October1_2018Final

October 1, 2018www.unityhc.com

News Unity Healthcare Congratulates Katherine Cummins, MD as a new Owner! Dr. Cummins receives a congratulatory cake from Dr. William Oliver! Dr. Cummins joined Dr. Oliver and Dr. David Sullivan at Greater Lafayette Foot Care in 2016. She became an owner September 1, 2018. Congratulations Dr. Cummins! Welcome Peter Stafford, MD to Lafayette Surgical Center. Dr. Stafford comes from the University of Kentucky College of Medicine, where he was Chief Resident.

Compliance Corner CERT Errors from CMS The latest quarterly CERT Error Summary from 1st quarter was recently updated to include errors noted by our Medicare CERT contractor, Wisconsin Physician Services (WPS). Thehighest percentage of errors was due to insufficient documentation at 64%, followed by incorrectcoding at 27%. Some errors noted under insufficient documentation include: Missing documentation describing E/M services for admission and discharge Missing documentation supporting application of short arm cast and sling Missing attestation statement or legible identification of the author to support the claimIncorrect coding error noted: Documentation that did not support an initial inpatient hospital code (99223). Payer Updates Accurate DocumentationUHC – Smart Edits allow a provider to correct edit rejections before theclaim enters the system for processing. The provider has five days to and Codingcorrect the claim before it’s automatically processed. The edits were Drives Revenuedeployed on 8/16 and 9/10 of this year. and EnsuresMedicare – Recently released MLN article SE18004 instructs providers Compliancethat perform IPPE (Initial Preventive Physical Examination) and AWVs Throughout Unity(Annual Wellness Visit - subsequent and initial) to review the patient’sopioid use. Reviewing the use of opioids should be common practicewhen updating the patient’s medical and social history. Per the MLN, “If apatient is using opioids, assess the benefit from other, non-opioid paintherapies instead, even if the patient does not have OUD but is possibly atrisk”. CPT 2019 Update Brings New Codes for Care Coordination Services, Psychological AssessmentsThe American Medical Association (AMA) recently released the 2019 CPT Manual with 335 code changes, primarilyadding care coordination services, central nervous system assessments, skin biopsies, and fine needle aspirations.Three new 2019 codes allow coders to specify physician interactions with patients via remote communicationtechnology, according to the AMA. The manual also includes two interprofessional internet consultation codes toreflect increased non-verbal communication between consulting and treating physicians, according to the pressrelease.The update also includes more specific codes for psychological and neuropsychological testing. Four subsections wereadded (i.e., automated testing result, neurobehavioral status examinations, test administration and scoring, andtesting evaluations services) with new and revised codes for central nervous system assessments.Additional CPT changes for 2019 include several code additions for fine needle aspirations, which specify the type ofimaging guidance used, and skin biopsies, which specify the type of skin biopsy technique used. All of the codes will beactive January 1, 2019.https://revenuecycleadvisor.com/news-analysis/cpt-2019-update-brings-new-codes-care-coordination-services-psychological-assessmentsCoding Compliance will be providing an annual CPT Update/Luncheon for 2019 changes. Invites coming soon!

Compliance Corner Coding & Compliance Corner Coding Compliance codinghelpdesk@unityhc.com ICD-10 Changes 2019 Did you know?There are numerous changes in the ICD-10 Diagnosis manual for 2019 ICD-10 Code Changes are2019. In addition to the new, deleted and revised diagnosis codes, effective October 1, 2018there are changes in the “Official Guidelines” briefly outlined You can list up to 12 diagnosis codesbelow. Two new appendixes have been also added - Appendix F on a single claim form. You can mapwhich explains the Hierarchical Condition Category (HCC) and up to 4 codes to a specific CPT code.Appendix G which describes the Quality Payment Program. Both Coding Resources previouslyappendixes provide documentation tips, explain the different risk referenced on Unity Library are nowadjustment models, and performance expected. available on the Coding departmental page on Unity Portal.The following changes appear in bold text in the 2019 ICD-10 Pertinent information is listed alongOfficial Guidelines. with forms created by the department. ▪ B. General Coding Guidelines The 2019 Medicare Physician Fee  14. Documentation by clinicians other than the Schedule is expected to release early patient’s provider November.  Social determination of health  Coding for cataclysmic events, morbidity causes and use of Z codes ▪ C. Chapter – Specific Coding Guidelines  Chapter 1 – (5) Sepsis due to postprocedural infection  Chapter 5 – c. Factitious Disorder (e.g. Munchausen’s Disorder)  Chapter 15 – I 3.) Drug use during pregnancy  Chapter 19 – e. (c) Underdosing f. sexual exploitation/forced labor  Chapter 21 - c. 3) BMI code(s) clarification

