Hi Miablackwell1155! Thank you for the kind feedback! :) You are very welcome! Please let me know if you have further questions! Are you getting ready for an exam or did you watch the video for real life coding?
@@miablackwell1155 Awesome! The CCS will definitely open more doors for you, especially for facility coding (both OP and IP). Inpatient coding is scarier looking than it actually is. :) Just make sure you read the notes VERY CLOSELY and apply critical thinking while coding. 'Is this dx serious enough for admission? Did this happen during hospitalization? Did the surgeon really do a replacement or are they just using the 'wrong' word for a transfer?' etc. You got this!!
I have to say, that's the most useful principal diagnosis choosing video out there, keep up the good work Thank you for reminding me of two or more comparative or contrasting conditions guidelines
IP coding is hard because so much will depend on the documentation. You just have to use good judgement in deciding what is going on and why the patient is there. Try to look at it from the insurer's perspective. They love to say: I am not paying for this?! This should have / could have been OP! So yeah, try to put the patient's conditions on trial: would you REALLY need this level of care? What do you have to show for yourself? (treatment, diagnostics, nursing etc.)
@@TheMedicalCodingGuild Thank you. I did in the past but quit, took long break (decade), and now returning :) Risk Adjustment, but I'm studying for my CCS right now. I'm CPC-A atm.
Hi Julian! Thank you very much! Trying to give back to the community. Are you getting ready for an exam or just brushing up on rules for a new role? ;)
@ 8:58, you describe applying the guideline for choosing between HF and Myocarditis as PDX, and you say that HF is chosen because Myocarditis "was only found later as a side note" - but doesn't that meet the definition of PDX, since it was found after study? PS - you are awesome :)
Hi Andrew! The Pdx is always what necessitated the admission. Elderly patient is admitted with complicated UTI, then 2 days later myocarditis is found and treated. Pdx is the UTI because that's what they were admitted for. Now, in the video I am trying to discuss a situation where 2 conditions could both be Pdx. Depending on the situation either the CHF exacerbation or the myocarditis could be Pdx if we have reason to believe that the CHF exacerbation was caused by the myocarditis. Or if it us hard to tell what exactly the patient was admitted for. Looking back at it, my example wasn't the best. Please just remember that guideline that sometimes we can choose either or, depending on documentation and final DRG. In real life you will always choose the PDx in this situation that gives you the better DRG.
Hi Thugulagam8585! The videos and presentations are copyrighted property. They cannot be downloaded or privately used without express permission from The Coding Guild. Thank you for your understanding!
Thanks for sharing wonderful information for selection of PDx. If you are providing online training for IPDRG coding or related content please confirm.. I'm interested for the same. Kamal Pal Senior Medical Coding Analysis from India
Hi Kamal! Thank you for the positive feedback!! I am working on related training yes. Please register as a member - for free - on my website to be notified the moment they are available! Until then, I am happy to help here if you have questions and they are reasonable to answer here. Have a great day!
Hi Bhargava! :) I am not sure what you mean by clinical indications, could you please elaborate? On root operations I have a short video on how to find the correct root operation in 3 simple steps, please see here: ua-cam.com/video/vmOlPuTRTeA/v-deo.html
A year paid course and not a single instructor ever explained sequencing like this, we were just expected to get it. Thank you!
Hi Jessa! We all teach and learn different. :) I am happy if the video helped! Best of luck on your exam or in your school work!!
Probably the best video I watched explaining principal diagnosis so much. I comprehended almost everything.
Hi Alanis! I am always happy to hear when one of my videos help people. :) Let me know if oyu have questions!
Just found your page and this was the BEST explanation of principal diagnosis I have heard. Thank you so much!
Hi Miablackwell1155! Thank you for the kind feedback! :) You are very welcome! Please let me know if you have further questions! Are you getting ready for an exam or did you watch the video for real life coding?
I am studying for the CCS. I currently have my CPC and COC. I'm hoping to nail down inpatient. Your videos are so helpful!
@@miablackwell1155 Awesome! The CCS will definitely open more doors for you, especially for facility coding (both OP and IP). Inpatient coding is scarier looking than it actually is. :) Just make sure you read the notes VERY CLOSELY and apply critical thinking while coding. 'Is this dx serious enough for admission? Did this happen during hospitalization? Did the surgeon really do a replacement or are they just using the 'wrong' word for a transfer?' etc. You got this!!
@@TheMedicalCodingGuild Thank you!!!
