ICD-10-CM Lacks Detail for Sexual Harassment

Have You Heard? – June 21, 2018

ICD10monitor editorial board member, consultant and trainer Laurie Johnson observes that the 2018 ICD-10-CM provides very little for coding sexual harassment. Check out the results of her research, in her article recently posted on the ICD10monitor website.

ICD-10-CM Lacks Detail for Sexual Harassment

Strengthen Your Problem Solving Skills

Have You Heard? – June 13, 2018

Earlier this year we posted about an infographic summarizing AAPC Product Marketing Manager Alex McKinley’s concept of “5 Traits of a Rock Star Medical Coder”. One of those key traits is problem-solving ability. Here’s an article that appeared on the Fast Company website on honing your skills at problem solving:

5 Ways to Hone Your Problem Solving Abilities

10 Outrageous Chief Complaints

Have You Heard? – April 6, 2016

These are apparently chief complaints or requests of general practitioners (GP) during actual office visits by patients. They were compiled in a survey of physicians conducted by UK physician Dr. Mark Folman, who also runs the website Resilient GP. Our comments or questions are parenthetically noted in italics.

  1. “Is there a pill so I can have a baby boy?” (Or maybe one that will give me a strong boy who will grow up and get a NCAA athletic scholarship?)
  2. “Doctor, my stomach makes this weird rumbling/gurgling noise whenever I haven’t eaten. It’s starting to affect my work.” (Sounds like an easy remedy to swallow.)
  3. “My skin is too soft.” (Maybe this person should stop holding hands with an alligator.)
  4. “When I drink certain types of beer I vomit and have a headache the next morning.” (Perhaps the “type” of beer is also known as “too much”.)
  5. “I’ve lost my spidey sense and need a test to find out why.” (That’s what he gets for hanging around Batman for too long.)
  6. “My poop smells this morning and it doesn’t normally.” Patient actually brought a sample to the office in a bag. (Better make sure that bag doesn’t end up in the office fridge by mistake.)
  7. “Can you cut my son’s toenails as he doesn’t like it?” The son is 17 years old.  (Finally, a case where even a helicopter parent couldn’t succeed.)
  8. “Can I have a sick note for six months because I am nearly at retirement age?” (Maybe the reason should be stated as “sick of work”.)
  9. “I’m allergic to avocados — if I eat eight I’m sick.” (She discovered she gets even sicker when those get turned into guacamole, washed down with a pitcher of margaritas.)
  10. “My cat scratches my furniture and it upsets me because I love him.” (Wrong doctor. There’s a pet psychologist two doors down, though.)

11 Hilarious Medical Record Bloopers

Have You Heard? – February 24, 2016

These are reportedly actual notes from real medical records, submitted by readers of the website doctorslounge.com. This certainly serves as a reminder to proofread what we write, but maybe everyone’s in too much of a hurry these days. Our questions or comments appear in italics, in parentheses.

  1. The lab test indicated abnormal lover function. (And he thought he was just getting a hepatitis virus panel.)
  2. The baby was delivered, the cord clamped and cut, and handed to the pediatrician, who breathed and cried immediately. (Good, sensitive physicians are hard to find.)
  3. She stated that she had been constipated for most of her life until 1989 when she got a divorce. (Just think of how much she could have saved in Miralax.)
  4. The patient was in his usual state of good health until his airplane ran out of gas and crashed. (Another nice day of good health spoiled.)
  5. Rectal exam revealed a normal size thyroid. (Sounds like the diagnostician has long fingers.)
  6. The patient lives at home with his mother, father, and pet turtle, who is presently enrolled in day care three times a week. (And is probably already writing its name.)
  7. The patient was to have a bowel resection. However, he took a job as stockbroker instead. (A bear market can really take priority.)
  8. When she fainted, her eyes rolled around the room. (At least she got to see things from a different perspective.)
  9. She has no rigors or chills but her husband says she was very hot in bed last night. (Braggarts. Sheesh.)
  10. On the second day the knee was better and on the third day it had completely disappeared. (Who needs two knees, anyway?)
  11. The patient has been depressed ever since she began seeing me in 1983. (Maybe the physician should consider a career change.)