September 11, 2019
DHCS Updates Medi-Cal Telehealth Policy
The California Department of Health Care Services (DHCS) updated its telehealth policy earlier this summer and is currently updating relevant Medi-Cal manuals implementing the policy. The revised telehealth policy and additional information can be found here.

The intent of the policy is to allow greater flexibility in using telehealth to provide care to Medi-Cal patients. The policy changes and their applicability vary depending on the provider and the program under which care is provided. The programs and types of care impacted include:

  • Fee-for-Service
  • Federally Qualified Health Centers/Rural Health Centers
  • Indian Health Service-MOA 638 Clinics
  • Family PACT
  • Managed Care
  • Vision Care
  • Local Education Agency Speech Therapy  

The revised policy includes specific requirements regarding patient consents, documentation and billing codes. Each provider type will need to consult their respective DHCS provider manual for specific program requirements and applicability. 

The Center for Connected Health Policy has also published a Medi-Cal Telehealth Updated Policy Fact Sheet- August 2019 that provides an informative overview the DHCS telehealth changes.

Submitted by Brian Faust, MLS, RHIA; Member, CHIA Legislation & Advocacy Committee
CHIA Board Requests Input
on AHIMA House of Delegate Discussion
CHIA held an all member CHIA Town Hall webinar last month to discuss the upcoming AHIMA House of Delegates (HOD) and the Action Forum topics that will be addressed during the AHIMA HOD on Saturday, September 15, 2019 in Chicago.

The CHIA Board and CHIA Delegates to AHIMA are seeking member feedback on these AHIMA HOD topics. Please share your feedback by September 12 by visiting the AHIMA HOD Action Forum discussions in the California Community on AHIMA Engage  
Ransomware: Serious as a Heart Attack
Provided are excerpts from the  September/October CHIA Journal . CHIA members receive a mailed hard copy, and all CHIA and AHIMA members can access the digital version online to view, read, and enjoy now!

Ransomware: Serious as a Heart Attack
Will it be in Your Future?
by Kevin B. McDonald, HCISPP

Imagine doctors preparing for surgery on a pediatric patient with a life-threatening condition. The surgical team has spent weeks testing, diagnosing and developing the plan to defeat the disease that has taken over the young patient’s body. Everyone understands the patient has precious little time. The surgical team has been leveraging advanced medical technology and electronic medical record (EMR) systems to develop the best possible plan. The surgical team considers every detail and documents it all within the EMR for easy access and collaboration.

The faithful day arrives, and the team is assembled and ready to go. The operating room is prepped, and the team is scrubbed in and psyched for success. Then suddenly, all the computer screens in the operating suite go black. Skull and crossbones appear on the screens with a message that says, “Why are you seeing this message? What happened to your data? Well, your data has been locked by military
grade encryption. Don’t waste time. You will NEVER get your data back unless you pay us $600,000 in Bitcoin within the next 72 hours.”

While greatly simplified, the above is a very real scenario that is on some level happening in medical facilities as this article is written. Many attacks that will never be heard about are happening right now where doctors and nurses cannot function properly (going to paper is not an answer) and patients are not being treated as they should. What could possibly allow this to happen? The answer is a type of digital hostage taking called ransomware. In reality, ransomware could already be infecting the organization and it is just not known yet. Hackers are patient and ransomware and or other malware can reside on systems for months or years before it is triggered. Yes, this article is being written to scare
organizations into action. Working to understand this prolific threat that is taking down health care organizations across the globe is a matter of life and death.  Read More.
Empower HIM - Become a CHIA Leader
Nominations for CHIA Board of Directors and CHIA Delegates to AHIMA for the 2020 CHIA Ballot are now being accepted through Monday, October 7, 2019. Each term of office will begin July 1, 2020.  

CHIA is seeking nominations for next year’s leaders and we are interested in you! We all have many gifts and talents, why not consider sharing these talents as a CHIA Officer or Delegate? With your help, we can continue the tradition of nominating highly qualified and experienced members for leadership positions. 

