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Home Health ICD-9/ICD-10 Alert
Home Health ICD-9/ICD-10 Alert
Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 12
Ensure Coding Success Under Revised PPS
Brush up on your manifestation coding skills to secure maximum reimbursement. Is your age...
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Coding compliance:
Avoid diabetes/chf Episode Scrutiny
Repeat episodes attract intermediary edits. Coding accuracy can keep your agency from was...
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Clip and Save:
Make The Right M0246 Decision Every Time With This Chart
Remember sequencing rules when listing a manifestation code. Trying to figure out how to ...
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Coding 101:
Don't Jeopardize Your Claims With Unspecified Codes
Avoid 'other specified' codes for unspecified diagnoses. Knowing the difference between N...
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Inservice Education:
Catch Up On Home Care Coding Changes For 2008
Don’t let October ICD-9-CM coding changes distract you from the major coding revis...
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Reader Questions:
Hire Coders With Home Health Background
Question: In a previous issue, you mentioned that many agencies hire professional coders....
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Reader Questions:
Keep Kidney Failure Codes In Check
Question: How do I know when to list a code for renal insufficiency rather than renal fai...
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Reader Questions:
Cross Out Syndrome X Code For Diabetic Patients
Question: When is it appropriate to list 277.7 (Dysmetabolic syndrome X)? A colleague has...
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Reader Questions:
Documentation Is Key With Diabetes, Nephropathy
Question: I read in Home Health ICD-9 Alert Volume 4, Number 7 that when you are selectin...
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Reader Questions:
Code Completely For Surgical Wound
Question: We have a diabetic patient and we're providing surgical dressing changes for a ...
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You Be the Coder:
Gain Points For Dysphagia
Question: I'd like to make sure I'm coding for dysphagia correctly. For example, if a pat...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 11
CODING 101:
FOCUS ON THE BASICS TO AVOID THESE MISTAKES
Look at the whole patient before using aftercare codes.Boost your accuracy rate--and avoid...
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Survey & Request:
TELL US WHAT YOU WISH YOU COULD LEARN ABOUT CODING
We need your input to be sure each issue of Eli's Home Health ICD-9 Alert continues to tar...
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CODING UPDATE:
IT'S TIME TO SWALLOW NEW DYSPHAGIA CODES
More specificity required for speech therapy.When you code for a patient with stroke-relat...
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Inservice Education:
CATCH UP ON THERAPY CODING CHANGES FOR 2008
Learn how to cope with the new--and potentially costly--challenges you face with V57.x a...
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CODING TOOL:
INCREASE DYSPHAGIA CODING ACCURACY -- AND EASE YOUR WORKLOAD
Precise dysphagia coding supports accurate reimbursement.With the feds' increased focus on...
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PAY FOR PERFORMANCE:
EXPECT CODING SCRUTINY UNDER P4P DEMO
PPS changes in 2008 add urgency to your coding accuracy. Home health agencies in the ...
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READER QUESTIONS Uncontrolled Hypertension Doesn't Mean Malignant
Question: The cardiologist documented the patient's hypertension as "uncontrolled." Does t...
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READER QUESTIONS:
Conquer Burn Code Confusion
Question: We admitted a patient for physical therapy for gait training who also has a pair...
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READER QUESTIONS:
Don't Fall For The First Code You Find
Question: What diagnosis should I report for a patient who falls frequently? Answer: Some ...
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READER QUESTIONS:
Breathe Easier With These Asthma Tips
Question: When reporting an asthma diagnosis, do I need a fifth digit? Answer: Yes. ICD-9 ...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 10
Watch Out:
Diagnosis Coding Soon Will Affect Supplies Reimbursement
19 diagnosis categories are especially important to HHAs Unless you understand the new in...
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Survey Request:
Here's How To Get The Coding Information You Need Most
We need your input to be sure each issue of Eli's Home Health ICD-9 Alert continues to tar...
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Coding How-To:
Learn All 5 Steps For The New Payment Diagnosis Question
Here's how to accumulate case mix points in 2008. Checking Table 2A under the new PPS fin...
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Clip & Save:
Help Prevent New Case Mix Code Confusion
Keep this 2-page chart in front of you for 2008 coding accuracy. A case mix code won't al...
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Inservice Education:
Catch Up On Home Care Coding Changes For 2008
Don’t let October ICD-9-CM coding changes distract you from the major coding revis...
Read more
Coding 101:
3 Steps Take The Guesswork Out Of Dementia Coding
Alzheimer's disease is only one possibility. Getting patient-specific information may be ...
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Reader Question:
Don't Sequence By Severity
Unless otherwise indicated, reader questions were answered by Lisa Selman-Holman, JD, BSN,...
