Post-Traumatic Stress Disorder (referred as PTSD, ICD-10), also known as Posttraumatic Stress Disorder(DSM-5) or post-traumatic stress reaction, is widely found as symptoms in military soldiers and veterans who have war experience. In recent years, it has been found in not only veterans but also many victims survived the natural disaster and physical assault. However, victims of personal assault have not realized the crucial side effect of PTSD and thereby ignoring the importance in medical and…
scrutiny. Downcoding Is a Sign of Potential Fraud Downcoding involves assigning a medical diagnosis, treatment, or symptom using a generic classification instead of using the appropriately detailed one. For example, with the implementation of ICD-10, medical codes now have 7 characters. All seven characters are required to classify any item on the patient record in appropriate detail. It is possible, however, for the coder to only use the first three to six characters instead of the full…
Introduction Health Information Technology has been a steady growing field for the last five to seven years; especially since the implementation of the HITECH Act and new reforms of the PPACA. Many public and private organizations are utilizing information technology more and more every day to communicate with institutions and organizations in dealings with patients. With the new implementation of the electronic health records many organizations need to be able to serve as the backbone for the…
For the purpose of discussing the identification and categorisation of mental illness, this essay will focus on the chapter of Obsessive-Compulsive Related Disorders (OCRDs) from the current edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). An emphasis will be placed on hoarding disorder (HD), a newly recognised disorder characterised by the compulsive acquisition of objects, with persistent difficulty discarding or parting with possessions, and significant associated…
patient record is created. From here, a patient is scheduled into these systems and seen by a chosen provider. Once seen, the physicians enter a diagnosis and procedures into the health record. When this diagnosis and/ or procedure is entered, an ICD-9, ICD-10, and/ or CPT code is assigned automatically. It is up to the providers to ensure the most specific diagnosis is chosen for accurate…
No h/o back injuries. Surgical h/o includes, appendectomy at age 10. Hospitalization for broken leg treated with traction at age 8. Immunization: Up to date Fam Hx: Parents are diseased, mother died at age 51 from a brain tumor and father died at age 53 from leukemia. He has one brother, he is in good health. Soc Hx:…
processes that they have to go through from start to finish making sure that the hospital and doctors get paid in a timely manner and about the changes that have occurred in regards to how the codes are set up. They no longer use the ICD-9 for CPT they have went to ICD-10 because it is a much easier process that catches errors more accurately. This is done electronically and goes directly to the provider so that their portion…
A role that interest me is the Director of Health Information Management (HIM). The idea of being responsible for so much intrigues me. The responsibilities of a HIM Director are endless. I choose to write about this role because of the many subjects it entails. The Director of HIM not only oversees various projects but as technology develops, new standards arrive. One must always embrace change and the challenges that come with the Director of HIM role. The Director in Health Information…
revised to OASIS-C to implement data items that supported measurement rates for use of specific evidence-based care process. Then OASIS-C was again revised to the current version of the OASIS data set in order to accommodate the transition from ICD-9 to the ICD-10 diagnosis coding system. The new version of the OASIS data set was approved by The Office of Management and Budget (OMB) and was put into effect October, 2015 (Centers for Medicare & Medicaid Services [CMS], 2016). The history of…
of mental illnesses because each mental disorder is categorized differently, leading patients to receive different diagnoses. Two widely enacted systems for classifying mental disorders are Chapter V of the International Classification of Disease (ICD-10) produced by the World Health Organization (WHO) and the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) produced by the American Psychiatric Association. These systems compile different categories of disorders that share similar…