I have to say, that's the most useful principal diagnosis choosing video out there, keep up the good work
Thank you for reminding me of two or more comparative or contrasting conditions guidelines
Hi Shrek! Thank you very much for your kind words!! Best of luck on your exam! :)
Brilliant way to look at two potential PDXs @ 10:08 , by asking the question, "Would each of these Dx's separately warrant an admission?"
IP coding is hard because so much will depend on the documentation. You just have to use good judgement in deciding what is going on and why the patient is there. Try to look at it from the insurer's perspective. They love to say: I am not paying for this?! This should have / could have been OP! So yeah, try to put the patient's conditions on trial: would you REALLY need this level of care? What do you have to show for yourself? (treatment, diagnostics, nursing etc.)
The examples made all the difference. Thanks!
Hi Dg7438! Happy to hear they helped! Best of luck on your exam!!
@@TheMedicalCodingGuildThanks! I'm already a certified coder, but just freshening up my skills for an upcoming position. It's been a while
@@dg7438 Oh I am sorry. I hope the new position will work out!! First IP coding role? :)
@@TheMedicalCodingGuild Thank you. I did in the past but quit, took long break (decade), and now returning :) Risk Adjustment, but I'm studying for my CCS right now. I'm CPC-A atm.
@@dg7438 Got it! Have you had a look at the CRC for Risk Adjustment?
I really appreciate your insight - excellent presentation!!
Hi Julian! Thank you very much! Trying to give back to the community. Are you getting ready for an exam or just brushing up on rules for a new role? ;)
@ 8:58, you describe applying the guideline for choosing between HF and Myocarditis as PDX, and you say that HF is chosen because Myocarditis "was only found later as a side note" - but doesn't that meet the definition of PDX, since it was found after study? PS - you are awesome :)
Hi Andrew! The Pdx is always what necessitated the admission. Elderly patient is admitted with complicated UTI, then 2 days later myocarditis is found and treated. Pdx is the UTI because that's what they were admitted for. Now, in the video I am trying to discuss a situation where 2 conditions could both be Pdx. Depending on the situation either the CHF exacerbation or the myocarditis could be Pdx if we have reason to believe that the CHF exacerbation was caused by the myocarditis. Or if it us hard to tell what exactly the patient was admitted for. Looking back at it, my example wasn't the best. Please just remember that guideline that sometimes we can choose either or, depending on documentation and final DRG. In real life you will always choose the PDx in this situation that gives you the better DRG.
I need this ppt where I can download
Hi Thugulagam8585! The videos and presentations are copyrighted property. They cannot be downloaded or privately used without express permission from The Coding Guild. Thank you for your understanding!
Fabulous! Thank you so much.
Hi Bunnytalk! (Is that a bunny? Sorry, I can't see it well). Thank you for watching and for the nice comment! Best of luck on your exam!!
@@TheMedicalCodingGuild It’s the peace sign. But, bunny works too. 👍
@@Free4Ever-grace Oh yes, now that you mention, I can see it. Whoops. :D
section II guidelines are only used for inpatient or outpatient also ??
Hi Raju! Section II is for IP only. For OP please see Section IV
Do you do any training/coaching on inpatient coding/auditing. im starting a new job can could use some help?
Hi DomLovely! Congrats on the new job!! :) Yes, I do offer coaching, please see the details here: www.thecodingguild.com/medical-coding-tutoring
Thanks for sharing wonderful information for selection of PDx.
If you are providing online training for IPDRG coding or related content please confirm.. I'm interested for the same.
Kamal Pal
Senior Medical Coding Analysis from India
Hi Kamal! Thank you for the positive feedback!! I am working on related training yes. Please register as a member - for free - on my website to be notified the moment they are available! Until then, I am happy to help here if you have questions and they are reasonable to answer here. Have a great day!
Amazing
Thank you Chris! It is very kind of you!
Thank you very much!
You are very welcome! Thank you for checking out my video! Which credential are you getting ready for? CCS, CIC, CDEI, other? :)
Hi gd morning
Plz explain Root operations
CliniCal indications
Hi Bhargava! :) I am not sure what you mean by clinical indications, could you please elaborate? On root operations I have a short video on how to find the correct root operation in 3 simple steps, please see here: ua-cam.com/video/vmOlPuTRTeA/v-deo.html
Yes I'm a little confused on clinical indications myself.
Thank you!
I am happy if it helped! Have a nice weekend!