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July 17, 2024
Clinical documentation, Hospital inpatient, Hospital outpatient, Physician queries

Coders can use this reference sheet to identify common reasons to query for acute myocardial infarctions. It also provides scenarios for each reason. This information was excerpted from information provided by Rhoda Chism, MHL, RN, CCDS, CCS, CPHQ, and Debra Rush, RN, CCDS, during the HCPro webinar, “What the Bleep is Beeping? Getting to the Heart of the Matter: Cardiac Critical Care Review.”

July 10, 2024
Clinical documentation, Hospital outpatient, Training

This case study was excerpted from the book "The Complete Guide to Medical Necessity: JustCoding’s Training and Education Toolkit."

June 19, 2024
Anatomy and terminology, Clinical documentation, Hospital inpatient, Hospital outpatient, Physician practice

A word search that features clinical terminology pertaining to diabetes and its treatment.

June 5, 2024
Clinical documentation, Hospital inpatient, Physician queries

Use this physician querying case scenario for clarifying acute myocardial infarction ICD-10-CM diagnoses.

May 15, 2024
Hospital outpatient, Physician practice

Coders can use this E/M reference chart to identify the amount of time necessary to report E/M services. It also details which tasks that healthcare providers complete would qualify as time spent on E/M services. This information and infographic were excerpted from 2024 Pain Management Coding Answers.

May 8, 2024
Anatomy and terminology, Clinical documentation, Hospital inpatient, Hospital outpatient

This resource reviews common anatomy and physiology terminology that coders might encounter when reporting hip traumatic injuries in ICD-10-CM. It has been excerpted from HCPro’s 2024 Orthopedic Coding & Documentation Trainer: A Comprehensive Guide to Orthopedic Coding for Physician Practices.

April 24, 2024
Anatomy and terminology

Test your knowledge with this wordsearch, which features clinical terminology for femur anatomy.

April 17, 2024
Clinical documentation, Hospital outpatient

This reference chart details bundling rules for reporting bone allograft CPT codes, according to AMA guidelines. This reference chart is an excerpt from 2024 Orthopedic Coding & Documentation Trainer: A Comprehensive Guide to Orthopedic Coding for Physician Practices.

April 10, 2024
Clinical documentation, Hospital inpatient, Physician queries

Acid-base disorders are pathologic changes in carbon dioxide partial pressure (pCO2) or serum bicarbonate (HCO3) that typically produce abnormal arterial pH values.

  • Acidosis refers to physiologic processes that cause acid accumulation or alkali loss (pH < 7.35)
  • Alkalosis refers to physiologic processes that cause alkali accumulationor acid loss (pH > 7.45)

Imbalance Type

Value

March 13, 2024
Anatomy and terminology, Hospital inpatient, Training

Patient presents with a chief complaint of thoracic intrinsic spinal cord lesion causing back pain, left lower extremity sciatic-type pain, and foot drop. The patient notes that they were in their usual state of health until mid-April, when they spontaneously developed left foot numbness that was associated with back pain and some radicular left leg pain. Multiple imaging of the spine was obtained which was concerning for probable spinal cord hemorrhage due to a possible cavernoma, prompting neurosurgery evaluation.

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