Schools Out! EDITION. Make sure to read the BoneSetter cover to cover! MISSION VISION VALUES

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1 BONE & JOINT INSTITUTE OF SOUTH GEORGIA EMPLOYEE NEWSLETTER JUNE 2017 Schools Out! EDITION MISSION To provide world class patient-focused orthopaedic care that results in excellent outcomes and a great patient experience. VISION To transform the health care experience in South Georgia through an organization that is recognized as the best place for employees to work, the best place for providers to practice medicine, and the best place for patients to receive care. VALUES Integrity Kindness and Compassion Innovative and Critical Thinking Team Oriented and Hard Working Learning, Listening & Leading From The Front SUMMER IS HERE AND SCHOOL IS OUT. Make sure to congratulate the graduates of our BJISG family - pages 7 & 8 inside. Thanks For All That You Do! INSIDE THIS ISSUE... New Team Members...2 Volunteers Needed...3 BJISG Casting Course...4 OSHA Training Exercise Congratulations Graduates Nurses Week...9 Important Information BJISG Photo Moments Wealth & Pension Insights Crossword Competition DONT FORGET THE CROSSWORD COMPETITION ON THE BACK! Everyday is a great day to make a difference in someone s life! Lex Kenerly III, MD & Matt Valosen, MD Make sure to read the BoneSetter cover to cover!

2 New Team Members Welcome KATY LANIER, RN Katy recently joined BJISG on May 22, She comes with four years of nursing experience. She recently moved to Ludowici from Cornersville, TN when her husband was stationed at Fort Stewart. Katy and her husband recently had a daughter, Kyleigh, who is 4 months old. Their two German Shepherds are also excited about living in Georgia. SHELBY EDWARDS, LPN Shelby comes to us with 3 1/2 years of nursing experience, most recently with Coastal Manor Nursing Home. She just graduated from South Georgia College with her Associates in Nursing and will be taking the NCLEX (RN exam) soon. Shelby is originally from Ludowici and has a 6 year old little boy that keeps her very busy! Welcome to the team, Shelby! SKYLER CREWS Skyler is a 2017 graduate of Brantley County High School and is very excited to be a part of the Bone & Joint Institute of South Georgia. She enjoys music, spending time with her friends and going to the beach. She also values time spent with her family and enjoys hanging out with her nephew, Ryder and her sistyer, Kylee. TAKING IT ALL THE WAY! Congratulations To Both The Yellow Jackets and The Bears For Doing So Well This Baseball Season! JUNE 2017 THE BONESETTER NEWSLETTER PAGE 2

3 JULY 4th JULY 4TH - VOLUNTEERS NEEDED July 4th falls on a Tuesday and all our clinic locations will be closed. However, as you are aware, it is not uncommon for this holiday weekend to result in a number of orthopaedic injuries. To maintain access to orthopaedic services we plan to be open with a skeleton crew on Monday July 3rd, and are looking for volunteers. Our needs are as follows: Jesup Clinic Location: -Provider -Nurse -Med Assistant -Xray Tech -Checkin/Checkout -Phone Room x2 -Business Office x2 Waycross Clinic Location: -Provider -Nurse -Med Assistant -Xray Tech -Checkin/Checkout We will need approximately fourteen (14) volunteers, if possible. Please Amanda Dowdy, Nancy Freeman and myself if you are willing to volunteer to work on Monday July 3rd, Thanks. Richard A man goes to the doctor and says to the doctor: It hurts when I press here (pressing his side) And when I press here (pressing the other side) And here (his leg) And here, here and here (his other leg, and both arms) So the doctor examined him all over and finally discovered what was wrong... You ve got a broken finger! JUNE 2017 THE BONESETTER NEWSLETTER PAGE 3

4 BJISG Casting Course CASTING DAY WAS A HUGE SUCCESS! THANK YOU TO EVERYONE WHO PARTICIPATED! This cast really accents my nails! :) THIS MADE US APPRECIATE OUR PATIENTS EVEN MORE! A GREAT TIME FOR NOT ONLY LEARNING BUT ALSO TEAM BUILDING, LAUGHING, AND FUN JUNE 2017 THE BONESETTER NEWSLETTER PAGE 4

