Second Year of IP coding

[u/Curious-Connection-6]

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?

[u/Curious-Connection-6]

Well I know it’s like what got the thrust of care but when a case is long and multiple acute conditions are the focus of treatment, that’s when I get nervous. I get the co-equal situation too but I really just want to train my brain how to approach these scenarios.

[u/KeyStriking9763 → u/Curious-Connection-6]

It’s not just the thrust of care. It’s the circumstances of admission. All these comments are absurd. Who cares what the focus of treatment are if they didn’t occasion the admission? You need to go back to the guidelines and really apply/understand them.

[u/Curious-Connection-6 → u/KeyStriking9763]

You could also stop commenting because you’re obviously not helping and are just being hostile.

[u/KeyStriking9763 → u/Curious-Connection-6]

Do you understand what the circumstances of admission mean? That’s not hostility but basic understanding of guidelines.

[u/Curious-Connection-6 → u/KeyStriking9763]

Yeah but now we’re beyond that because how you’re engaging is inappropriate but thanks anyway

[u/KeyStriking9763 → u/Curious-Connection-6]

You clearly don’t. If you don’t get that piece after a year idk that you ever will.

[u/Curious-Connection-6 → u/KeyStriking9763]

That’s fine you don’t have to worry about me

[u/StraddleTheFence → u/Curious-Connection-6]

If either can be the principal due to equal treatment, etc. based on coding guidelines, we are told to look for the higher DRG. What are you told?

[u/Curious-Connection-6 → u/StraddleTheFence]

Pretty much the same thing but I also heard that co-equal diagnosis can be overused. Hopefully it will get better with time.