HCS Advisor

October 2007



Code This Scenario
Help With PPS Changes
Home Care Certification Study Guide Now Available
Upcomi
ng Events

Hello from the Board of Medical Specialty Coding! We hope you enjoy your monthly ezine and find the information useful. If you have any comments or recommendations for future issues, please contact me through the following channels:

Victoria Forlini, Executive Director
vforlini@medicalspecialtycoding.com
301/287-2250 (phone)
301/287-2941 (fax)


Code This Scenario

Exercise your coding skills by testing yourself with this scenario. Answers can be found at the bottom of this ezine.

Scenario: The patient is discharged from the hospital after an acute CVA resulting in right sided spastic hemiplegia (right dominant). He will receive nursing services as well as PT and OT. How would you code this?

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Help With PPS Changes

Are you feeling:
* 300.10 Hysteria
* 780.95 Excessive crying
* 313.1 Misery and unhappiness
* 309.24 Adjustment disorder with anxiety

when thinking about the new PPS changes? These audioconferences can help!

How PPS Changes Will Turn Coding on its Ear: What Every Coder Must Know to Ensure Accurate Reimbursement, Oct. 26
http://www.homehealthinteractive.com/conferences/
A1393/home.htm


Core Coding Competencies in Home Care Coding: The Fundamentals, Oct. 31
http://www.homehealthinteractive.com/conferences/
A1394/home.htm


Core Coding Competencies in Home Care Coding: The Complexities, Nov. 1
http://www.homehealthinteractive.com/conferences/
A1395/home.htm


You can attend both of the Core Coding Competencies at a discounted price!!
http://www.homehealthinteractive.com/conferences/
A1406/home.htm


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Home Care Certification Study Guide Now Available

The Study Guide for Home Care Coding Certification can help you prepare for your Home Care Coding Specialist - Diagnosis certification or recertification exam. This invaluable resource will include:

  • Terminology and concepts respective to the home care coding.
  • Coding rules for M0230, M0240 and M0245.
  • Billing approaches and Case-Mix Codes.
  • Critical Issues within home care coding, such as coding for complex conditions including diabetes, abnormality of gait, fractures, etc.
  • Questions for the Expert - Coders just like you have asked our experts questions about common coding problems. Our experts provide answers and feedback that you can put into practice immediately.
  • Practice Questions - Get ready for your exam by testing your coding skills with practice questions. The questions provided in the study guide are just like the ones on the exam, so you'll be able to see right away if you are ready for your exam or if you need more preparation.
  • Exam Outlines - See the concepts that will be tested on your home care coding exam, and make sure you'll familiar with all of the topics outlined.
  • Coding Tips are peppered throughout the guide. Pay special attention to these tips, as they may be a hint as to an exam question.

The Study Guide for Home Care Coding Certification [H1624] is available now. Order today by visiting www.medicalspecialtycoding.com.

Price: $67.00

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Upcoming Events

Here's the 411 on some upcoming events where you'll get top-notch educational opportunities to earn CEUs and even a place to sit for your HCS-D certification or recertification exam!

Event: ICD-9 Coding: Diagnostic Coding Workshop for Home Health Clinicians & Coders
Date: October 24-25, 2007 in Okemos,MI sponsored by the Michigan Home Health Association
To register or learn more information:
http://www.mhha.org/cde.cfm?event=180574

Event: The Art of ICD-9 Coding for Home Health, sponsored by the Home Care Alliance of Massachusetts
Date: November 7-8, 2007
To register or learn more information:
http://www.mass-homehealth.org/cde.cfm?event=186946

Event: ICD-9-CM & OASIS Coding: Back to Basics and Beyond Workshop & BMSC Exam (HCS-D)
Date: November 8-9, 2007 in Albany, NY sponsored by the Home Care Association of New York State
To register or learn more information:
http://www.hcanys.org/programs/codingbmsc

Event: Breaking the Code: Competency in Diagnosis Coding
Date: November 13-15, 2007 in Columbus, OH sponsored by the Ohio Council for Home Care
To register or learn more information:
http://www.homecareohio.org/

Event: PPS Reform and ICD-9 Coding: Simplifying the Complex
Date: November 14-15, 2007 in Portland, OR
To register or learn more information:
http://www.medicalspecialtycoding.com/pdf/
PPS_and_Coding_Workshops_Las_Vegas_and_Portland.pdf

Event: PPS Reform and ICD-9 Coding: Simplifying the Complex
Date: December 4-5, 2007 in Las Vegas, NV
To register or learn more information:
http://www.medicalspecialtycoding.com/pdf/
PPS_and_Coding_Workshops_Las_Vegas_and_Portland.pdf

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What do you want to see in your next issue of the Home Care Advisor? More news? More events to earn CEUs? Some practice scenarios? Email BMSC's Executive Director, Victoria Forlini, and let her know. We want to hear from you!!

Answers to Code This Scenario

M0230a: 434.91 (CVA, NOS)
M0240b 342.11 (hemiplegia, spastic, dominant side)


Tip! Use 434.91 when documentation states stroke, CVA or cerebral infarction without additional documentation regarding the etiology of the CVA.

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