Are Z Codes a Privacy Issue?

Have You Heard? – June 7, 2017

A recent article that appeared on the website for the magazine For the Record discussed the aspect of Z codes and social determinant data. The World Health Organization has stated in its website that “The social determinants of health are mostly responsible for health inequities.” Do you think there’s some issue of privacy here?

Don’t Sleep on Z Codes

Documenting for Value-Based Purchasing

Have You Heard? – September 21, 2016

In the future, value-based reimbursement and population health management are concepts that will affect coding and documentation. To succeed some common coding and documentation errors will need to be overcome. Find out what they are from this article originally posted on the site PYA Healthcare Blog:

About documenting for value-based reimbursement

10 More Hilarious Medical Record Bloopers

Have You Heard? – August 25, 2016

Here are 10 more medical record bloopers, from the site These are apparently actual notes in real medical records. What were they thinking when they wrote these? Our commentary is parenthetically added in italics.

  1. The patient is tearful and crying constantly. She also appears to be depressed. (What was your first clue?)
  2. Discharge status: Alive but without permission. (Didn’t know you needed someone’s permission to be alive.)
  3. The patient will need disposition, and therefore we will get Dr. Blank to dispose of him. (Dr. Blank must have quite a reputation around the hospital.)
  4. Healthy-appearing, decrepit 69 year old male, mentally alert but forgetful. (So, now everyone’s a critic?)
  5. The patient has no past history of suicides. (Unless the patient is a cat with 9 lives.)
  6. The patient expired on the floor uneventfully. (Heaven forbid if it caused a ruckus; that would be so disruptive and uncool.)
  7. Patient has left his white blood cells at another hospital. (Perhaps that’s where he thought he had the insurance coverage.)
  8. Patient was becoming more demented with urinary frequency. (Having to go all the time could drive someone crazy.)
  9. Patient has chest pains if she lies on her left side for over a year. (Lying down for over a year can cause bigger problems than that.)
  10. He had a left-toe amputation one month ago. He also had a left-knee amputation last year. (Hmm. Something’s not right. Patient has lost all feeling of his left foot.)