12. UHDDS: Principal Diagnosis
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- Опубліковано 11 вер 2024
- In this video I discuss what a "Principal Diagnosis" is. The principal diagnosis is the first listed diagnosis on an inpatient basis. I also give examples of how to know when or what is your principal diagnosis. Don't forget to subscribe!
Thank The Lord Im a nurse..i cannot imagine being non medical and trying to understand these concepts- you are explaining wonderfully and new coders are blessed to have your channel info🙌🙌
Thank you so much Nurse Judy.
That's what I'm having a really hard time with. I understand 25% of this jarrgin and what all these things mean. I would love to be a coder from home and stay with my kids but I'm not sure if I will be smart enough.
Thanks to your videos I'm number one in my class. My instructors are so impressed with the way I code. I can't tell them my little secret. Lol!
Hahaha!!! Allthyck, I'm so glad my videos are helping you. Keep up the great work. It will all pay off.
Thanks in million CodeMaster Coach.
I just wanted to let you know I passed my CPC exam! I watched your videos when I started classes at my community college and you helped me keep going when I was thinking "what did I get myself into?!" Your videos helped reinforce the information and explain much better than reading a text book. So, thank you for all your hard work in making these videos!!
Congratulations!
@@stephanierussell4450 thank you so much!
Good night.I am doing medical coding at the University.However,I would love to pursue my diploma in medical coding with you
Loving these videos. Taking my CCS-P exam in a week and this is a wonderful review. You picked up things I did not think of. Been a biller for 26 years and finally going to sit for a coding exam. I used this as one of my study tools. I code daily, but this reminds me of a whole bunch of things I might not have remembered. I have done a boot camp, but this has helped also. THANKS SO MUCH!!!!!
Thank you Tamara Bennett. Glad to hear I can help those that already code as well.
This was super helpful, thanks for posting!
You are so welcome Rebekah Robert.
I just want to say how wonderful it is to have these videos as a reference to help me learn and understand better what I am learning at my local college course for Medical Coding and Billing. I was in need of my Coding books to do my assignments (and they will be coming in mail soon), but watching your videos and seeing how articulate and clear you are making all of this, i am very thankful. It is so much easier to understand when you listen to someone, rather than having to read Everything. You are a great teacher.
Thank you! My problem is overthinking and second-guessing myself. The latter leads me to the wrong PDx more often than not.
This made so much sense out of the jargon they use to write these guidelines! Thanks for the help as well as the examples you provided!!
Your welcome Jennifer Winsmann.
Thank you. You are wonderful at explaining and I appreciate your time and effort and expertise!
Thank you Mama Leaf.
Thank you! The videos are great. I am an LVN that wants to start coding,
but I cannot afford to take an expensive training course. These videos
are invaluable to me.
It seems to be a trend where they throw the nurses into coding thinking it will be awesome.. But..... CODING IS A WHOLE OTHER WORLD.. But, you need to use your clinical knowledge to make better decisions, especially for CDI so they can get the documentation on the front end that the coders need! The Coders are always grateful for the CDI's.. We just need you on our side... not against us.. we're on the same team!
girl, you are amazing! thank you so much for making these videos! I can't tell you how much they have helped!!
Thank you La Tom.
Thank you for your insight and breaking down to and understandable level!
Your welcome.
Fantastic informative video. You have a way of easily explaining it in layman's terms for all to understand. Great job. Love watching your vids.
Thank you Paula G.
Thank you Paula G.
Thankful for these videos, I am an online student in Medical coding. You have helped me make sense of what coding is all about. Thank you.
Thank you Rachel Tamakloe.
Great information! (A little confusing but I get it overall.) It really helps to hear these patient 'stories' and understand how the Principal Diagnosis is crucial in reimbursement. Thx and on to the next video!
Great videos!!! I watched multiple videos before my RHIT Exam and passed! The coding portion where I had the most trouble. Thanks!
I had to come back and look at your videos. I'm in the last 2 weeks of my MBC class and this last class is hard. I was freaking out and sent an email to my instructor asking for help. Thank God for you because I keep forgetting about the guidelines. I will try and get caught up with your videos so I can be prepared to take my exams in a few months.
Glad I can be a resource to you Janice W.
Some suggestions for Coach. In this video,it would be even better if coach considers to add those things as below.
UHDDS data set is four big categories:
1.patient identification (patient's name, address,DOB,gender,etc)
2.Provider information (Healthcare facility ID number, admission date and type of admission and discharge date)
3.Clinical information of the patient episodes of care (attending physician ID,surgeon ID, principal diagnosis,other diagnosis,principal procedure and dates, etc)
4.Financial information
So the most important thing that is principal diagnosis as you keep emphasizing in the video is in the third part.
I guess students might find it help on UHDDS frame. Thank you.
Jiao Feng, have your read the UHDDS? None of that information is included except #3, which I covered. Remember, we don't identify the patient (#1), the provider has nothing to do with UHDDS (#2), and financial information is definitely not a factor (#4). The goal with UHDDS is to keep it uniform amongst all.
