Wiki PRACTICODE

[ady8e80]

Hey all, hope you're still hanging in there! I had another scenario I was wondering if anyone else experienced. OPD7293 in Practicode lists Depression and Hyperlipidemia under Dxs while the visit was for Hypertension, Dorsalgia, and Sleep Apnea. The claim being since they are chronic conditions that don't resolve, they should be coded even though they weren't in the assessment. I thought we are only supposed to code what was actually addressed in the encounter? Another case listed Depression and Hypothyroidism in the problem list, but they weren't coded with the reason for the visit which were Hypertension, Paroxysmal SVT, and A-FIB. At this point I just want to know what is considered addressed or not addressed at an encounter; has anyone noticed this and what do you think?

This is EXACTLY the type of thing that I've been talking about. Inconsistencies in the simplest of fundamentals that make us all question what is going on and whether we are not understanding something or not. I notice that it says "history" of depression AND that she is off of the meds for it, but it is still listed in her "problem list". However, I've gotten things counted wrong that were listed in the problem list before, so it's unclear to me whether it has anything to do with what should/should not be coded.

 

[MauiD808]

Hey all, hope you're still hanging in there! I had another scenario I was wondering if anyone else experienced. OPD7293 in Practicode lists Depression and Hyperlipidemia under Dxs while the visit was for Hypertension, Dorsalgia, and Sleep Apnea. The claim being since they are chronic conditions that don't resolve, they should be coded even though they weren't in the assessment. I thought we are only supposed to code what was actually addressed in the encounter? Another case listed Depression and Hypothyroidism in the problem list, but they weren't coded with the reason for the visit which were Hypertension, Paroxysmal SVT, and A-FIB. At this point I just want to know what is considered addressed or not addressed at an encounter; has anyone noticed this and what do you think?

I agree! For that case exactly I did not list the Depression and the hyperlipemia because it was only on the "Problem List" and not in the "Assessment". I have reported sometimes too many of the Problem List issues (that were similar to the CC of the visit mind you) to only be marked wrong as the rationale only listed what was on the Assessment. I feel like I'm constantly 'guessing' (definitely second guessing myself) and that this is like a pulling the arm of a slot machine in Vegas! Hardly ever hitting the jackpot....odds constantly against me. Often times I am close and follow the best I can to the guidelines, etc so take that little bit of confidence to code the next similar case, to just get them marked dead wrong. With abysmal rationales. I really hope this is not experience and feeling it would be like coding in the 'real world'? So to reiterate here, @Allysaloop, I totally agree, noticed this and just think it's very inconsistent and I get a feeling that I don't trust it all the time.

 

[heather.schrauth@gmail.com]

I just found this thread and it is making me feel so much better! I have had such a difficult time with the practicode cases even though I did really well in my course and on the exam. I have really be struggling if this was a good move for me. I keep get points deducted because I add things that I guess shouldn't be added. It is really confusing to me and I have felt extremely stupid since starting practicode.