5 OSHA Compliance A Guide to Compliance with OSHA Standards The mission of the Occupational Safety and Health Administration (OSHA) is to save lives, prevent injuries, and protect the health of America s workers. As part of the Department of Labor, OSHA and the states that operate OSHA-approved state plans establish guidelines and standards to promote worker safety and health that apply to every workplace in the United States, including medical practices. This information provides only a glimpse of the most frequently found hazards in medical offices. Many other standards may apply. BLOODBORNE PATHOGENS STANDARD (29 CFR ) This is the most frequently requested and referenced OSHA standard affecting medical offices. Some basic requirements include: A written exposure control plan, to be updated annually. Use of universal precautions Consideration, implementation, and use of safer, engineered needles and sharps Use of engineering and work practice controls and appropriate personal protective equipment (gloves, face and eye protection, gowns) Hepatitis B vaccine provided to exposed employees at no cost Medical follow-up in the event of an exposure incident Use of labels or color-coding for items such as sharps disposal boxes and containers for regulated waste, contaminated laundry, and certain specimens. HAZARD COMMUNICATION (29 CFR ) The hazard communication standard is sometimes called the employee right-to-know standard. It requires employee access to hazard information. The basic requirements include: A written hazard communication program A list of hazardous chemicals (such as alcohol, disinfectants, anesthetic agents, sterilants, mercury) used or stored in the office A copy of the Material Safety Data Sheet (MSDS) for each chemical (obtained from the manufacturer) used or stored in the office IONIZING RADIATION (29 CFR ) This standard applies to facilities that have an x-ray machine and requires the following: A survey of the types of radiation used in the facility, including x-rays Restricted areas to limit employee exposures Employees working in restricted areas must wear personal radiation monitors such as film badges or pocket dosimeters Rooms and equipment may need to be labeled and equipped with caution signs EXIT ROUTES (29 CFR Subpart E , , , and and ) These standards include the requirements for providing safe and accessible building exits in case of fire or other emergency. It is important to become familiar with the full text of these standards because they provide details about signage and other issues. OSHA consultation services can help or your insurance company or local fire/police service may be able to assist you. The basic responsibilities include: Exit routes sufficient for the number of employees in any occupied space A diagram of evacuation routes posted in a visible location. ELECTRICAL (Subpart S-Electrical 29 CFR to 29 CFR ) These standards address electrical safety requirements to safeguard employees. OSHA electrical standards apply to electrical equipment and wiring in hazardous locations. If you use flammable gases, you may need special wiring and equipment installation. In addition to reading the full text of the OSHA standard, you should check with your insurance company or local fire department, or request an OSHA consultation for help. Continue To Page 5 STAFF TRAINING You must complete the questions on page 5 following this OSHA section and turn it into your supervisor. JUNE 2017 THE BONESETTER NEWSLETTER PAGE 5

6 OSHA Compliance A Guide to Compliance with OSHA Standards REPORTING OCCUPATIONAL INJURIES AND ILLNESSES (29 CFR 1904) Medical offices are currently exempt from maintaining an official log of reportable injuries and illnesses (OSHA Form 300) under the federal OSHA record keeping rule, although they may be required to maintain records in some state plan states. If you are in a state plan state, contact your state plan directly for more information. All employers, including medical offices, must report any workrelated fatality or the hospitalization of three or more employees in a single incident to the nearest OSHA office. Call (800) 321-OSHA or your state plan for assistance. HELPFUL RESOURCES OSHA makes every effort to make information about its regulatory requirements readily available to the public. The full text for each standard in this brochure is available on the OSHA website at You can search for a specific subject by using the alphabetic index near the top of the home page or by clicking on Laws and Regulations under Compliance Assistance, then clicking on OSHA Regulations (Standards- 29CFR). THE FOLLOWING TRAING EXERCISE MUST BE COMPLETED, SIGNED AND TURNED INTO YOUR SUPERVISOR. CIRCLE THE CORRECT ANSWER(S) 1. Medical follow-up is needed if exposed to bloodborne pathogens...true FALSE 2. Appropriate personal protective equipment include:...gloves FACE AND EYE PROTECTION GOWNS 3. The hazard communication standard is sometimes called the employee right-to-know standard...true FALSE 4. This is the most frequently requested and referenced OSHA standard affecting medical offices:...bloodborne PATHOGENS IONIZING RADIATION 5. A copy of the Material Safety Data Sheet (MSDS) for chemicals used are not required to keep on hand...true FALSE 6. Restricted areas are required to limit employees to...radiation EXPOSURE SNACKS SMOKING 7. Are we required to provide visibly marked building exits?...true FALSE 8. Dealing with radiation, what should be labeled with caution signs....floor ROOMS EQUIPMENT NOTHING 9. OSHA s toll free number is...(888) 321-OSHA (800) 321-OSHA (800) 123-OSHA x PRINT NAME HERE MAKE SURE TO TURN THIS OSHA TRAINING EXERCISE INTO YOUR SUPERVISOR JUNE 2017 THE BONESETTER NEWSLETTER PAGE 6

7 Congratulations Graduates! Dexter L. Thomas, Jr. Wayne County High School Son of Shanda Thomas Off To College! Hagen Matthew Strickland Jesup First Baptist First School Son of Allie Strickland Wants To Grow Up To Be Batman! Jordan Hinson College of Coastal Georgia Daughter of Kim Hinson Cum Laude! Degree RN-BSN Committed To Trauma Orthopaedics! Billy Freeman University of South Carolina Son of Nancy Freeman Process Engineer with Rayonier Advanced Materials! Jameson Kenerly University of Georgia Daughter of Dr. & Mrs. Kenerly Honors! Planning On Med School! Degree in Biological Science Sarah Smith Wayne County Graduate Works In BJISG Billing Off To Southeastern University In FL! Best of Luck To You! More graduates on the following page! JUNE 2017 THE BONESETTER NEWSLETTER PAGE 7

