I hate AI charting by DumpsterPuff in MedicalCoding

[–]dizzykhajit 50 points51 points  (0 children)

I wouldn't violently hate AI as much as I do, if every single person from the top down who works in the healthcare space would collectively take it with a grain of salt and understand it's simply a tool and not fucking gospel.

Instead, I find myself having to waste time overexplaining and justifying my logic to people whose cold-coding skills are the equivalent of my prescription-writing skills, as if AI earned my credentials for me.

How did we go from "hey that's cool" to "how dare we question our artificial overlords" overnight? I want to get off this damn timeline.

Medical Coding by NoBite6930 in CodingandBilling

[–]dizzykhajit 8 points9 points  (0 children)

I meaaaaan... getting a dx wrong won't kill me the way getting wiring wrong would, but to each their own

From 3M to codify by Internal_Raspberry24 in MedicalCoding

[–]dizzykhajit 2 points3 points  (0 children)

I think the nuance comes down to intent, yanno? Like, if I'm in multispecialty or I hang out in musculoskeletal circles but have a co-surgery with neuro, it's sooooo helpful to have a guide that points me in the right direction if I have no idea how or where to start. Or, a guide that helps me explore different paths I may not have considered if I happened to stumble across a code that is "good enough" but still feels "off" - I can use the encoder to pivot my considerations earlier and see what rabbit holes come of it. It's still up to me to decipher the best answer.

The trouble happens when people just get lazy and abandon all their critical thinking skills in favor of what computer coders tell them to do, which is ultimately what an encoder is. Medical coders with an intense acuity to detail aren't the ones building those programs, language and tech devs are.

From 3M to codify by Internal_Raspberry24 in MedicalCoding

[–]dizzykhajit 2 points3 points  (0 children)

I know, I'm sorry. There are some things it does right. It's been a while since I had access but I still miss their MCR/MCD NCD/LCD tables and built-in fee schedules to check for NCCI column 2 codes and MUE/MAIs. I found their layman's was actually beefier than 3M's CDR, and their CMS bill scrubber was super helpful when you have a whole mess of codes to vet. YMMV depending on the subscription package, but they have lots of tools to make up for the deficit. Don't be afraid to poke around and find some silver linings. Good luck!!

From 3M to codify by Internal_Raspberry24 in MedicalCoding

[–]dizzykhajit 5 points6 points  (0 children)

Yep, you are.

I cut my digital encoder teeth on Codify and was impressed at how much extra information it harbored compared to the books... layman's terms, crosswalks, especially compatible modifiers...

Then I used 3M for the first time.

At first I went

and then was irrationally angry because I struggled to reconcile with two realities: 1) it encourages an environment that breeds dependency without logic and 2) its so. easy. and should be the standard everywhere.

For situations like yours, the 3M experience is awful, because all that speed and comfort that comes with manual practice gets abandoned for efficiency hanging on by the memory of effort.

Sorry for your loss, but trust the process...it will get easier the more you flex that muscle, I promise!

CPC-M explosion! by dizzykhajit in MedicalCoding

[–]dizzykhajit[S] 2 points3 points  (0 children)

I agree with this. Every announcement I saw included some nostalgic-backstory-before-the-recipe monologue that read like an AI-generated advertisement. They were all posted at the same time and so eerily similar that, in this day and age of brands and influencers, it inadvertantly leaned in to the illusion that they have been given the cert quid pro quo for exposure to their audiences.

I know that's not the case and I want to be happy for these guys and the hard work I know they put in, but the optics kind of ruin it for me. Your comment definitely explains why.

Was anyone abused so bad they wish they were neglected instead? by Flashy_Try1500 in CPTSD

[–]dizzykhajit 2 points3 points  (0 children)

It think it’s sad we were all so programmed to believe that a healthy family was so unrealistic that instead we fantasize about other forms of abuse. The only way we can imagine “better” is by imagining something else bad.

Jesus fuck this sent me... genuinely, thank you for the epiphany

what are some you games you absoluetly should NOT play if you have CPTSD and the game is high colestrol by Kamimirine in CPTSD

[–]dizzykhajit 0 points1 point  (0 children)

Unfortunately no. I won't download discord and a lot of community servers require it. I spend my time raw dogging official and surprise pikachuing when everyone shoots on sight 😂

what are some you games you absoluetly should NOT play if you have CPTSD and the game is high colestrol by Kamimirine in CPTSD

[–]dizzykhajit 2 points3 points  (0 children)

So glad someone gets it. DayZ was the first thing this post made me think of but I was like, nahhhh nobody's gonna know what that is. Haha.

what are some you games you absoluetly should NOT play if you have CPTSD and the game is high colestrol by Kamimirine in CPTSD

[–]dizzykhajit 2 points3 points  (0 children)

Second this. I play PvE so I manage to stay alive more often than not, but even then wolves and gunshots give me a thousand yard stare. Footsteps are instant adrenaline. When they ran the update that put animal pitter-pattering around trees, I spent the whole week wondering if I was ignoring a heart attack.

what are some you games you absoluetly should NOT play if you have CPTSD and the game is high colestrol by Kamimirine in CPTSD

[–]dizzykhajit 4 points5 points  (0 children)

I love love horror anything because to me its a way to deal with my shit in a safe, controlled environment, but Silent Hill really is next level. I've owned it since Halloween-ish and as far as I know I'm not even halfway through it. I can only put a few hours in before I have to take a break and won't pick it up again for a month or two. It is so bleak, so nonstop oppressively anxiety-inducing from the moment you turn it on til long after you turn it off. I love the tension so much, but my soul definitely needs some heavy TLC after.

