Steps to code Centracare st cloud

Log in to citrix gateway

username: csy4478
password:

Log in to centranet
username: ada.amuta@centracare.com
password:
*Log in to Kronos (6AM), Out for Meal (12nn), In from Meal (12:30PM), Log Out(Depends)

Log in to EPIC
username: csy4478
password:
Click Log in and Continue
Choose a Department on Search Icon:
Dept: Wilmar Internal Medicine etc
On Epic Click the 3 squares icon and choose 7146, you will be working on this workqueue

OFFICE VISITS
--Medicare Preventive (G0402, G0438, G0439)
--Non-Medicare Preventive (99395, 99396, 99397)
--TCM (Transitional Care Management)
--Telemedicine
--Pre-operative consultation ( Primary DX: Z01.818, Secondary DX: Indication of
Surgery/Procedure)
–Internal Medicine
● CCH Wilmar Internal Medicine
● CCH Infectious Disease
● CCH Palliative Care
● CCH RC Internal Medicine
● CCH Plaza Internal Medicine
(sometimes you will be asked to work on Family Med, always check daily instructions from
emails)

TAKE NOTE: WQ were filtered based on the 5 depts you were assigned to (CCH Wilmar
Internal Medicine, CCH Infectious Disease, CCH Palliative Care, CCH RC Internal Medicine
& CCH Plaza Internal Medicine). But if you were ask to work on Family Medicine just click on
the Show All icon to remove filter and access the FM departments
Open 3M
Go to Professional Services Dashboard
--Internal Medicine
--Click Ready
--Sort by Service date (oldest)

--Click on Document ID

--Read the Document/Chart, click on charge line on Professional Services Tab

--You will be able to see the charges under Professional Tab, for this example the charge line
shows CPT G0439
Click on Summary Tab and copy MRN

Go To EPIC
–On WQ 7146, Go to Guarantor Account Tab, Paste MRN and Enter

– Click on Prof Tx Inquiry, Click Go to then choose Chart Review

–Always check if the Office Visit is New or Established, Click Chart review to look for previous
visits
*No need to check on EPIC If documented on 3M notes patient returns for follow up (3 months
follow up,6 months follow up)

–For Medicare Preventive and Non-Medicare Preventive Visits, you can check for previous
Preventive Visits by clicking Advance Filters, Tick Procedure Code and Enter CPT Codes like
G0439,G0438, G0402, 99396, 99395

–If you have confirmed the visit go back to 3M and code the document
–On Codes Tab, Click on the accept icon if it’s the correct code or procedure
–You can also enter Diagnosis and Procedure codes on Codefinder

–On Encounter Summary, add additional DX like Smoking Status, Long term use of Meds (Z79*)
 –Long term use of Insulin
–Long term use of OHA
–Long term use of aspirin
–Long term use of anticoagulants
–Long term use of antiplatelets/antithrombotics
–Long term use of other drugs

–Ear lavage/instrumentation procedure can also be found on Encounter Summary, always

check if instruments like forceps etc were used.
TAKE NOTE: Medicare does not accept MODIFIER 50 on CPT CODE 69210 (Ear Lavage with
Instrumentation)

–Check for labs under the Facility, labs will be counted to determine LOS (Category 1: Test &
Documents)
–If your done coding, complete the chart

Go back to EPIC WQ 7146

— Be mindful of the chart you completed in 3M bcoz you will resubmit it on EPIC

Click on the encounter you want to submit on epic, click Accept and click Resubmit
References:

Fillable E/M Audit Tool

INTERNAL MEDICINE
TCM Audit Tool

MEDICARE and NON-MEDICARE PREVENTIVE VISIT GUIDELINES

Open PolicyStat - username and password same on EPIC

NEW VS ESTABLISHED

Open PolicyStat - username and password same on EPIC

TELEMEDICINE - search for the email regarding telemedicine,open this document