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Reader Question:
Home Medication Monitoring
Question: Is V58.83 a code for medical management? I have been using both V58.83 and the ...
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Reader Question:
Look For Fracture Coding Change Under New PPS
Question: I am confused about fracture codes. When is it appropriate for us to code a fra...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 9
Prospective Payment System:
Prepare For Major Stroke Coding Changes Under New PPS
Are you overusing abnormality of gait? The proposed changes to the prospective payment sy...
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Coding How-To:
Get Answers To Your Top-3 Burn Coding Questions
Watch for changes to burn/trauma wound reporting at M0440. Coding for burns is no easy ma...
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Coding 101:
Use These Expert Tips To Master The Alphabetic Index
When it comes to cross-references, know the difference between 'see' and 'see also.' Whil...
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Inservice Education:
Take Advantage Of These Timely Education Opportunities
Two upcoming Eli-sponsored audioconferences will bring you up-to-date on some of home ca...
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Reader Question:
Use 3 Codes To Report Insulin Poisoning
Question: Our patient injected too much insulin and experienced dizziness and blurred vis...
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Reader Question:
Be Accurate With Exacerbation Dates
Question: Should we note exacerbation of a diagnosis when the condition is noted in the m...
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Reader Question:
Stick With Aftercare For Tendon Repair
Question: We are providing care for a patient who recently had a quadriceps tendon repai...
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Reader Question:
Look Beyond Postsurgical Infection For Infected TKR
Question: Our new patient had a total knee replacement (TKR) four weeks ago. The site has...
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Reader Question:
Keep Open Wound Coding From Getting Too Complicated
Question: When does a wound become non-healing or chronic for coding purposes? We have ha...
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You Be the Coder:
Keep Acute Fracture Codes In Their Place
Question: We are providing physical therapy and occupational therapy to treat gait abnorm...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 8
Coding How-To:
Is Your Aftercare Coding Hijacking Your Reimbursement? What You Need To Know
Watch your sequencing or pay the price. You can -- and should -- use V codes...
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Prospective Payment System:
Gauge The Impact Proposed PPS Changes Will Have On Your Agency's Bottom Line
Look for secondary diagnoses to gain case mix points. Say goodbye to your handy case mix ...
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Coding 101:
Get The Details You Need In Your ICD-9 Manual's Tabular List
Only the tabular list can tell you what's included and excluded. If you think you can sto...
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Reader Questions:
Stick With Focus Of Care For B12 Injections
Question: We have a patient that we're seeing for B12 maintenance. The doctor recently or...
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Reader Questions:
Don't Expect A Downcoding Windfall
Question: Our agency has a tendency to downcode a lot. When I questioned this practice, I...
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Reader Questions:
Take Another Look At Secondary Diagnoses
t post-revision to his hip replacement. He has a wound infection with bacteremia and meth...
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You Be the Coder:
Know What Comes First With Polyneuropathy, Ulcer
Question: Our elderly patient has type II diabetic polyneuropathy and a stage II decubitu...
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You Be The Coder ... Know What Comes First With Polyneuropathy, Ulcer
Question: Our elderly patient has type II diabetic polyneuropathy and a stage II decubitu...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 7
CODING NEWS:
RATCHET UP YOUR CODING SKILLS TO GET A JUMP ON CLINICAL DOMAIN REFINEMENTS
Start training now on these 4 changes if you hope to be ready for PPS refinements by Janua...
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CODING 101:
3 DIABETES CODING MYTHBUSTERS
Diabetic manifestations don't always need a 'diabetic' descriptor.Did you know that $100 b...
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Coding How-To:
Remove Confusion From Dressing Change Coding
Don't list V codes for complicated wounds.If you're still uncertain about when and in whic...
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READER QUESTIONS:
Know The Reason For Laminectomy
Question: Which aftercare V code should we use when we are providing aftercare to a patien...
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READER QUESTIONS:
Simplify Your Trauma Wound Coding
Question: When is it appropriate to list a trauma code as a primary diagnosis? Our RHHI ha...
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READER QUESTIONS:
Get Your V Codes In Order
Question: In reading the PPS proposed rule from the Centers for Medicare & Medicaid Se...
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READER QUESTIONS:
List Aftercare First For CABG Patient
Question: We are providing wound care, dressing changes, monitoring the post-op condition,...
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READER QUESTIONS:
Which Comes First With Cellulitis?
Question: Our patient recently returned home from the hospital where he was treated for ce...
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YOU BE THE CODER:
MIND YOUR SEQUENCING WITH DIABETIC FOOT ULCER
Question: Our patient has type 2 diabetes, and we are caring for her diabetic foot ulcer a...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 6
Coding How-To:
Use 3 Pointers To Boost Your Therapy Coding Accuracy
Nix V57.x when multiple disciplines provide multiple aspects of careYou already know that ...