8 Congratulations Graduates! Jordan Lane Dewit University of Georgia Son of Sissy Dewitt Magna Cum Laude Agricultural Communications Skyler Crews Brantley County High School New BJISG Business Office Intern Enjoys The Beach and Spending Time With Her Family! Hallie Makayla Ray Landon Wayne County High School Daughter of Rhonda Landon Moving to Orlando, FL to pursue a career in acting & music! Martin Causer Ogeechee Technical College Son of April Causer Electrical System Technology Diploma Air Conditioning Diploma! Bradley Wood Odum Elementary - 5th Grade Son of Sheree Wood Bradley is looking forward to middle school and the football team! From all of us at the Bone & Joint Institute of South Georgia, we are excited for each and every graduate! We wish each of you the very best in life as you head off down your individual path. With the success of graduation, comes more challenges and opportunities in life. Face them both with the same zeal and determination as you have always done. Congratulations on your graduation and best wishes for your future life. JUNE 2017 THE BONESETTER NEWSLETTER PAGE 8

9 Nurses Week 2017 We Love Our Nurses! JUNE 2017 THE BONESETTER NEWSLETTER PAGE 9

10 Important Information REVENUE CYCLE: DENIALS - You all can assist in trying to decrease the number of denials we are seeing by improving on our coding in the clinic. I feel as though this is important information to pass along to you so that we can hopefully see improvement in these trends in the coming months. When a visit or procedure is denied, a great deal of time is spent trying to get these resolved by either resubmitting with the corrected information or providing documentation showing medical necessity. The billing team also corrects a lot of modifiers on the back side that are not uniform across the board for all of the different payers. This is a very overwhelming task! AREAS FOR IMPROVEMENT: When a closed treatment is charged for a fracture, a -57 modifier (decision for surgery) should be applied to office visits. All other procedures, including injections, a -25 modifier should be applied to the office visit. When a patient is in a global period from either surgery at the ASC or hospital or a fracture, use a (no charge office visit). They are in a 90 day global. If they are seen for a different problem, an office visit can be charged with a -24 modifier. For arthrograms, (ex hip arthrogram) indicate laterality (left or right) on the CPT code for the injection. Office visits are being requested for EMG s. They are asking for a diagnosis code to support doing a bilateral procedure and documentation for medical necessity. Some of the EMG s are being denied based on NO medical necessity for the opposite side. I am looking into this further and will provide more information soon. At this point, do not change the process of ordering bilateral studies if that is what the providers want. If the patient is having symptoms on both sides, then there needs to be a diagnosis code in the chart for both sides. IF YOU HAVE ANY QUESTIONS ABOUT ANY OF THE ABOVE INFORMATION, CONTACT AMANDA DOWDY FOR ADDITIONAL INFORMATION (EXT 1066 OR 1090) GEORGIA TAX CREDITS ATTENTION: BJISG will be filing for Georgia State Tax Credits for training that occurred in 2015 and The training information that is being collected must be tied to a software program or new piece of equipment. Excluded training includes Microsoft office products, HIPAA; OSHA; customer service; and training received by owners. MAKE SURE YOU AND YOUR FRIENDS LIKE US ON FACEBOOK As many of you already know, social media is a great way to reach people with important messages. We spend a lot of effort reaching our community through facebook. Make sure to like and share our posts. You never know who is in need of our services. With your help, we can reach everyone in South Georgia! JUNE 2017 THE BONESETTER NEWSLETTER PAGE 10

11 BJISG Moments... Sarah Smith will be leaving us on June 6, We wish her the best! JUNE 2017 THE BONESETTER NEWSLETTER PAGE 11

12 BJISG Moments... JUNE 2017 THE BONESETTER NEWSLETTER PAGE 12

13 Wealth & Pension Insights FOR MORE INFORMATION, CONTACT: ROB DONNELL, CFP PHONE: EXT GEORGE RICHERSON, CRPS PHONE: EXT 12 JUNE 2017 THE BONESETTER NEWSLETTER PAGE 13

14 EMPLOYEE NEWSLETTER OF THE BONE & JOINT INSTITUTE OF SOUTH GEORGIA MAY 2017 HINT HINT HINT HAVE FUN WTH THE CROSSWORDS! WHEN YOU DON T KNOW... SEARCH,THE BONESETTER! 11. ALL OF THE ANSWERS ARE IN THIS NEWSLETTER... Can You Find Them All? WILL YOU WIN? SUBMIT TO WIN! SUBMIT YOUR FINAL CROSSWORD PUZZLES TO YOUR MANAGER TO BE ENTERED INTO THE COVETED BJISG PRIZE VAULT! MAKE SURE TO FILL OUT YOUR NAME BEFORE SUBMITTING: X Congratulations To Last Month s Winners! Amber Myers Shalynn Lairsey Kalvin Jackson Michelle Harmon Congrats to all the winners. This could be you next! Make sure to complete the above puzzle and turn it in! Best of luck! JUNE 2017 THE BONESETTER NEWSLETTER PAGE 14