Learn more about CHIA elected leadership opportunities and consider submitting a nomination today. 
Call for CHIACON20 Presentations
Become one of CHIA’s content leaders at the 2020 CHIA Convention & Exhibit. Share your knowledge and expertise as we explore Expanding HIM Horizons: Excellence in Health Information Integrity.

CHIA is currently accepting presentation proposals for the upcoming 2020 CHIA Convention & Exhibit in Riverside, California on June 13 - June 17. With hundreds of HIM professionals in attendance, don’t miss this exciting opportunity to present at the most popular HIM event on the West Coast.

Convention proposals due October 7 for consideration.
RN Link's CDI Specialist Training - Discount for CHIA Members
October 19-20, 2019 in Glendale
Last day to register is September 18

Are you a coding professional interested in learning about clinical documentation improvement (CDI)? Are you a retired nurse or a nurse who wants to explore other career options? There are enormous needs in the health care industry to become a CDI Specialist where you will assist physicians to accurately document how truly ill patients are with severity ratings. The trend nowadays is quality documentation and this course will teach you how to achieve this. 

RN Link is offering a 10% discount to CHIA Members. ​Learn more and register today!
RN Link wants your feedback. Participate in this short RN Link poll to let them know your interest in onsite seminar for CDI refresher course.
Health IT Summit in September - Discount for CHIA Members
September 19-20, 2019
Sofitel Los Angeles at Beverly Hills
Fuel your Passion. Transform Healthcare.

CHIA is partnering with the Health IT Summit to offer complimentary passes to CHIA members. Use code CHIACOMP when registering.

Join top executives, physicians, practice management and IT decision makers from North America’s leading provider organizations and physician practices in Los Angeles, CA for a two-day executive Health IT Summit. We've developed a concise program where leading health care thought leaders interact with their fellow executives and solution providers to discuss the latest strategies and tactics to address a wide range of issues and topics, including: data security, population health, data analytics, accountable care, telemedicine, and more. This exclusive, high-level program is a great opportunity to stay ahead of the challenges we all face and to network with other health care leaders and colleagues.
Latest HIM News Updates
Groupons For Medical Treatment? Welcome To Today’s U.S. Health Care
Lauren Weber; Sep 6, 2019

Emory University medical fellow Dr. Nicole Herbst was shocked when she saw three patients who came in with abnormal results from chest CT scans they had bought on Groupon.

Yes, Groupon — the online coupon mecca that also sells discounted fitness classes and foosball tables. Similar deals have shown up for various lung, heart and full-body scans across Atlanta, as well as in Oklahoma and California. Groupon also offers discount coupons for expectant parents looking for ultrasounds, sold as “fetal memories.”

While Herbst declined to comment for this story, her sentiments were shared widely by the medical community on social media. The concept of patients using Groupons to get discounted medical care elicited the typical stages of Twitter grief: anger, bargaining and acceptance that this is the medical system today in the United States. Read More .
CMS Posts Updated Patient Driven Payment Model Mappings

In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. This site includes a variety of educational and training resources to assist stakeholders in preparing for PDPM implementation.

This section includes fact sheets on a variety of PDPM related topics.

  • Administrative Level of Care Presumption under the PDPM
  • PDPM Payments for SNF Patients with HIV/AIDS
  • Concurrent and Group Therapy Limit (revision posted 8-30-19)
  • PDPM Functional and Cognitive Scoring (revision posted 8-30-19)
  • Interrupted Stay Policy (revision posted 8-30-19)
  • MDS Changes (revision posted 8-30-19)
  • NTA Comorbidity Score
  • PDPM Patient Classification (revision posted 8-30-19)
  • Variable Per Diem Adjustment

CHIA Events Calendar
FY2020 ICD-10-CM/PCS Update
Tuesday, September 24 - Ontario
Thursday, September 26 - Dublin

The Next Generation in Quality Improvement: eCQMs
Thursday, September 26 - Live Webinar

Diaries of a Professional Fee Coding Compliance Auditor
Tuesday, October 8 - Live Webinar

CHIA Student Chat
Friday, October 25 - Live Webinar

Surgical Complication, or not, that is the Question
Tuesday, November 5 - Live Webinar

Confidentiality and the ROI in California
Wednesday, November 13 - Garden Grove
Thursday, November 14 - Pleasanton