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New and Improved Referral Management System (RMS)


The Texas Tech Referral Management System (RMS) will be upgraded with a new user interface that will go live on September 30th. RMS staff members in each clinic are scheduled to receive training, starting next week with the Ophthalmology clinic going first. They will be assisting us with testing the changes to the new system.

The new changes will allow staff manage referrals more efficiently, as well as allow clinic administrators to retrieve better data from the system. There are no changes to the system that will affect the provider workflow.

The next phase of the RMS roll-out will include the ability to receive external referrals electronically.

In case you missed it – Understanding Scorecards

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CareManager Expansion into Cardiology Clinic


We are excited to announce the upgrade of the CareManager Patient Registry! CareManager will be expanded to the Internal Medicine Cardiology clinic that will be using the new Cardiovascular Risk Reduction module.

CareManager is currently being used by Family Medicine and Internal Medicine General Medicine-clinics to pursue population health initiatives and close priority health gaps in care for our patient population.

Thank you everyone who attended training on the new module; we were able to meet our deadline of September 30th for DSRIP!

20 bizarre new ICD-10 codes

The ICD-10 code set, scheduled to go into effect on Oct. 1, 2015, brings with it thousands of new codes for medical practices nationwide. And while some will be familiar to their ICD-9 predecessors, others are a bit peculiar.

Here's a list of some of the more unusual ICD-10 codes coming to medical practices, based on where they occur: land, sea or air.

ICD-10 Codes Description Place
W61.33 Pecked by a chicken Land
V00.01 Pedestrian on foot injured in collision with roller-skater Land
Y92.146 Swimming pool of prison as the place of occurrence of the external cause. Land
Z63.1 Problem in relationship with in-laws. Land
Y92.241 Hurt at the library. Land
Y92.253 Hurt at the opera. Land
Y93.D1 Accident while knitting or crocheting. Land
ICD-10 Codes Description Place
W56.22 Struck by marine mammals. Sea
W56.32 Struck by orca, initial encounter. Sea
W56.11 Bitten by sea lion. Sea
V91.07 Burn due to water-skis on fire. Sea
V91.35 Hit or struck by falling object due to accident by canoe or kayak. Sea
V94.810 Civilian watercraft involved in water transport accident with military watercraft. Sea
ICD-10 Codes Description Place
W61.12 Struck by macaw. Air
W61.01 Bitten by parrot. Air
V97.33 Sucked into jet engine. Air
X52 Prolonged stay in weightless environment. Air
V96.00 Unspecified balloon accident injuring occupant. Air
V95.40 Unspecified spacecraft accident injuring occupant. Air

In case you missed it – CMS ICD-10 Coding

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EMR Announcements

There is currently 1 EMR Announcement(s):
    • We’ve been working diligently to correct the issue of labs not showing in flow sheets.

      Please report any issues regarding these particular labs not crossing over from the report to your flowsheet.

    • Please dial 215-4111 Option 3 to reach us.

    • To request to file an EMR document in error please send an e-mail to Please do not send alerts or flags for this type of request.

    • For any feedback or requests for this newsletter please e-mail us at

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EMR Known Issues

There are 2 EMR Known Issues:
    • Rotating residents do not have access to printers or computers in clinic
    • Clinic must notify EMR department of any residents rotating through their clinic in order for them to be granted access.
    • Please report any lab values not showing in flowsheets after signing the lab report to the EMR, Labs proxy box in EMR.
    • To report any issues please e-mail us at or contact us at our new number 215-4111 option 3.
As always we are working to resolve these issues in a timely fashion and will keep you updated on their status.

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