not necessarily mean Initial visits
define, when the pt is receiving active tx for the condition - for 1st time
Back
"with" "in" "assoc with", "due to", 2nd to
Front
A G.L. states the 2 conditions must be clearly documented as linked.
Back
CKD
Front
chronic kidney disease - a condition during which serum creatinine and BUN levels rise, which may result in impairment of all body systems
Back
encounter means
Front
2 different days
2 different doctors
Back
COPD
Front
chronic obstructive pulmonary disorder
Back
definitive
Front
of a conclusion or agreement) done or reached decisively (and with authority.)
Back
Demographics
Front
the characteristics of a population with respect to age / race / gender/ expected payer / Hospital I.D.
Back
Brackets ( )
Front
alternative workding or explantory phrases.
Ex. Code A (Code B) .
both codes must be listed- in this order.
Back
G.L = On Chapter Specific,
what do you code 1st?
(double check.........
Front
- Poisoning
- Obs
- HIV
- N.B
Back
HEPCS =
HEPCS 1.
HEPCS 2.
Front
Book for MD and outpatients in:
ER / OBS / SDS (same day service)
HEPCS 1.
HEPCS 2.
Back
Main term = expresses?
Front
Main term = expresses A NOUN
Back
POA
Front
present on admission-a condition present at the time of admission. Conditions that develop during an outpatient encounter, including the ER, observation or outpatient surgery are considered present on admission.
you cannot code a Medicare inpatient case without also assigning the POA indicator.
Back
S=sequela
Front
a condition produced, after the acute phase of ilness or injury has terminated.
there is not time limit. (months, years, )
Back
ASC ?
Front
ASC - Ambulatory Surgery Center
people being treated for an injury or illness who are able to walk, and who, when treated in a hospital, are usually not staying for the night:
- Same day service.
- for out patient service.
Back
angioplasty
Front
surgical repair or unblocking of a blood vessel,
especially a coronary artery.
See also balloon angioplasty.