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There are two definitions for electronic medical records. The National Alliance for Health Information Technology has described these two systems as follows: An EMR system is used within a single organization such as a solo practice or group medical practice. The health information related to each individual patient is created, gathered, managed, and consulted by [...]
I’m not sure how everybody says this Medicare or this… Laureen: Troponin. Alicia: Yeah, I wouldn’t have said troponin. I was going to say… Well, I’ll say troponin now because you said it. Now, I can’t remember how I said it. Q: What is the correct code for elevated troponin without mention of any definite [...]
IV Push/Hydration. Q: If a patient’s chief complaint is throwing up and diarrhea, poor thing, and the patient received an IV Push of Zofran and hydration for two hours, would it be coded as 96374, that’s for the IV Push, and 96361 (2)? Also, are there any cheat sheets or flow charts that explain how [...]
This nerve block follow up care, I had to call my friend Diana that went to Orlando with me just to confirm some information about this. Q: The question was: When coding continuous nerve blocks – and that’s the listing for different nerve blocks – how do you code for the follow up when the [...]
Okay, next question. This is about a new patient consult with the family but the patient isn’t present. New Patient Versus Consultation – Video So, the question is, “I work in an Outpatient Cancer Center Facility and have a question on a new patient E/M visit. We have a new patient that scheduled a second [...]
My turn! I just had some information taught to the HCC coding place I work about the EMR vendors and I just thought that was pretty relevant, too, to what’s happening out there and someone had asked about EMR vendors. Real quick, the EMR stands for Electronic Medical Record. EHR stands for Electronic Health Record. [...]
OK, coding for lungs and pleura procedures. Lungs and Pleura Codings – Video “I would love to hear some discussion on the differences of the diagnostic/therapeutic wedge resections (32666 – 32668) and also the wedge resections/biopsies (32607-32608). There is a lot of confusion with these codes between our coders, surgeons, and auditing department. Many times [...]
Alright, coding for physicals. There was a question that had come in regarding V70.0 versus V72.3 and there’s another digit that would go with that. By the way, whenever you see that “x,” that’s what that means. That’s an optional digit. Coding for Physicals – Video So, Sharla had asked: “When patient presents for annual [...]
This is CPT versus HCPCS codes. The question is, “During my internship, I’ve noticed that some CPT codes are reported to Medicare using a HCPCS code (often a G code). I assume ‘somewhere’ on the CMS site I can find a correlation of these codes, so I can write them in my book, but I [...]
Coding detached retina. This question had come up and it’s actually a scenario that happened so it’s not necessarily all about detached retina. The question that came up was, she says, “So, I’m coding lots of classes today,” and here’s the one that she’s struggling with. Ultimately, you have a patient that comes in, they [...]