HR Department OPEN ENROLLMENT REMINDERS The open enrollment period for 2019 elections is October 22nd - November 5th. Please make your elections during this period in order to receive any applicable new ID cards by January 1st. ADP REVIEWING CURRENT ELECTIONS To view your current elections in ADP, log on to https://workforcenow.adp.com, and go to the Myself tab > Benefits > Enrollments. You will see a current day view of your elected benefits. ADP EVENTS / WORK EVENTS As a reminder, you have the ability to add dependents and beneficiaries due to a life event (marriage, divorce, birth or adoption of a child, loss or gaining other coverage, etc.) by using the ADP system - https://workforcenow.adp.com. Go to the Myself tab > Personal Information > Dependents & Beneficiaries and click Add and follow the prompts to add coverage, or next to the Dependents & Beneficiaries name, click the arrow under the Action column to complete other events. 2019 HSA CONTRIBUTION LIMITS The IRS has announced the 2019 HSA contribution limits will increase effective January 1, 2019. The annual contribution limit for individuals with self-only coverage will go up by $50 to $3,500. For those with family coverage, the annual contribution limit will go up by $100 to $7,000. 401(k) DEFERRALS (Contributions) It’s easy to make investment elections when you initially sign up to participate in Unity’s 401(k) plan and forget all about your elections. We strongly encourage reviewing your elections annually to ensure they are still in line with your investment and retirement strategy. To change your deferral amount, go to the Newport website - https://newportgroup.com/login/participant. After logging in, select My Plans from the main menu > Deferrals > Deferral Change.

HR Department The Participant Learning Center Save Today for a Bright Tomorrow Your retirement savings plan is an important piece of your financial future. We want you to have the tools and knowledge to help you achieve your savings goals. Our Participant Learning Center is designed to provide useful articles, calculators and tools for each phase of your life—from just starting your working life to enjoying retirement. The Participant Learning Center can be found by visiting www.newportgroup.com and selecting Participant Login. Home Page • Navigate content by life phase • Easily access helpful calculators • Access your account by logging in at the top of the page Explore Content • Explore articles, videos and tools by life phase • Login at any time at the top of the page • Click “Explore All” to view all content Have a question about your account? Contact our Customer Service Team: Phone: 888-401-5629 www.newportgroup.com © Newport Group, Inc. 2016. All rights reserved. R011-041216

HR Department

HR DepartmentUnity HealthcareNew Hires: WelcomeSeptemberAdministration, Accounting Specialist, Laura BirgeAdministration, Courier, Larry FifeFlora Family Medicine, Cleaning, Cindy CulpFlora Family Medicine, Cleaning, Deanna DutterGreater Lafayette Foot Care, Certified Surgical Technologist, Sara MelladyLafayette Neurology, Medical Assistant, Rachel RislerLafayette Rehabilitation Services, Occupational Therapist, Lauren ConnerLafayette Surgical Center, Employee Physician, Peter Stafford, MDUnity Immediate Care Center, Registered Nurse, Sarah ClarkUnity Surgical Center, Certified Nursing Assistant, Jamie SwinfordUnity Surgical Center, Certified Surgical Technologist, Madison Howe

November 2, 2018 9AM - 12 NoonUnity Medical Pavilion 1st Floor Conference Room

Celebrate. Remember. Fight Back. Fundraising EventRelay for Life Fundraiser! Purchase the Beef House’s Yeast Rolls (come frozen), Apple Butter or Strawberry Jam. $8 Cash or Checks Payable to Unity Healthcare Each All orders are due by October 22nd. Orders MUST BE picked up at Lafayette Cancer Care November 12th; just in time for Thanksgiving! Pick up times will be announced later. Complete attached order form with payment and send to Lafayette Cancer Care Attention: Laurie Dieringer. Thank you for helping support Unity Healthcare’s Relay for Life Team!

