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So since hypoxia (deficiency in the amount of oxygen reaching to the tissue) and hypoxemia (abnormal low concentration of oxygen in blood) are 2 totally separate meanings does that mean that I can’t use J96.001; but instead I need to use J96.00 since they are not stating hypoxia or hypercapnia?
Proton therapy has been a tough sell for payers, but recent $ 25 million Oklahoma decision against Aetna may make them reconsider coverage for the spreading radiation therapy technique. Proton Tx Considered Best Choice According to the Associated Press, jurors believed Aetna reckless disregarded its duty to deal fairly and in good faith with Orrana Cunningham. […]
The post Failure to Approve Proton Tx Costs Aetna $ 25 M appeared first on AAPC Knowledge Center.
How to navigate systolic heart failure? Did the systolic heart failure is the classification of Note??? or direct classification of heart. Is it mandatory to review the note and look under the term note while using software.? Had a big debate .
Any help is appreciated..
Thanks
pavisuba
can I bill all three charges: 90935 x2, and 90962?
or can I now only bill the comprehensive visit 90962?
:confused:
thx for any opinions
Here’s a question to consider when coding and billing for services performed as part of an accountable care organization (ACO): who pays providers’ standing claims if the ACO dies? If the State of Utah has its way, seven payers will have to pony up $ 26.6 million in unpaid claims for the Arches Health Plan, which folded […]
AAPC Knowledge Center
http://c-hit.org/2018/03/20/med-boar…haven-doctors/
And they are wondering What is meant when the article states that the "board reprimanded and fined a West Haven doctor $ 1,000 for failing to address a patients weight loss and substance abuse in 2016." They are wondering what exactly he failed to address or document in his notes that led to this. In particular, "his failure to address substance abuse in 2016.
How exactly do you address that in your providers’ documentation? For patients with known active history of IV drug/heroin abuse, aside from documenting that the provider encouraged the patient to go to rehab, is there anything else that needs to be done to prevent being hit with a similar fine?
thanks!
Any advice or suggestions?
Thank you,
Sabrina Fox, CPC, CCA
In the event of serious illness or injury most people choose to seek immediate medical attention to treat the problem. By meeting with a medical professional, the problem can be diagnosed, treated, and monitored to help ensure a full recovery. Although this routine is common for many people, some adults may choose not to seek medical attention for injuries or illnesses. This may be due to personal or religious beliefs or decisions and is completely up to the judgment of the individual.
When it comes to children and dependents, it is the responsibility of the parents or guardians to provide the child with proper treatment if medical issues arise. As minors, children are unable to make many important legal decisions for themselves and depend on the judgment of their guardians to help them navigate through childhood. If a child suffers serious injury or death due to the refusal of medical treatment on the part of a guardian, the parent may be held liable.
In the event of serious injury or death to a child, the parent may face 2nd degree homicide charges if he or she fails to take the child to consult a medical professional. The felony charges may result in fines and/or incarceration if the individual is found guilty. Ultimately, the refusal of medical care for a child or dependent is typically viewed as negligent behavior on the part of the parent.
Reported cases have included guardians who refused medical care for their dependents because of:
Religious beliefs
Financial constraints
Personal distrust of doctors or physicians
Intentional pain and injury inflicted on the child and not treated
Medication withheld from the child due to personal beliefs or misuse by the parent
Regardless of the situation or personal beliefs, parents have a responsibility to properly care for their children in times of sickness and injury. If a child is injured as a result of the parent’s actions, the guardian may be held liable for the injury or death. The resulting criminal charges can seriously affect the life of the parent, so proper care should be provided at all times.
If a guardian has been wrongly accused of negligent actions, he or she has the right to defend themselves in a court of law. If you would like to know more about medical treatment and criminal defense, visit the website of the Appleton criminal attorneys of Kohler, Hart & Priebe at 414-271-9595.
Joseph Devine
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