Welcome to Coffee with the Coder®, our conversation with Paula Digby and her team to address issues, observations and questions for Health Information Management professionals, physicians, auditors, payors and students. Listen in for twenty minutes or so every other Monday and send in your favorite questions or comments for Coffee with the Coder® To receive text notifications send an email to help@AQ-IQ.com with your request. We will text you in the hour prior to the start of the next episode, which will be Monday, February 13th.

Paula Digby speaks to the Insider’s about the “problem with the problem list” and asks for input on strategies that work in your organization. Today’s questions are all from the IRF setting. First, Peggy asks about diagnoses listed by the physician that the coder doesn’t utilize on the UB-04; can they be used on the IRF PAI? Is this a risk? What if that diagnosis is a tier? The second question (from our friend, Anonymous) is like it. Anonymous states the patient is no longer receiving antibiotics but is still on contact isolation for CRE (carbapenem-resistant Entero bacteri acee). Can the klebseilla UTI be reported? Finally, another Anonymous friend asks, with stroke, for neuro neglect, we use R41.4 on the IRF PAI. Does it also belong on the UB-04, or should I69.312 (visuospatial deficit and spatial neglect following cerebral infarction) be used?

Do reach out with Ideas and Questions for future episodes – Coffee with the Coder(R) LOVES your questions!! Congratulations, Peggy for being the “mugging” winner today!”

To watch episode 160, click on the Mug Shot of JoAnna. (Just so you know, the captions are not yet validated.)

Connect for Episode 161 on February 13th, beginning at 10:10 am Eastern (7:10 am Pacific). “Insiders” begins at 10 am Eastern. You’ll find us on Free Conference Call HD,  Linked In, YouTube, and on Facebook. #coffeewiththecoder

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