Recent content by PVAzCPC

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    Icd 10 for past history of needle stick?

    Oh, great idea! That should work, thanks so much for the help!
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    Icd 10 for past history of needle stick?

    Provider documented only: "During her career, she has had needlestick injury. Unsure if she had had Hep B vaccine. Has not been tested for hepatitis C." Provider ordered labs, incl Hep B,C, RPR, and HIV. No documentation that she'd ever actually been exposed to bodily fluids. Tatoos don't...
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    non-selective debridement done by nursing staff

    Hi, along this same line, I have a provider who insists on billing 97602 to clean and bandage abrasions from falls, and the like; How can I convince this provider that this in inappropriate use of 97602? Thanks!
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    Has anyone here ever been involved in practice start-up?

    Thanks so much, Jon! I appreciate the support I have been shown through this Practice Management Forum! P&P is my biggest challenge, so far. It can be overwhelming, but I am taking another deep breath and "just keep swimming", to quote my friend, Stephanie! I'm breaking it down by sections, and...
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    Has anyone here ever been involved in practice start-up?

    Gotcha! Yup, lots and lots to think about! I just downloaded Reed's New Practice Checklist, and one of the things listed under "Office Operational Issues" is "Prepare Office Policy and Procedures manual". I have read many policy and procedure manuals, as a staff member with many different...
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    Has anyone here ever been involved in practice start-up?

    Thanks so much, Marlene! All really good information. I did not think about the Arizona Medical Association. Was trying to navigate the Az Medical Board website, but it was not helpful at all! Just pulled the AzMA, and already found more pertinent info in 5 minutes than I have in 5 days, lol...
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    Has anyone here ever been involved in practice start-up?

    Thanks so much, Kathleen, I will do that right now! :)
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    Out of Network Insurance and Practice Managers questions

    I am a Practice Manager, and I had the same question about this particular forum, as well. This forum is titled "Practice Management", but looks like the term "General Discussion", as the sub-category, has over-shadowed the actual PM title. I've learned how to use the "Search this forum" for PM...
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    Has anyone here ever been involved in practice start-up?

    Hey, Marlene, thanks for taking time to help me out! I'm struggling with P&P right now. I've been trying to find specific info or guidelines on what is required for a small solo provider practice, and wishing I could find some samples or template to follow, and just not having much luck...
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    Has anyone here ever been involved in practice start-up?

    Looking for some guidance in setting up a new primary care practice. Cannot afford to hire a "start-up consulting firm", just really need some suggestions for resources for policy and procedure templates, and the like. Any suggestions appreciated! Excited to be doing this, but today, feeling a...
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    Coding Hypothyroidism in Hashimoto's

    In researching Hashimoto's, I came across an article that said not all patients with Hashimoto's develop hypothyroidism. The chart I am coding this morning documents Hashimoto's disease, pt started on Nature-Throid. Do I want to code both the Hashimoto's and Hypothyroid? TY!
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    Wiki DVT Prophylaxis Coding

    You rock, thank you so much!
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    Wiki DVT Prophylaxis Coding

    I've been struggling with this question as well, documentation of a DVT, now on prophylaxis to avoid recurrence. Does that make it "Chronic DVT"?
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    Wiki Coding GERD with Barrett's esophagus

    This seems like a really simple question, but I can't find an answer! When documentation states GERD and Barrett's Esophagus, are they coded separately or does it code to GERD with esophagitis? Thanks for your help!
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    Looking for opinions on how to handle erroneous code selection through EMR

    Nope! That is what is so frustrating. Came across 2 this week that were coded DM due to underlying condition, but no documentation, anywhere, as to what that underlying condition might be. Sent a query on that one. This is a new practice for me, started last month, so looks like provider...
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