@@codemastercoach6636 Yes, I have read about it. Here is a link where I find four data categories. I'm not sure did I make mistakes. Please point it out if you don't mind. Thank you Coach.
www.indianhills.edu/_myhills/courses/HIT126/documents/lu09_lecture.pdf
Thanks for shedding light on things. I was really struggling to decided what the principal diagnosis was. I'll come back for more videos, so please keep sharing!
Thank you so much.
I've run into a question that I can't seem to find a definitive answer for, maybe you could help me out. Does it matter the order of your secondary diagnoses?
Secondary diagnoses, no it really does not matter but I teach to put your most resource consumptive diagnosis first. In other words, if the secondary diagnosis requires additional resources such as glucose testing, or monitoring, and others secondary diagnosis don't require additional testing and monitoring but are present, put that diagnosis that requires more ahead of the other.
Hello code master coach, the way you are teaching is excellent. I'm learning a lot, thank you.
Glad to hear that Deepa Mohan.
Thank you ❤❤❤❤
I really liked this video, you explained it better than my teacher at the community college I attend online. I am definitely checking out some of your other because you make sense instead of just reading from the book. I need a more simpler way to understand and remember. THANK YOU :)
Aww, you are so welcome.
This video was heavan sent! It was like this was the glue I needed to tie all of what I learned together. I am so happy that I found your channel! Wish I had found it sooner than two weeks before my exam lol. But happy nonetheless!
Hi Coach - around 18:02 you indicate that if a doctor had indicated that the patient came in for abdominal bleeding and the Dr. indicated it was do either to acute gastritis or angiodysplasia, that we wouldn't have to code for the bleeding, because both of those diagnoses include bleeding. Looking at ICD-10-CM, there are codes for both of these diagnoses that include or do not include bleeding. K29.00 for acute gastritis (no mention of bleeding) and K29.01 with bleeding. Angiodysplasia (no mention of bleeding) K55.20 and K55.21 with bleeding. So even though there are options for to select without bleeding, we would want to select the ones that mention bleeding since the Dr. determined the bleeding is due to one of those two conditions - am I understanding this right? Thanks so much!
That is correct Katchoo100.
@@codemastercoach6636 Thank you for the quick reply! Truly appreciate that you are still answering questions on videos several years old. :D
Sorry for not saying much, but I'm just watching or listening to your videos help me before I start taking classes at the start of next year
If there are 2 possible principal dianoses, but only one is coded as primary, is the other considered a secondary diagnosis? Thanks
Thank you so much for being here! I am just beginning the coding portion of an online course. It really helps to have a lecture with additional examples of what I may encounter. I will definitely be back to learn more.
Your welcome Althea Frimpong.
I'm in school online and I was wondering about the " DUE TO'S ". Can you explain what to code first when it comes to "DUE TO", some cases are confusing.
Thank you for making medical coding so easy to understand coach!:)
This was fabulous. You gave fantastic examples and really spelled it out. Thank you so much. These videos are making everything so clear.
Good Jillzee00.
had jus started a course at fortis institution in Wayne NJ from Paterson NJ been listening da last few weeks to ya vids code master coach u mad smoothe of teacher wish I sit down or talk2 u personally of how to pass dis course wit gud grade n be able to wrk n dis field doin dis type of work been finding myself getting discouraged lik I'm not fully understand it
tHANK you so much for your vids. I'm RHIT, in my 3rd year of coding, and still second guessing my codes. Thank you for sharing
Your welcome Sharon Watson.
I have no books or training in coding but have been in billing for 14 years. I am interested in getting my CPC. The videos have been great so far letting me know what coding is. I am on video #13! Thanks so much for sharing your knowledge!
Your welcome Melissa Wells.
I was wondering with the 2 different diseases, do you code both or just one as the principal? I understand the principal diagnosis but what do we do with the other diagnosis when it could be either one? (14:17 in the video) Thanks
We code both Absolute Beauty.
2021..we still learning over here
That is correct. We are still learning over here.
Fabulous breakdown and great examples! Looking forward to more.
Thank you for your insight and knowledge. Great explanation!
You are very welcome.
Thank you tetchier 💜👍 I really appreciated .. Your student from Saudi arabia ☺️
Welcome aboard Shaimaa bakhsh! I am so proud to see a student from Saudi arabia.
Excellent examples... I have a question about one of the last examples... the pt is admitted for benign hypertrophy and scheduled for a resection but bless their hearts, fell and fractured a hip needing a pin. So I code both diagnoses and the hip procedure, but will there be an e code to go with that?
You broke it down so Well. Thank you!
Your welcome.
This video helped me a lot. i was very confused about the first listed diagnosis. But you explained it well.
I am so glad to hear that Desire Orey.
I'm sitting for my AHIMA CCA this month, thanks for this classes
So does this apply to outpatient and physician settings? For some reason I can't seem to get my sequencing right!!
Yes it does. Palliative care applies to any setting. Remember, sequencing depends on the reason for the admission. What did patient come in for?
ok thanks so much
you are a really good teacher.
Thank you Lehra Jackson.
