Recent content by snwhite0730

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    Wiki Admitting Diagnosis, Prior Auths and MSW

    Hello Fellow Coders, I am hoping someone can help me to clarify some claims issues we are having. We are an Inpatient Acute Care Behavioral Health Hospital. To make a very long story short, we are getting a ton of denials from insurance because the admitting diagnosis that was given to obtain...
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    Wiki Remote Coding Tests

    Between the assessment test and the five, six, seven years of experience required for basically ANY coding job, I'm getting burnt out. I can certainly understand companies wanting us to have experience but if we have said it once we have said it a thousand times, HOW do we get experience if no...
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    Wiki WVU Medicine Professional Coding Specialist II - Emergency Medicine

    Hello! I do have two years coding experience but have not coded for ER. My contact info is listed below. I also went ahead and attached my resume for you to take a look at. I will gladly apply because I am looking for a new position. Feel free to email me directly with questions or any type of...
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    Wiki Coding books for sale

    Yes I do. Let me know if you're interested in buying them!
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    Wiki Substance Related disorder

    The provider is not documenting dependency; F11.259 is Stimulant Dependency. The same as F11.159 is Abuse. All the doctor is stating is Stimulate Related Disorder. He doesn't say mild, moderate or severe. He doesn't document abuse, dependency or unspecified. There isn't a code for Meth Related...
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    Wiki Substance Related disorder

    Hello Coders, I need an opinion on how to code this diagnosis. We are an IP Mental health hospital. We have a provider who sees a large majority of patients with substance use disorders. He has a tendency to use the diagnosis of 'Unspecified Substance Related disorder'. I have queried him in...
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    Wiki Coding books for sale

    Hello Fellow Coders, I have three coding books I would like to sell. I am not sure if I can post this here but I'm sure someone will let me if this is against some kind of AAPC rule. I have one 2023 ICD 10 and two ICD 10 PCS coding books I would like to sell. I am taking the CIC coding course...
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    Wiki Dementia and psychosis

    Hello Coders, Once again I am hoping for some clarification. I code for an IP Behavioral health hospital and one of our providers exclusively sees our geriatric patients and by default handles most of our Medicare patients. A large portion of the patients we treat have dementia and are...
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    Wiki ICD 10 PCS coding question Excision vs Extirpation

    Susan, Thank you! I am using the index, but obviously, not correctly smh. I went straight to extripartation based on the definition instead of looking up polypectomy. I have been watching a ton of YT videos related to PCS coding but the more I watch I see that I have to look up another video to...
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    Wiki 3M Encoder

    Yes, I told my boss what I was noticing and she suggested I reach out to our corporate office. They are all mostly RHIT's or RHIA's, which is wonderful but they don't code really, they audit. Either way they advised me that they basically set up the encoder to list secondary codes in a hierarchy...
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    Wiki ICD 10 PCS coding question Excision vs Extirpation

    Hello Fellow Coders, I'm hoping someone can help me to get a better understanding of a PCS code. I am doing self-study for PCS coding in hopes of taking the CIC certification test later this year. I purchased the Optum ICD PCS 2023, in Appendix M they have a large range of procedures to code...
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    Wiki 3M Encoder

    Thank you for the reply! I think you may be right in thinking it's related to the interface with our billing. Any thoughts about how this would effect me as a coder with relation to coding guidelines and sequencing? Since it isn't me that is listing the codes would I have a leg to stand on with...
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    Wiki 3M Encoder

    Hello Fellow Coders, I am wondering if anyone out there uses the 3M encoder? I have noticed with this encoder that it rearranges the codes I put in and completely ignores coding guidelines. As an example I will put in my PDX (principal Diagnosis) as F332 followed by the secondary code of R45851...
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    Wiki child Abuse sequela verses history of abuse

    Thank you for the reply. Your explanation makes a lot of sense, but the guidelines also state to code the abuse, neglect and maltreatment followed by any accompanying mental health OR injury codes. The PTSD is a mental health injury that is related to the abuse and would fall into a sequelae...
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    Wiki child Abuse sequela verses history of abuse

    I work at an IP mental health hospital and need some clarification on when and how to use the sequela code for abuse. We had a patient who is an adult now but suffered sexual abuse as a child, he now has PTSD and other mental health dx from that abuse. Reading the guidelines it didn't seem...
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