Understanding Presumptive Linkage for Code Titles “With” or “In”
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When I was a physician advisor, I used to offer a diabetic Charcot joint as an example of why we must be explicit with linkage. Years ago, if a provider listed diabetes mellitus and a Charcot joint (neuropathic osteoarthropathy) as concomitant diagnoses without documenting clear
linkage, the encoder would lead a coder to a syphilitic Charcot joint. I used to joke with my audiences that this would be quite a revelation to patients and their family members, in this day and age of medical record transparency. Click Here to Read More
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Copernicus Update! The Earth Now Revolves Around ICD-10 Codes
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In the past, our skilled nursing world has revolved around a sun of its own, known as resource utilization groups (particularly the lucrative high-therapy ones). Now, however, according to the details of the new Medicare fee-for-service reimbursement model known as the Patient Driven
Payment Model (PDPM), it seems that we’ll soon be revolving around a different sun altogether: ICD-10 codes.
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Scenarios Illustrate How to Use New ICD-10-CM Codes
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The new International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) codes take effect on Oct.1. It is important to use all new codes on and after that date. Payer systems will be updated. To avoid denials, ensure your systems are updated and that
you are using the current ICD-10-CM manual. Following are scenarios where new ICD-10-CM codes will be reported. Click Here to Read More
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Leadership and Ethics during Challenging Times
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Ongoing ethical issues persist requiring leadership guidance daily. We live and work in times that are very challenging, and ever-changing to say the least. We also live and work in times in which our ethics seem to be challenged on a regular basis. One just has to open
any... Click Here to Read More
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Learn How to Use Hurricane 'External Cause' Codes
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Residents along the Eastern Seaboard are still dealing with the aftermath of Hurricane Florence, a powerful storm that made landfall Sept. 14 near Wrightsville Beach, N.C. And given that two months remain in the 2018 Atlantic hurricane season -- which officially ends on Nov. 30 -- family
physicians should be aware that the CDC's National Center for Health Statistics recently updated its guidelines regarding hurricanes. Click Here to Read More
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