So coding sequence would be 1. The principal diagnosis 2. Symptoms the pt came in with?
Or
Code just the principal dx but not the symptoms at all?
I'm confused as to the sequencing.
The first diagnosis is the principal diagnosis and then any additional diagnoses that are not signs or symptoms of previously listed diagnoses. That is why you need to know the disease process to know whether or not the signs and symptoms are of the diagnoses previously listed.
I can't even tell you how wonderful you are!
Yep PSJ71, you are getting ready. Keep going. You can do this!
I'm so happy to have found you Coach! Several years ago I went through an ICD-9 class but because I knew ICD-10 was on the horizon I held off on certification . Now I'm in an online program that has been very good with the fundamentals ( more thorough than the ICD-9 class) ; however, now that I'm into the coding I really felt the need to seek out lectures. Planning to get certified next year asap. Looking forward to your lectures!
Welcome Aboard Carmen. Glad to assist you.
Carmen Goode, hey! Was wondering if you got your certification? Good luck to you on your journey :)
Hi, I was wondering if you had any handouts or files (I'm still taking notes) to go along with any of your videos?
Mantepara , yes please same here!!! 🙋🏻
Please let me know if you get response for you inquiry
Alexweinhold@gmail.com
Mantepara did you ever get a response?
You are Awesome! God Bless You!
Thank you Carmen Okereafor.
Thank you so much for this! This is my reason that I missed my CCS exam.. you really broke it
Your welcome MsChelbe.
CodeMaster Coach I'm gonna listen to this onr a couple times a week until it sinks in and up until im ready to test agai..
Coach i have a question if the principal is CHF and they went to the ER for Swelling in the feet SOB and lethargy what would the admitting be?
I took medical coding and billing class in 2007 and I have my ICD-9 book and my cpt code book from then. My question is can I use these books for my practice or do I absolutely have to have the new ICD_10 book?
Your going to need ICD-10 Code books. ICD-10 and ICD-9 are very different.
Does a coder need knowledge of icd, cpt and hcpcs codes to become a certified coder?
Does a coder need to memorize all these thre books codes?
If not ,then what codes does he has to memories?
Is it required to memorize all modifiers?
I am a new to coding . I don't have knowledge on this..can u plz help me answering on my questions
Hari Nayak, a coder needs knowledge of ICD, CPT and HCPCS to become certified but a coder should not memorize any codes. Just know how to use each classification.
@@codemastercoach6636 thx
thank you so much, I am getting ready to take my inpatient coding exam in a few days.
Your welcome Barbara Vaughn.
Oh my goodness you are wonderful! Thank you!
You are so welcome Josh Durbin.
This video was very informative. Thank you☺
You are so welcome!
Thanks for the info. I needed help in this area.
You are so welcome.
If a patient is admitted to the ER with a deep cough, sore throat but no fever, and is suspected of having pneumonia. Test are done, including an x-ray, and the patient is held in the ER for six hours before later being admitted to the hospital. However, the patient is only kept 24 hours afterwards, and than sent home with medication. Would the principal diagnosis be listed as pneumonia?
Only if the physician diagnoses the patient with pneumonia. If not, then you can only code the signs and symptoms of cough and sore throat. Why was patient admitted to hospital?
@@codemastercoach6636 Patient admitted for pneumonia and put on IV medication.
Thank you for Breaking this down@!
Your so welcome Christine Stewart.
Hi coach, can you please suggest me one book that can help me getting used to deseases and diagnosis because i am having hard time to understand all these medical terms.
I am so glad I remembered you posted these videos! Our CDI/CODING needs to hear these again and remember where the coding guidelines/coding clinics that govern us lead us. Sharing your valued information my friend! I truly appreciate you! God Bless!
T~
Thank you Tony Christian.
The principal diagnosis is giving me real difficulty!! Any more tips to improve selecting this diagnosis
Ask yourself, "what is the reason this patient is seeking healthcare services?". The answer is your principal diagnosis. They may have other conditions (HTN, Diabetes, etc.) but what made them seek care? That's your principal diagnosis.
Very well done! Thank you Thank you!
Thank you D4aka Nevertheless.
Hello, how are you? I have not heard from you in awhile. I hope everything is going great. I am missing your videos. I hope to see some soon. You are still my starfish. (:
Running from hurricane Florence right now. Will be back soon.
I will keep you and your family in my prayers.
Thank you so much.
Your welcome.
Thanks, coach!
Your welcome Leovic Rapirap
Thank u so much
keep the good work
Great vid! TY! :---)
I can't get through this video with ads every 60-120 seconds this is WAY TOO much!
I appreciate your UA-cam presentations greatly. They helped me pass the RHIT exam. I have (3) older year coding books that your current students may want to purchase. I am asking $30.00 each plus shipping and handling. Would anyone be interested on your side?
I can’t listen to someone who mispronounces things
Manners... this woman is taking time to think of things that we need to know to try to help us. Please be respectful
Aka you barbie wannabe
krupa
I am very impressed with you teaching,it is very clear to understand for beginners.