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The more familiar you are with burn injuries and documentation, the easier it is to code the cases. Burn coding is challenging and requires you to consider multiple factors. Proper coding and documentation require an understanding of the types of burns, estimating burn extent based on age, and being familiar with how this estimation varies […]
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Meet Medicare requirements when a provider expects a patient to be admitted for an inpatient stay of at least two midnights. If you report hospital inpatient services for Medicare patients, you need to know about the two-midnight rule. If you haven’t heard of it, or could use a reminder, here are the facts. Cost Containment […]
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An ultrasound was done and the patient has a 5 cm mass near her ovary. The MD is planning surgery to remove the mass, it is not known for certain whether or not the mass is benign or malignant. The MD believes that the mass is an identified risk factor because the mass is potentially cancerous. We believe that at this point, the surgery should not be given credit for high risk surgery with identified risk factors because the mass is not identified as being cancerous at this point.
I could consider this being a risk factor if the provider makes the case for it in the note, but just a mass with the potential of being malignant we do not believe to be an inherent identified risk factor.
Thoughts???? Thank you!
PMH includes – Prostate hypertrophy, HTN, and type 2 diabetes, but none of these conditions is specifically identified as a risk factor for surgery, just listed in the PMH.
Is this a minor surgery (per CMS definition global period 0 days 45378), a minor surgery with identified risk factors since the additional conditions are listed in the PMH, or a major surgery with/without identified risk factors.
Is there any reference where I could find direction on how to determine minor versus major surgery for MDM?
In order to be considered identified risk factors does the physician have to document a possible negative impact on the proposed surgical procedure or is it enough to simply list the conditions in the medical history?
Thank you in advance. Any input is greatly appreciated.
Angela
Every sector of employment in a country has its own share of challenges to overcome and this holds true for medical recruitment as well. This holds true for Australia as well and therefore it is necessary to understand the dynamics of the global labour markets as well which has an obvious impact on the local market.
Factors such as changes in consumer expectations, the population trend inclined towards ageing and the innovations in the field of medicine must all be taken into account as the global health sector displays an exponential growth. Medical recruitment in Australia is therefore naturally affected by all these factors.
Australia has been categorised as a high expenditure health economy which translated into the fact that it arranges for funds for almost 90% of its growth as far as health expenditure is concerned. Medical shortages are still rampant and this is evident from the increasing dependence on overseas doctors. The workforce distribution issues continue to be present across different parts of Australia as there is a dearth of trained doctors in the remote areas. There are certain issues that act as barriers to the recruitment procedure and the retention of the existing workforce. These include:
Limited access to peer support groups
Inadequate accommodation facilities
Lack of established locum agencies
Limitation on the extent to which a candidate can be compensated as per his/her qualifications
If you are a medical graduate, you must be registered with the concerned medical authorities before you can begin your practice. This is applicable for overseas doctors. The registration process is also a kind of assessment that examines the fact whether the experience, training and skills of the medical practitioner are at par with the standards of the Australian medical system. The assessment is crucial for the specialist registration.
When it comes to medical recruitment in Australia, there is an increasing demand for specialists in different areas and it intensifies as we shift to semi metropolitan areas. The vacancies are filled up with the help of locum job placements where the services of permanent doctors are substituted with temporary replacements. Working with a locum agency offers the incumbent with adequate scope to maintain flexible working hours and also earn a substantial package. As a medical practitioner, you can choose to work either for a long term locum position or a short term locum position.
Non specialist doctors who have more than a couple of years experience and have moved up to the registrar level are in great demand across different parts of the country. You can apply for a locum job, even if you are currently attached to a medical organisation. This implies that you can maintain your permanent position and at the same time put in your spare hours to work for a locum agency, during holidays and weekends.
Medical jobs in Australia are up for grabs and if you possess the necessary qualifications, skills and experience, you can apply for the same through the locum agencies.
Daniel Smith is a recruitment consultant and he is consulted on matters concerning medical jobs Melbourne and medical jobs Sydney. He recommends a visit to the website http://www.globalmedics.com/ for further information.
I was wondering if an EGD, which does have risk factors (perforation, bleeding, infection) but the potential of these risk factors is slim to none, would that still count as "endoscopy with risk factors" on the Table of Risk (level 5 MDM)?