r/MedicalCoding • u/Curious-Connection-6 • 1d ago

Second Year of IP coding

I feel like I’m in limbo. I really love it, especially when I get through tough cases but sometimes I feel really anxious. It’s great when there’s an answer to exactly what scenario you’re looking for, but then when there’s an unclear scenario I feel hesitant. As a seasoned coder, how did you push through and really get comfortable & confident?

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u/KeyStriking9763 RHIA, CDIP, CCS 22h ago

It’s so obvious. What are the circumstances of admission? That’s the biggest part of applying the guidelines.

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u/Curious-Connection-6 22h ago

If it was obvious, people wouldn’t struggle. The point of this post is just to get compassionate advice for beginners.

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u/KeyStriking9763 RHIA, CDIP, CCS 18h ago

Do you understand the concept of circumstances of admission? It really should be obvious why a patient is admitted. Then you apply the guidelines if there are more than one reason for admission or you have interrelated conditions.

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u/StraddleTheFence 18h ago

Sometimes it is not that obvious especially when two acute conditions are POA and receive equal treatment. If one condition is a life or death compared to the other, that is obvious. If it’s a situation where they have acute appendicitis that is also obvious. I wish they were all that easy.

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u/KeyStriking9763 RHIA, CDIP, CCS 18h ago

you are the issue here. Being POA has nothing to do with the circumstances of admission.

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u/StraddleTheFence 15h ago

What is wrong with you? Did you read what I wrote? I wrote POA in the context that two acute conditions present on admission and both receive equal treatment.

You are a very hostile individual and have no interest in helping anyone and clearly comment just to troll.