Resources
If the doctor documents morbid obesity in past medical history and a BMI of 40 or greater is documented, can we code E66.01 ? Where is the reference for this?
What is No, we will not code this condition as morbid obesity is not documented as an active condition.
Resource: Advantasure FAQ from Coding Inbox - Morbid Obesity
Patient is seen for Telemedicine visit due to COVID-19, provider documented 40 minutes was spent on the telephone with patient discussing their management of asthma. Pt was advised to continue with inhaler as needed.
Is this flagged as Telehealth?
NO - Visit must meet both audio and visual components in order to be captured as a Telehealth visit.
Pt ran into lamppost while participating in Pokemon Go tour. Code this encounter.
What is W22.02XA
Diagnosis of Bipolar Disorder was abstracted for this patient. Why was this rejected?
What is condition listed under Pertinent Negatives.
This query code is created when a clinical indicator is missing for status code Z68?
What is A04 - Clinical indicator is documented without diagnosis.
What resource is available to assist coders in deciding whether or not to code Diabetes with a complication with or without a flag?
What is the DM Decision tree
Pt is diagnosed with Peripheral Vascular Disease, no supporting documentation is available on the medical record what flag is appended?
None - PVD is not a Chronic Condition listed per our Guidelines. Must have MEAT in order to abstract.
Pt is seen on 3/12/21 and had lab work reviewed with provider. Pt was diagnosed with Chronic Kidney Disease Stage 3b. What's the code?
What is N18.32
Diagnosis of Diabetes Mellitus with other specified complication was abstracted for this patient. Why was this rejected?
What is specified complication is not documented. Neuropathy is only suspected as well.
What page number(s) is entered when abstracting a diagnosis into the tool?
What is the page number the diagnosis is located.
What resource should be used to determine if a Telehealth platform meets the CMS criteria for an acceptable visit?
What is the Telehealth Visit FAQ
What Atrial Fibrillation conditions may have the chronic condition flag appended?
What are Unspecified and Chronic
Pt lost a fight with an angry turtle resulting in a bite wound. Code this encounter.
What is W59.21XA
A History of Tracheostomy was abstracted for this patient. Why was this rejected?
What is the Tracheostomy was closed. Condition is resolved.
When entering a Telehealth visit into the tool what Encounter type and Flag must be entered into the tool in order to be validated?
What are Encounter Type - Telehealth and appending the Telehealth Flag.
Pt has documented CHF in the PMH. The medication list has been reconciled and noted as current with Lasix. What resource should be used to determine if CHF can be coded without the flag using Lasix as the only source of MEAT?
What is the Advantasure Approved Medication to HCC List
Pt has Muscular Dystrophy in past medical history, no additional MEAT. Should this condition be flagged?
What is No. This is considered a Forever Condition and No Flag is required
Pt presents with recurrent DVT in the physician office. What is the appropriate code?
What is no code.
Recurrent DVT = Acute DVT can not be coded as "Chronic". Insufficient information to abstract in an Outpatient setting.
This visit was abstracted as a Telehealth visit. Why was this rejected?
What is Audio only, needs audio and visual component in order to abstract.
Pt is seen by a specialist during their 9 day Hospital stay. A diagnosis of COPD is abstracted from the consult, how is this date of service entered into the tool?
What is Inpatient with the Admit and Discharge dates.
Pt has documented CHF in the PMH. The medication list has been reconciled and noted as current with Lasix. Can this diagnosis be abstracted without the chronic condition flag per the guidelines?
What is No - Lasix must be linked to CHF by the provider in order to abstract without the flag.
Pt with Colostomy in surgical history only. Does this require the chronic condition flag to be appended?
What is No - Ostomies are not included on the chronic list and require MEAT indicating their presence.
Pt was struck by crashing UFO while star gazing in their car. Please code the diagnosis.
What is V95.43XA
Diagnosis code abstracted for this pt was I25.119, Why was this rejected?
What is the Angina presence is unspecified.
Therefore this DX would not be abstracted.
What 3 conditions should queries not be generated when checked "yes" on the alert?
What are COPD, Pulmonary Hypertension and Secondary Hyperparathyroidism.