Q: I’ve heard conflicting information about reporting uncertain diagnoses. Do the ICD-10-CM diagnoses need to be documented in the discharge summary/final progress note or can they be coded from an earlier progress note?
This week's note from the instructor walks through the background of and processes involved in creating a Medicare Coverage Analysis document prior to billing for a clinical trial.
Q: If a patient is requesting his medical records via email, so long as our email is encrypted and secure, can we send it? We only have his email on his admission papers, which matches the email address he sent to us.
The 2020 update to the CPT Manual includes extensive updates to cardiovascular codes, including new codes for pericardiocentesis and pericardial drainage, aortic grafting, and endovascular repair procedures.
More than half of those who are homeless or considered “marginally housed” have had a traumatic brain injury (TBI) at some point in their lives, and a quarter of them experienced a brain injury that was considered moderate or severe, according to a study published online by The Lancet in December.
Many healthcare organizations manage care for diabetes patients by prescribing medications and adjusting doses. But, increasingly, organizations like Geisinger Health System are paying closer attention to what goes on once the patient goes home and are helping to fill gaps that stand between patients and better health.
