I count the cancer as est stable/resolving if the documentation shows NED or tumor shrinking or some other evidence that it is getting better. Otherwise I count it as est worsening, not controlled.
As for the new issues, I would count them as either minor problems or new prob undiagnosed depending on what the problem is (constipation might be minor but anemia would be new prob). For the subsequent visits, if the MD is addressing them in that visit, not just a cursory mention of "no more problems with x", I would count them as either minor problems or est stable or worsening depending on the issue/status.
Hope that helps.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join