OASIS Tip and Coding Scenarios; January 12, 2015

Good morning, from Quality in Real Time. Are you ready to start your New Year off with coding and OASIS practice? Each week I’ll be sending out an OASIS C1/ICD-9 question and an ICD-9 and ICD-10 coding scenario. Take the time to work through each of these scenarios and check your answers with next week’s... Continue Reading →

Responses for 12/1 and new scenarios/information for 12/8/14

Responses to scenarios for 12/1/14 ICD-9: Could you explain how to use V54.81 and V54.82 when coding patients who have had a joint replacement? V54.81, aftercare following joint replacement, has been commonly used for patients who have received a joint prosthesis or a repair of a joint prosthesis.  V54.81 best reflects the type of care... Continue Reading →

Responses for 11/17; New scenarios for 12/1

Good Monday morning, I hope everyone enjoyed the Thanksgiving holidays last week!  Here are the responses from 11/17 questions and scenarios. OASIS C1/ICD9: What does the home health resource group, or HHRG, measure? The Medicare Home Health PPS recognizes that different patients use different amounts of resources. The system attempts to predict patient resource use... Continue Reading →

Responses to 11/10; New Scenario for 11/17/14

Responses to Scenario for 11/10/14 Question:  How do I code a patient who had a failed skin graft? Answer: There are two codes for rejection of a failure of a skin graft. Code 996.52 is used for the rejection of a natural skin graft and 996.55 is used for a dislodgment, displacement, failure, non-adherence, poor incorporation... Continue Reading →

Responses to 11/10 Scenarios; New Scenarios for 11/17/14

Responses Scenarios for 11/10/14 Question:  How do I code a patient who had a failed skin graft? Answer: There are two codes for rejection or failure of a skin graft.  Code 996.52 is used for a rejection of a natural skin graft and 995.55 is used for dislodgment, displacement, failure, poor incorporation or shearing of an... Continue Reading →

Responses to 11/3; New Scenario for 11/10/14

Correct responses from 11/3/14 ICD 9: Is it true that I should always code a wound with a wound vac as complicated? What would you do? Answer:  While initial use and majority of current wound vac use is related to complicated wounds, that is not an absolute. A wound vac is a treatment approach used... Continue Reading →

Responses to 10/27 and New Scenario for 11/3/14

Correct responses from 10/27/14 ICD 9: Question: How do we know what integral symptoms are to a disease? We aren't supposed to code them with diseases like heart failure, but is there a list of them somewhere? Do you know the answer?? I'll post the official answer next week! Answer:  There is no master list... Continue Reading →

Responses to 10/20 Scenarios and New Scenarios for 10/27/14

Correct Responses to 10/20/14: Instead of a scenario, this week I'll ask you a question and give the official response next week! How do we know if osteoarthritis is localized or generalized if the documentation doesn't say? This can affect coding, especially after joint replacement surgery. ANSWER:  If documentation doesn't indicate this, you will to... Continue Reading →

Coding Answers for 10/13 and New Scenarios for 10/20/14

Correct scenario responses for 10/13/14 ICD-9: Patient referred to home health nursing for daily insulin injections due to patient’s low vision in both eyes. Home care also to do wound care 3 days a week for two small wounds of the abdomen that have recently cultured positive for staph and been derided.  The physician will... Continue Reading →

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