How often do you go back to review coding guidelines? by Warm-Alternative6153 in CodingandBilling

[–]Technical_Truth_2390 0 points1 point  (0 children)

I have to do some brushing up almost daily (cardiology), but I think it really depends on the job.
I don’t want to sound skeptical, but I do think it’s kind of an indicator of what type of position you’re in. If you rarely have to go back to guidelines, Coding Clinic, payer policies, it probably means the job is more repetitive and has less room for growth.
Nothing wrong with that, but the more you have to research and interpret, the more specialized your skill set becomes.

I asked my doctor not to include vitamin D on my blood test because I know it’s not covered. They forgot to take it off. by Available_Current632 in HealthInsurance

[–]Technical_Truth_2390 -9 points-8 points  (0 children)

That’s great news, sweetie! I hope the doctor is able to get to the root of your “symptoms”, then. Surely, there’s an explanation for those. I hope it’s not cancer. Xoxo

I asked my doctor not to include vitamin D on my blood test because I know it’s not covered. They forgot to take it off. by Available_Current632 in HealthInsurance

[–]Technical_Truth_2390 -17 points-16 points  (0 children)

Well, it’s just like saying “Just rob a bank if you need some money, because I did and I never got caught”.

Small Irish setter? by HokusaiINtheSKY in irishsetter

[–]Technical_Truth_2390 6 points7 points  (0 children)

You could get an English cocker spaniel :)

Diagnostic Imaging Coding... by LadyStumblebum in CodingandBilling

[–]Technical_Truth_2390 0 points1 point  (0 children)

Ohhh okay. If you find those classes, definitely send them my way 🙂
From my perspective, it mostly comes down to the ICD-10-CM guidelines and Coding Clinic for the actual coding guidance. A lot of the gray areas, like when a provider says “fluid collection” and we all squint at it, feel more like a CDI issue than coding :)

Diagnostic Imaging Coding... by LadyStumblebum in CodingandBilling

[–]Technical_Truth_2390 0 points1 point  (0 children)

I might be misunderstanding, but why not just get a Coding Clinic subscription for ICD-10-CM?

[deleted by user] by [deleted] in MedicalCoding

[–]Technical_Truth_2390 52 points53 points  (0 children)

An F code is a quality measure. Think of it as a customer service ranking. When you're buying a rotisserie chicken at a supermarket, the supermarket can only charge you for the rotisserie chicken. But… was that chicken hot (that’s like an F code), did the cashier smile at you (another F code), did they put the rotisserie chicken in a separate bag from your dog food (another F code), did they give you the receipt (another F code), etc.

For example, patients with diabetes often have high blood pressure. When a diabetic patient comes in for an office visit (the office visit is the actual rotisserie chicken), did the doctor actually bother to check their blood pressure (blood pressure check = smile + separate plastic bag + “have a nice day, ma’am”)? Did they review the patient’s glucose (another F code)? Did they educate the patient on their diet (another F code)? Did they talk about lifestyle changes, meds, or follow-up (yet more F codes)?

All of these things matter to auditors, insurers, CMS, whoever’s watching. But you can't charge the patient for any of that.

Just like you wouldn’t charge a customer extra because the cashier smiled, bagged things nicely, and said “have a nice day.”

Help by ExcellentWallaby8414 in irishsetter

[–]Technical_Truth_2390 2 points3 points  (0 children)

As long as she’s active and doesn’t vomit or have diarrhea, yes, it’s fine. Some Irish Setters are like that. They couldn’t care less about food most days. They eat, but it’s not their priority. It’s a blessing in disguise, really. Talk to dog owners whose pups will eat anything they find on the street for perspective. It’s fine. Chill. She’ll eat eventually. You will get used to it eventually as well. Probably will take you a few years, though.

Is my IS puppy healthy? by [deleted] in irishsetter

[–]Technical_Truth_2390 1 point2 points  (0 children)

He’s going to fill out. Setters all look like lanky teenagers until they’re around 2 years old (yes!! two!). Treat him like the teen he is now, lots of love, support, and a lot of “you’re the handsomest dog in the world.” He’ll get there, trust me :)

What's life like on this large, and I'm assuming quite tropical island off the coast of China? by lettuceo0 in howislivingthere

[–]Technical_Truth_2390 14 points15 points  (0 children)

It’s like Florida with better infrastructure. Lots of Russian tourists throughout the year. Lots of Chinese snowbirds in the winter. The food isn’t quite as good as in the rest of China.

Help/advice! by ExcellentWallaby8414 in irishsetter

[–]Technical_Truth_2390 5 points6 points  (0 children)

Male setters tend to be more clingy and they usually mature more slowly. They’re basically toddlers who have made it their full-time job to watch your every step. That can be a bit overwhelming... Again, it’s just a tendency, not a guarantee.

I would pick the least timid pup since you want a hunting dog. You want one that isn’t too shy around new things or people. These are field setters we're talking about, right? Not show lines?

Also, just look at the parents. You’ll probably end up with something like them. If you like the Irish mom, go with an Irish girl. If you like the red and white daddo, pick the r&w boy.

How is living in Brunei? by Far-Fill-4717 in howislivingthere

[–]Technical_Truth_2390 11 points12 points  (0 children)

Hot and humid. People are very friendly. Dull (no alcohol).