases Pediatrics Sepsis Documentation/Coding 161

ALiEM

JANUARY 26, 2024

Ciprofloxacin has been documented as a cause of IgA vasculitis. Epub 2020 Dec 3. Case Question: What are common triggers for this diagnosis? Common triggers include infection, drugs, and autoimmune. Case Discussion Take-Home Points Consider IgA vasculitis, even in an older patient. Dermatol Ther. 2021 Jan;34(1):e14591. PMID: 33244823.

Documentation/Coding 73

Documentation/Coding Academics EMS Hospitals 73

Dr. Smith's ECG Blog

APRIL 18, 2024

Emergent cath lab activation is also named after this test (code STEMI), so patients whose ECGs don’t meet STEMI criteria don’t get emergent angiograms, despite guidelines. And because there was no Code STEMI, the discharge diagnosis was “non-STEMI”, so this case will not be flagged as an opportunity for improvement. But only 6.4%

EKG/ECG 105

EKG/ECG Documentation/Coding Fractures Emergency Department 105

Dr. No

JANUARY 27, 2022

This matters, because of the way ONS codes the underlying cause of death when covid–19 appears in Part I of the MCCD, or Medical Certificate of Cause of Death. To understand what is going on here, we need to return again to how ONS codes causes of death.

Documentation/Coding 52

Documentation/Coding Infectious Diseases Wellness 52

Emergency Medicine Journal

NOVEMBER 28, 2023

In 2020 a new QI project commenced at Sheffield Children’s NHS Foundation Trust (65,000 PEM attendances/year) aiming to digitalise all paper information leaflets into an electronic format. Aims and Objectives Safety net advice and provision of written resources are core to delivering safe care in paediatric emergency medicine.

Emergency Department 40

Emergency Department Head Injuries Documentation/Coding 40

ACEP Now

NOVEMBER 7, 2023

3 These regulations have led to widespread practices of EHI, such as test results and clinical documentation, being shared with patients in real time. Training opportunities for documentation best practices should be employed. Code of federal regulations eCFR website. Published May 1, 2020. Public law 114–255—Dec.

Documentation/Coding 52

Documentation/Coding Best Practices Ethical Issues Academics 52

American Medical Compliance

DECEMBER 26, 2023

On December 27, 2020, the United States Congress adopted the No Surprises Act (NSA) as part of the Consolidated Appropriations Act of 2021, which has various provisions to assist in protecting customers against unexpected costs beginning January 1, 2022. The following course highlights the NSA and how it impacts healthcare.

Ambulance Services 52

Ambulance Services Documentation/Coding 52

RCEM Learning

MAY 20, 2022

Author: Rick Body / Editor: Govind Oliver / Code: / Published: 06/02/2020 In 2017 the National Institute for Health Research (NIHR) published its Training Review.

Academics 52

Academics Documentation/Coding Research Hospitals 52

Don't Forget the Bubbles

MAY 31, 2023

Mintegi, S., & Country Leads (2020). Identified cases were then screened further by looking at the medical notes to confirm whether the presentation was eligible for inclusion. Bressan, S., Buonsenso, D., Farrugia, R., Oostenbrink, R., Titomanlio, L., Nijman, R. Maconochie, I., Da Dalt, L., Annals of emergency medicine, 76(6), 788–800.

Emergency Department 135

Emergency Department Research Documentation/Coding Outcomes 135

EMDocs

DECEMBER 4, 2023

Document a risk and benefit discussion with the patient regarding empiric anticoagulation, perhaps even including the HAS-BLED score in the documentation [10]. A study in 2020 led to 624 patients with delayed US strategy started on rivaroxaban had 0% major bleed rate and eventual diagnosis of 119 DVTs [11]. mg/kg for 24 hours.

Ultrasounds 70

Ultrasounds Wellness Documentation/Coding EMS 70

Downeast Emergency Medicine

DECEMBER 1, 2021

ROSENBERG ET AL Northern New England and, in particular, Maine have been especially hard-hit by the opioid epidemic, with Maine experiencing its’ highest number of opioid deaths ever in 2020. All transcripts were then coded using a final code book and resultant codes were organized into themes and subthemes with supportive quotes.

Emergency Department 52

Emergency Department Documentation/Coding Leadership Hospitals 52

Emergency Medicine Journal

NOVEMBER 28, 2023

Patient outcomes are commonly documented in electronic health records (EHR). It was implemented in December 2020. It can be challenging and time consuming to access the information required to reflect upon their clinical practice by reviewing the outcomes of their individual patients, referred to as patient follow-up.