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CODING NEWS:
GET READY FOR 2008 WITH THIS SNEAK PEEK AT THE ICD-9 CHANGES
Lymphoma codes add more specifics too--is your documentation up to snuff?Prepare to change...
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PPS:
Nail Down Your ICD-9 Sequencing -- PPS Proposed Rule Unveils Major Case Mix Changes
Limited time to prepare for changes isn't pretty.Case mix diagnosis groups are getting an ...
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READER QUESTIONS:
List An 'Other' Code For Dysarthria
Question: I know that cerebrovascular accident (CVA) late effects fall under the 438 codes...
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READER QUESTIONS:
Check With Clinician For Return Patient Dx
Question: How do we know what to list first for a patient who is returning to home care? F...
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READER QUESTIONS:
Use 'History Of' Only When Pertinent
Question: How should I code for a patient with a history of MRSA and Clostridium difficile...
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READER QUESTIONS:
Base Code Choice On Care For Artificial Openings
Question: When is it appropriate to list a V55.x (Attention to artificial openings) code? ...
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YOU BE THE CODER:
DON'T LET THIS FRACTURED HIP SCENARIO BREAK YOUR STRIDE
Question: Our patient returned to home care following surgery for a total hip replacement ...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 5
CODING HOW-TO:
EASE YOUR PAIN CODING HEADACHES WITH 338.X DETAILS
Don't list a 338.x code for postoperative pain due to a device left in the body.The 2007 I...
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PPS:
PROPOSED RULE BRINGS CHANGES TO DIAGNOSIS GROUPS--HERE'S THE LATEST
Watch for additions to heart and mental conditions case mix diagnoses.Brace yourself for u...
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Clip And Save:
SELECT THE RIGHT E CODE FOR POISONINGS OR ADVERSE EFFECTS
Find the right code every time with this handy chart.When your patient suffers an adverse ...
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Inservice Education:
Plan Ahead To Meet Staff Education Needs
Get 10% off your next audioconferenceThree upcoming Eli-sponsored audioconferences will ed...
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READER QUESTIONS:
Look To Unspecified Code For Organic Brain Syndrome
Question: Our new patient has organic brain syndrome secondary to anoxic brain injury due ...
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READER QUESTIONS:
Bowel Obstruction Code Depends On Documentation
Question: In the March issue of Home Health ICD-9 Alert, there's a coding scenario on page...
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READER QUESTIONS:
Get Specific With Synagis Injections
Question: We are seeing preterm babies for Synagis injections. We had been using category ...
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READER QUESTIONS:
Know Where And When To Report E Codes
Question: I have recently encountered a problem when using E codes to further describe a d...
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READER QUESTIONS:
Check With Doc Before Coding Grief
Question: What ICD-9 codes should I use when a patient exhibits signs of depression but ha...
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READER QUESTION:
Clear Up Abscess Coding Confusion
Question: I'm confused about coding for abscesses. Is it true that the Centers for Medicar...
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READER QUESTIONS:
Drop This Parkinson's Assumption
Question: If a patient is diagnosed with both Parkinson's and dementia, can I assume the t...
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YOU BE THE CODER:
LOOK TO MOST ACUTE CONDITION FOR CHF AND DIABETES
Question: We have been caring for a patient with type II diabetes and congestive heart fai...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 4
Coding How-To:
2 Secrets To Safeguarding Your V57.x Claims
Trend alert: Watch for RHHIs to link V57.x with OASIS functional scores. If your agency ...
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Coding TIP:
Add Up Your Therapy Claims With These Coding Equations
Learn when therapy-only doesn't mean 'no nursing.' Until something definitive in writing ...
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Conquering Case Mix:
Test Your Weakness Coding Savvy With This Case Study
Conquering Case Mix: Test Your Weakness Coding Savvy With This Case Study List 585.6 if y...
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Reader Question:
Know When To Report Chronic Pain Syndrome
Question: What is the best diagnosis code for chronic pain syndrome? Indiana Subscriber ...
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Reader Question:
How -- And When -- To Code Weight Issues
Question: Which ICD-9 codes can we use to track issues with a patient's weight? What kin...
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Reader Question:
Follow These Tips For Coding Possible Diabetic Manifestations
Question: How do I know when a condition is a manifestation of diabetes? For example, th...
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Reader Question:
Don't Upcode With Alzheimer's
Question: We are monitoring IV antibiotics used to treat an Alzheimer's patient's pneumo...
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Reader Question:
Coding Isn't The Issue With This Therapy Claim Denial
Question: An elderly patient who recently had an episode of flu was referred to our agen...
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Reader Questions:
Get Specifics Before Coding Seizures
Question: We have a patient on long-term Dilantin for treatment of seizures. We will be ...