Beef House Fund RaisersName Frozen Rolls, Apple ButterOffice Name & Strawberry JamEmail Address 10/22/18Orders Due By __3/15/16_______Make Checks Payable to Phone # Name Unity Healthcare Cash Telephone Dozen Pint Pint TOTAL Rolls Jam Apple Butter $ 8.00 $ 8.00 $ 8.00 ROLLS JAM APPLE BUTTER TOTAL

On September 11, 2018, Unity Healthcare had four volunteers assisting on the 21st GreaterLafayette Honor Flight to Washington, D.C. From left to right, Guardian Brenda Buehler, Market-ing Manager, Margie Hale, Director of Operations and also Greater Lafayette Honor Flight boardmember, Kent Sales, UICC Paramedic and Josh Knuckles, Cornerstone Maintenance. Was a great success & so much fun! Plan to join us for next year's concert!

GAEFBTTYEYTROUNUEOSRODTINACYKETS10.05.18 SAVE THE DATE PURDUE MEMORIAL UNION 5:00 - 9:30 PM $70/INDIVIDUAL OR $650/TABLE OF 10 CALL 765-446-5402ULTIMATEPINKPARTY.COM

Events VISIT LAFAYETTE – WEST LAFAYETTE: https://www.homeofpurdue.com/events/calendar.php A Night To Remember! www.KLDFOUNDATION.ORG Join us for an evening of networking with other newcomers Thursday, October 18, 5:30-7:30 p.m. Holiday Inn City Center, 515 South Street, Lafayette, IN Please RSVP to bmaxson@purduefed.com by Monday, Oct. 8Trail of Scarecrows http://www.in.gov/dnr/parklake/2971.htmOctober 1 – November 4, 2018The Great Pumpkin Patch http://www.cosumc.org/October 1 – October 31, 2018Frankenstein http://www.convocations.orgOctober 3, 2018Leukemia & LymphomaSociety – Light The Night WalkOctober 11, 2018 | 5:30 PM http://www.lightthenight.org/events/greater-lafayetteAmerican Heart Association WalkOctober 27, 2018 http://www2.heart.org/site/TR/HeartWalk/MWA- MidWestAffiliate?pg=entry&fr_id=2156

RecipesFlavorful Southwestern Chili10 servings | Prep Time: 10 minutes | Cook Time: 15 minutesINGREDIENTS • 2 lbs. lean ground beef • 1-1/2 cups chopped onions • 2 cans (14-1/2 oz. each) diced tomatoes, undrained • 1 can (15 oz.) pinto or black beans, rinsed and drained • 1 can (15 oz.) tomato sauce • 1 package (10 oz.) frozen corn, thawed • 3/4 cup water • 1 can (4 oz.) chopped green chilies • 1 teaspoon ground cumin • 1/2 teaspoon garlic powderDIRECTIONS: • In a dutch oven, cook beef and onions over medium heat until meat is no longer pink. Drain. Stir in remaining ingredients.Bring to a boil. Reduce heat; simmer, uncovered, for 15 minutes. Top with tortillas, sour cream, & guacamole. Enjoy! • Freezer option: Transfer cooled chili to freezer containers. Freeze up to 3 months. To use, thaw in refrigerator. Place in asaucepan and heat through.https://www.tasteofhome.com/recipes/flavorful-southwestern-chili/Low Carb Pumpkin Cheesecake Mousse12 servings | Prep Time: 5 minutesTotal Time: 60 minutesINGREDIENTS: • 16 oz. softened cream cheese or mascarpone • 15 oz. canned pumpkin - not pumpkin pie filling • 2 cups heavy cream • 1/4 teaspoon salt • 2 teaspoons pumpkin pie spice or use cinnamon, ginger, nutmeg, ground cloves • 1 teaspoon vanilla • 1-2 teaspoons liquid stevia or other low carb sweetenerDIRECTIONS: • Using a mixer, blend cream cheese and pumpkin until smooth. Add the rest of the ingredients and blend until whipped and fluffy -about 5 minutes. Taste and adjust sweetener to your liking if needed. Serve in glass bowns and chill about an hour to set and thicken,but may be enjoyed immediately! Keep refrigerated. Net carbs: 4ghttps://www.sugarfreemom.com/recipes/low-carb-pumpkin-cheesecake-mousse/