You Be The Coder: November

Test your medical terminology knowledge! Can you match up the appropriate numbers from 1-10 that correspond to each of the medical terms? Visual exam of the urinary bladder Deficiency of red blood cells Pain in joint Inflammation of the small intestine Benign tumor of...

You Be The Coder: October

Can you identify what these medical abbreviations stand for? DOE ICP LBW NST PUD PWB AFB LUE NVD PAT Answers:  Dypsnea on Exertion Intra Cranial Pressure Low Birth Weight Non Stress Test Peptic Ulcer Disease Partial Weight Bearing Acid Fast Bacilli Left Upper...

Compliance Corner – October

If a patient is deceased, may a covered entity disclose to a family member who was involved in the patient’s care or payment for healthcare prior to the death, PHI of the deceased? Answer: Yes, unless there is an expressed statement to the contrary. (45CR...

You Be The Coder: September

How many physical examination elements can you extract from this documentation? VS: 124/80, Pulse: 74, Weight: 174 pounds CTA A&Ox3 No CCE Answer below:   Answer: Six Constitutional – Vital Signs Respiratory – Clear to Auscultation (CTA) Psych – Alert and...

Compliance Corner: September

What are the 3 core health activities where a covered entity could disclose a patient’s PHI? Answer: The core health care activities of “Treatment,” “Payment,” and “Health Care Operations” are defined in the Privacy Rule at 45 CFR...