Tactical Medicine News Blog

ED Charting and Coding: Physical Exam (PE)

Posted by Ted Fan, MD on

“What do I see, hear, and smell when I walk into the room?” While the oral boards challenge you to perform the physical exam in a certain way, the day to day examination of patients can vary dramatically. Centers for Medicare and Medicaid Services (CMS), however, has physical exam guidelines for billing that conform to neither the exam you learned as a medical student nor the one you’ve refined as a resident. These disparities between what you do and how you’re asked to document it can lead to charts that are frequently down-coded or at risk if audited. The following discussion tries to unravel some of these twisted regulations and will provide tips and tricks on how to improve your physical exam documentation for coding and billing.

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New EM Cases Feature: Just The Nuggets

Posted by Anton Helman on

We have a brand new free offering to enhance your EM learning: Just The Nuggets, where you receive the key points from the EM Cases main episodes directly into your email inbox. Knowledge comes in little packets. Sign up for Just The Nuggets on The EM Cases Newsletter page. The post New EM Cases Feature: Just The Nuggets appeared first on Emergency Medicine Cases.

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New EM Cases Feature: Just The Nuggets

Posted by Anton Helman on

We have a brand new free offering to enhance your EM learning: Just The Nuggets, where you receive the key points from the EM Cases main episodes directly into your email inbox. Knowledge comes in little packets. Sign up for Just The Nuggets on The EM Cases Newsletter page. The post New EM Cases Feature: Just The Nuggets appeared first on Emergency Medicine Cases.

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Journal Jam 8 – Dilute Apple Juice for Pediatric Gastroenteritis

Posted by Anton Helman on

This is EM Cases Journal Jam podcast on a randomized control trial of dilute apple juice vs PediaLyte for mild pediatric gastroenteritis. While IV rehydration is required in cases of severe gastroenteritis (which we rarely see in North America) and oral rehydration with electrolyte maintenance solutions is still the mainstay in treating moderate gastroenteritis, could better-tasting, more cost-effective fluids such as diluted apple juice be just as effective as traditional electrolyte solutions in milder cases? Listen to Dr. Justin Morgenstern (@First10EM) interviewing Dr. Stephen Freedman, the world-renowned pediatric EM researcher who put ondansetron for pediatric gastroenteritis on the map and who was one of our guest experts on our main episode on Pediatric Gastroenteritis, Constipation and Bowel Obstruction, about this practice-changing paper. This is followed by a hilarious rant on the topic from Dr. Anthony Crocco ("Ranthony"), the Division head and medical director of pediatric EM at Hamilton Health Sciences. The post Journal Jam 8 – Dilute Apple Juice for Pediatric Gastroenteritis appeared first on Emergency Medicine Cases.

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Journal Jam 8 – Dilute Apple Juice for Pediatric Gastroenteritis

Posted by Anton Helman on

This is EM Cases Journal Jam podcast on a randomized control trial of dilute apple juice vs PediaLyte for mild pediatric gastroenteritis. While IV rehydration is required in cases of severe gastroenteritis (which we rarely see in North America) and oral rehydration with electrolyte maintenance solutions is still the mainstay in treating moderate gastroenteritis, could better-tasting, more cost-effective fluids such as diluted apple juice be just as effective as traditional electrolyte solutions in milder cases? Listen to Dr. Justin Morgenstern (@First10EM) interviewing Dr. Stephen Freedman, the world-renowned pediatric EM researcher who put ondansetron for pediatric gastroenteritis on the map and who was one of our guest experts on our main episode on Pediatric Gastroenteritis, Constipation and Bowel Obstruction, about this practice-changing paper. This is followed by a hilarious rant on the topic from Dr. Anthony Crocco ("Ranthony"), the Division head and medical director of pediatric EM at Hamilton Health Sciences. The post Journal Jam 8 – Dilute Apple Juice for Pediatric Gastroenteritis appeared first on Emergency Medicine Cases.

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