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The Programs of All-inclusive Care for the Elderly (PACE) recently got a boost from the Centers for Medicare & Medicaid Services (CMS) final rule that modernizes the program to the “latest standards of in caring for PACE participants.” PACE Serves 45,000 PACE provides comprehensive medical and social services to certain frail, older folks who qualify […]
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Would someone be able to clarify the fracture coding confusion for me please?
65 years old female came to ED complaining for R arm injury after she tripped and fell. No past medical history. ED provider diagnosed patient with R distal radius fracture.
My question: how this should be coded: Right Distal Radius Fracture or, osteoporosis with right distal radius fracture because of this patient’s age?
Per guidelines- code fracture with osteoporosis when osteoporosis is documented. However, I found an article where the fracture can be coded with osteoporosis because of the patient’s age.
Any input will be appreciated.
Thank you,
Niki
We can protect our loved ones with an emergency medical alert system and take away a lot of your uncertainty due to this. This invention is especially good for senior citizens as they begin to age and we start, as the younger generation, looking for ways to ensure that they are comfortable and safe in their homes. This can become problematic, especially if our lives are on the busier side, and should be expressly looked into in terms of finding them a medical alarm system that works with the capabilities that we have. In others words, if we are living at a greater distance, they will need more interactive care opportunities in order to be considered safe and looked after.
There are more advanced emergency medical alert systems, like those that monitor the heart rate, or the breathing rate. The prices vary a lot depending on what issues the emergency medical alert focuses on. Normally an emergency medical alert is used in hospitals as its use shows the possibility of a critical failure presenting. The home use is typically restricted to the use of medi alert for elderly aging parents. An emergency medical alert nowadays can follow its user no matter where he goes and can alert the doctors of a possible worsening condition.
The emergency medical alert devices are usually wireless and small. These devices are small enough to be worn as a necklace, pendant, watch, on a key chain, or as a pendant alert bracelet. Most of these devices, such as a medical alert necklace, are waterproof as well, ensuring the person wearing it won’t unintentionally cause damage.
These systems are easy to set up and use – all you need is a reliable phone line in the residence so that the alarm can contact the appropriate services if and when they are required. Seniors usually wear the device to ensure they have access to help at all times. Working through a wireless connection to the telephone line and emergency console, an emergency medical alert allows for the ultimate in flexibility, as the console can be installed anywhere within the home.
How does the emergency medical alert system work? Simply put, an elderly aging system dives into action when the person wearing the device presses the emergency button in the event of a problem. This activates the medical alert system wirelessly and sends information to the console. At this point the system is instructed to either contact the company’s 24 hour lifelinkusa.com response center, or it will automatically dial the list of emergency contacts you have stored on the emergency medical alert system. If no answer is received on the other end, system will continue to dial the emergency numbers.
The emergency medical alert also comes with various other useful features, which can benefit the elderly aging in some manner or the other.
Wireless technology Small size Waterproof Two way communication
Emergency medical alert for senior citizens are mostly beneficial to alert or notify family members, personal doctors, and neighbors whenever there is an emergency. It is also beneficial for elderly aging people who need medical attention.
Kerry goldsmith is writing about the emergency medical alert, elderly aging and pendant alert devices. These devices are helpful for the senior citizens when they are alone at home and nobody is there to care them. For more information log on lifelinkusa.com
If it is the provider’s responsibility to document that a pregnancy is incidental to the Emergency Room encounter, I assume that all encounters that are not documented as such are to be coded from Chapter 15 of the ICD 10.
If the patient is 38 years old, would it be appropriate to use Supervision of High Risk Pregnancy – Elderly Primigravida or Multigravida on the ED encounter, or is "Supervision" for use by OB/GYN?
Thanks you,
Sue