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You Be the Coder:
Give This Hip replacement Coding Scenario A Try
Question: Our diabetic patient had hip joint replacement surgery and was discharged to h...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 3
Coding How-To:
Perfect Your Adverse Effects Reporting With E Codes
For poisonings, include at least three codes.You might not give the E code section of your...
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Coding Guidelines:
Make Adverse Effects Coding A Breeze -- Get To Know The Table Of Drugs And Chemicals
Hint: Don't forget to cross-reference your code in the tabular list.To code correctly for ...
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Coding Tip:
Follow These Guidelines For Flawless Poisoning and Adverse Effects Coding
Hint: Never list an E code as primary.Make sure your coding for poisonings and external ca...
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Coding 101:
3 Strategies Clear Up Aftercare Coding Confusion
Heed the notes when selecting an aftercare V code. When providing home care for a patient ...
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Reader Question:
Know When To List V57.x
Question: I know that the V57.x codes (Care involving the use of rehabilitation procedures...
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Reader Question:
Check With Clinician For Sequencing
Question: I know that the V57.x codes (Care involving the use of rehabilitation procedures...
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Reader Question:
Take A Second Look At This Amputation Scenario
Question: In your November 2006 issue, there was a coding scenario regarding correct codin...
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Reader Question:
Share Your Thoughts On Sprain And Strain Codes
Question: Our physical therapists are frustrated that there aren't separate codes for spra...
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You Be the Coder:
Choose Proximate Cause Or Underlying Condition For
Question: Our patient has transverse myelitis, which has caused paralysis from the waist d...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 2
CODING HOW-TO ~ Perfect Your Secondary Diabetes Coding With These Tips
To indicate uncontrolled secondary diabetes, list the consequences. When selecting a code ...
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CONQUERING CASE MIX ~ Guard Against Denials With These 6 Parkinson's Documentation Pointers
Reaching the therapy threshold can send up a red flag on your Parkinson's claims. At least...
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READER QUESTION ~ Make A Clean Break With Fracture Coding
Question: We are providing physical therapy to a patient for gait abnormality and lack of ...
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READER QUESTION ~ Know DVT Status Before You Select A Code
Question: When we provide Coumadin® to a patient for deep-vein thrombosis (DVT), should w...
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READER QUESTION ~ Consider Whether To Report Pleural Effusion
Question: We have a patient who had a thoracentesis due to pleural effusion. Congestive he...
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READER QUESTION ~ Add Details For Pancreatectomy
Question: We are providing aftercare to an elderly patient who has returned home after hav...
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READER QUESTION ~ Keep These Co-Morbidities In Mind
Question: A co-worker of mine tells me that we must always code certain co-morbidities eve...
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READER QUESTION ~ Get In-Depth With Skin Tears
Question: Could you please clarify which code to use for skin tears? I have been coding th...
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YOU BE THE CODER ~ Solve This Cancer Coding Challenge
Question: Our patient had surgery for colon cancer. We are providing wound care and colost...
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Home Health ICD 9/ICD-10 Alert - 2007; Volume 4, Number 1
CODING 101:
Increase Your Claim Accuracy With New Dressings, Mucositis Codes
Get ready to add another layer to dressing codes. You won't have to wait any longer for mo...
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CODING UPDATE:
Look For ICD-10 Clues In the 2007 ICD-9 Changes
Alphanumeric codes mean more details. Fifth-digit ICD-9 extensions like those created to r...
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CONQUERING CASE MIX:
Master This bladder-problem Coding Challenge And Maximize Your Case Mix Points
Make sure your documentation is in order or risk claims denials. When your agency treats a...
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CLIP & SAVE:
Tool Helps You Solve The Pressure Ulcer Puzzle
Choose 996.52 for non-healing muscle flap. When is a pressure ulcer no longer a pressure u...
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CODING TIP:
You Can Easily Discern The Difference Between 344.61 And 596.54
Documented details will secure case mix points.To be confident that you are coding neuroge...
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READER QUESTIONS:
Don't Miss Out On Points For Nursing With Therapy
Question: We are providing physical therapy and occupational therapy to a patient who just...
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READER QUESTIONS:
Sequence Codes Based On Focus Of Care
Question: I've heard that I should code congestive heart failure (CHF) or chronic obstruct...
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READER QUESTIONS:
Know When--And How--To Report Pneumonia
Question: We have a patient who came to us from the hospital after a bout with aspiration ...
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READER QUESTIONS:
Be Thorough When Coding For Infections
Question: Our patient has an implanted vascular port infected with Staph aureus resistant ...
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YOU BE THE CODER:
Sequencing Is The Key For Knee Replacement Patient
Question: We have a controlled type II diabetic patient without mention of complication. S...
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Available Years:
2007
2006
2005
2004