EMS 40

EMS Documentation/Coding Outcomes Hospitals 40

ACEP Now

NOVEMBER 13, 2023

5 Hospitals commonly activate a “code” in response to agitated patients, alerting security personnel to the location of that patient. From the law enforcement perspective, hospital policies regarding behavioral codes were “vague” and the same patients are often seen multiple times with similar behavioral crises, he noted in an interview.

Emergency Department 52

Emergency Department Documentation/Coding Psychiatric Best Practices 52

Stop and Think

NOVEMBER 19, 2023

This was a 20-year survey in which the authors used 4 independent databases to document the incidence and causes of sudden cardiac death in NCAA athletes. Notably, the authors reported only one case of myocarditis-related death during the 2020-2022 period. They found 143 cases of sudden cardiac death over the 20 years.

Documentation/Coding 119

Documentation/Coding Wellness Resuscitation 119

Don't Forget the Bubbles

MARCH 19, 2024

The Ombudsman for Children’s Office suggested that in 2020, 18 children were admitted to paediatric hospitals in Ireland, and 10 children in 2021 for reasons beyond their medical needs. Key messages Consider social determinants of health and document these in a child’s clinical notes. What can clinicians do? References Carter Anand, J.

Hospitals 52

Hospitals Psychiatric Documentation/Coding Pediatrics 52

PulmCCM

JUNE 12, 2023

In its 2020 updated guidelines , the American Heart Association recommended cooling to 32-36 °C after any cardiac arrest (shockable or non-shockable rhythms, in-hospital or out), but after TTM2, authors for the American College of Cardiology argued cooling patients below normothermia may no longer be necessary.

Hyperthermia / Hypothermia 105

Hyperthermia / Hypothermia Academics Documentation/Coding Outcomes 105

The Skeptics' Guide to EM

DECEMBER 26, 2020

Date: December 18th, 2020 Reference: Hulme et al. CMAJ 2020 Guest Skeptic: Dr. Hasan Sheikh is an emergency and addictions physician in Toronto and a lecturer at the University of Toronto. Date: December 18th, 2020 Reference: Hulme et al. Reference: Hulme et al.

Emergency Department 52

Emergency Department Administration Documentation/Coding EMS 52

The Skeptics' Guide to EM

NOVEMBER 21, 2020

Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. AEM November 2020. Date: November 19th, 2020 Guest Skeptic: Dr. Corey Heitz is an emergency physician in Roanoke, Virginia. AEM November 2020. AEM November 2020. Reference: Pines et al. Reference: Pines et al.

Emergency Department 52

Emergency Department Telemedicine Academics Outcomes 52

The Skeptics' Guide to EM

MAY 2, 2020

Date: April 24th, 2020 Reference: Watanabe et al. Date: April 24th, 2020 Reference: Watanabe et al. The crew then asks if you want them to transport your father Code 3 with full lights and sirens. Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? Annals of Emergency Medicine.

Documentation/Coding 40

Documentation/Coding EMS EKG/ECG Outcomes 40

Pediatric EM Morsels

OCTOBER 6, 2023

Obasi 2020) Hepatic and splenic abscesses have been documented in children, and splenic rupture is particularly associated with cases of MDR typhoid fever. 2020 Jan-Mar; 10(1): 35–38. (Shah 2021) GI hemorrhage can be seen if there is erosion of the bowel walls, and further erosion can also lead to bowel perforation.

Pediatrics 161

Pediatrics CDC Seizures Infectious Diseases 161

ACEP Now

MAY 6, 2023

million ED visits for injuries from motor vehicle accidents (MVAs) in 2020. The emergency physician’s documentation of these injuries may prove to be crucial in law enforcement’s reconstruction of the crash and may have significant implications for subsequent legal proceedings. Discussion There were over 2.1

Forensics 52

Forensics Documentation/Coding Head Injuries Fractures 52

SheMD

JULY 27, 2023

Unequal distribution of domestic responsibility has been documented as a factor in the underrepresentation in female physicians in leadership roles in academic medicine as well as contributing to career satisfaction. 2020 Jun 3;20(1):178. How does this apply to us? BMC Med Educ. doi: 10.1186/s12909-020-02072-x.

Academics 52

Academics Leadership Documentation/Coding Research 52

Dr. Smith's ECG Blog

OCTOBER 23, 2023

Macroscopic T-Wave Alternans: A Red Flag for Code Blue. In practice — It appears that electrical alternans is most often seen in association with regular SVT rhythms ( See the example in My Comment at the bottom of the page, in the September 7, 2020 post in Dr. Smith's ECG Blog ). J Am Coll Cardiol. 2006 Jan 17;47(2):269-81.