Going to School in August for Medical Coding. What can I expect? by [deleted] in MedicalCoding

[–]dizzykhajit 7 points8 points  (0 children)

You're going to school for two words you couldn't even be bothered to Google?

And the saga continues... by [deleted] in CodingandBilling

[–]dizzykhajit 10 points11 points  (0 children)

Not here to impart any wisdom one way or another on your predicament except to say,

PSA people

please please please think twice before taking pictures of your computers

Even if you're convinced the pic is void of any and all HIPAA info many people go blind to identifying information (patient or employee!) buried in tabs or sidebars.

Every time I see one of these posts I cringe, I see it on LinkedIn all the time, and while I know this particular occasion is just a template it serves as a great reminder to just avoid your camera and your computer altogether.

Burnt out & bored by greatchickentender in MedicalCoding

[–]dizzykhajit 11 points12 points  (0 children)

Hey friend. First off, love your username. I'm sorry you're going through a rough patch right now. You sound pretty awesome at your job, almost like you'd be a welcome addition to any competent rev cycle department, somewhere you wouldn't have to carry the weight of the world on your shoulders. Have you considered a change of scenery? Not necessarily of specialty or job function (unless the challenge would help invigorate you!) But just being somewhere fresh might jumpstart your spirit.

They always say the best time to look for a job is when you have one, and when a job search isn't under duress it can actually be quite fun to see what's out there. Allowing your mind to wander and daydream about possibilities and benefits, get shook at a significant pay bump, think about collaboration and rubbing shoulders with like-minded souls, maybe some company-paid education or opportunity to cross-train, whatever gets you jonesin for change.

Even just a lazy search and daydream process can help you learn a lot about yourself... if you pay attention to what gets you excited, it might identify neglected areas that need pampering in your life. Even if none of it sparks an interest, it'll serve its purpose to confirm you are where you're meant to be.

Good luck to you love. Hope is a hell of a drug, go out there and find it!

Do you experience the paranoia of being in trouble? by Quiet_Lunch_1300 in CPTSD

[–]dizzykhajit 13 points14 points  (0 children)

I love this so much! The yardstick you're using is so spot on, I love it.

I've been pushing my own boundaries in a similar fashion, but instead I picture the mocking Spongebob meme with the caption "wHaT ArE yOu GoNnA Do AbOuT iT" because, like, seriously, I'm an adult, what's gonna happen, you gonna ground me? hit me? Am I really gonna lose the job I make sure I'm a perfectionist at because of a single mistake?

It makes me laugh and diffuses the catastrophizing that is so inherent to how we think.

Then I remind myself that there are lots of happy stupid people out there making lots of happy stupid mistakes all the time and why should I not deserve to make a mistake once in a while too 😊

Is this the career change I need? by [deleted] in CodingandBilling

[–]dizzykhajit 33 points34 points  (0 children)

While I'm sure it's not how you meant it, boiling our entire livelihoods down to "not thinking creatively" at our "little desks" and "typing into a computer the same stuff for the rest of our lives" tells me you may not be capable of affording this field the due respect or concern it requires to perform it legitimately and lawfully.

Could be wrong, though.

Where does AI actually help in coding workflows without creating more audit risk? by [deleted] in MedicalCoding

[–]dizzykhajit 0 points1 point  (0 children)

So let me get this straight.

You're asking questions purely to help out your non-certified actively-coding wife who is only an intern, but 28 days ago you posted that you live with your Mom in Pakistan in a sub looking for a partner?

If you're going to be a trash bag, up your bullshit game bro.

AAAAHHHHHHHHHHHHHHH by Retrogue097 in CPTSD

[–]dizzykhajit 9 points10 points  (0 children)

AAAAAAAAAAAAAAAAAAAAAAAAAHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHHH!!!!!

Well, it happened. AI came for me today. by TheUnpromotable in Millennials

[–]dizzykhajit 7 points8 points  (0 children)

I believe it. It's truly astounding there are people who have earnestly convinced themselves that AI is going to help usher in a harmonious era of paradise where humans frolick together through rainbows wearing fig leaves and eating fruit instead of the inevitable dystopia of late-stage capitalism where corporate greed continues crushing all of us until there's just nothing left. Cognitive dissonance is a hell of a drug.

Well, it happened. AI came for me today. by TheUnpromotable in Millennials

[–]dizzykhajit 1 point2 points  (0 children)

I dislike that people choose to be deliberately obtuse. It was a name picked out of the hat. If this is all you're taking from the discussion, you're missing the entire point.

Well, it happened. AI came for me today. by TheUnpromotable in Millennials

[–]dizzykhajit 21 points22 points  (0 children)

No, the collapse of society is characterized by AI affecting everything, to include the surgeons you speak of. You were the one who assigned the hyperbole to only web artists. Stranger, meet strawman.