EKG/ECG 105

EKG/ECG Documentation/Coding Psychiatric EMS 105

EMDocs

FEBRUARY 12, 2024

ABG and VBG Correlation The correlation between venous and arterial blood gases is well-documented for standard differences (Table 1), and the data obtained from the VBG can be acted on as if it were an ABG (1, 3-6). 2020 Apr 15;12:87-92. 2020 May;35(5):511-518. 2020 Mar;274:103363. Open Access Emerg Med. Epub 2018 Mar 7.

Emergency Department 93

Emergency Department Resuscitation COPD Shock 93

The Skeptics' Guide to EM

OCTOBER 1, 2022

It is not well documented, whether gaps in pain assessment and treatment exist in conditions in which opioids are not indicated, such as migraine headaches. Some groups of patients who are at greater risk than others ( elderly , women , mentally ill , certain ethnic groups, and insurance status ). Brown et al , Selbst and Clark ).

Pediatrics 52

Pediatrics Emergency Department Documentation/Coding Research 52

EM Updates

JUNE 15, 2021

In the last week of March and first week of April 2020, hospitals across New York City were overwhelmed with critically ill COVID-19 patients, many of whom had unprecedented oxygen requirements. From April 6 to May 3, 2020, 90 patients were admitted to the EDAT. The study was approved by the MMC institutional review board.

Emergency Department 52

Emergency Department Hospitals Outcomes Wellness 52

EMDocs

JUNE 16, 2023

Pediatrics October 2020; 146 (4): e20201174. 2020-1174 AAP-AACAP-CHA Declaration of a National Emergency in Child and Adolescent Mental Health Jennifer A. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. 2020-030692 Lo CB, Bridge JA, Shi J, Ludwig L, Stanley RM.

Psychiatric 52

Psychiatric Pediatrics Emergency Department Best Practices 52

The Skeptics' Guide to EM

DECEMBER 5, 2020

Date: November 30th, 2020 Reference: Ohle R et al. AEM 2020 Guest Skeptic: Dr. Mary McLean is an Assistant Program Director at St. Date: November 30th, 2020 Reference: Ohle R et al. AEM 2020 Guest Skeptic: Dr. Mary McLean is an Assistant Program Director at St. A Systematic Review and Meta-analysis.

Stroke 40

Stroke Documentation/Coding Emergency Department Hospitals 40

The Skeptics' Guide to EM

JANUARY 16, 2021

Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “Dr. Annals of EM 2020 Guest Skeptic: Dr. Will Flanary is an ophthalmologist, writer, and comedian who moonlights in his free time as “ Dr. Glaucomflecken ” on Twitter and TikTok.

EMS 52

EMS Documentation/Coding Emergency Department 52

The Skeptics' Guide to EM

JULY 30, 2022

A 2020 national UK report into patients treated for bowel obstruction found delays in imaging and diagnosis and recommended CT with IV contrast as the first-line investigation [2]. AEM July 2022 * Population: Patients with ICD-10 coding “intestinal obstruction” from 2018 National Hospital Ambulatory Medical Care Survey.

Ultrasounds 52

Ultrasounds Operations Outcomes Documentation/Coding 52

The Skeptics' Guide to EM

JANUARY 30, 2021

2020 Case: A healthy 55-year-old woman was out for a walk and had a FOOSH (fall on outstretched hand) of her dominant arm. 2020 * Population: Adults (18 years and older) inpatient or outpatients with a diagnosis of certain long bone fractures (neck of femur/tibia/fibula/tibia and fibula/radius/ulna/humerus/clavicle) based on ICD-9 codes.

Fractures 52

Fractures Documentation/Coding Outcomes 52

The Skeptics' Guide to EM

OCTOBER 21, 2020

Date: October 21st, 2020 This is an SGEM Xtra episode. Date: October 21st, 2020 This is an SGEM Xtra episode. The rivalry between Newton and Hooke is well documented. I had the honour of presenting at the Department of Family Medicine’s Grand Rounds at the Schulich School of Medicine and Dentistry.

Documentation/Coding 52

Documentation/Coding Wellness 52

SheMD

OCTOBER 5, 2023

Some of the interview information may not be relevant during the 2020-2021 & 2021-2022 academic years. As we start the 2019-2020 interview season, I have had time to reflect on my experiences as both an interviewee and interviewer. If staying in a hotel- don’t forget to use discount codes the residency program may offer.

Research 52

Research Leadership Documentation/Coding Academics 52