News to Use #124 The use of the apostrophe, Correcting ICD-9 codes and more
Dear Fellow Chiropractors:
My last couple of newsletters dealt with the writing of customized text for your SOAP Note (http://eznotes.websitetoolbox.com/?forum=36645 ). I have since learned from Russ that we can use the apostrophe (‘) with the XXX to make the sentence even better. This is how it is done. For example,” I used the Russian SCENAR device (http://www.energetic-medicine.net/scenar.html )on XXXPatientFirstNameXXX’s problem area for 5 minutes to accelerate XXXhisherXXX healing time. Note the ‘s, this makes the sentence a bit more normal and it will look dictated without the cost of transcription. In summary, write any sentence with the patient’s name and the appropriate pronouns i.e. his, her, he, she. Then add the XXXs substituting XXXPatientFirstNameXXX for their first name and XXXhisherXXX and XXXhesheXXX when called for. If you normally do a therapy for a specific amount of time, you can indicate that. Yes, this looks strange, but it makes your notes unique and will save you time.
Correcting Diagnosis Codes:
ICD-9 codes come and go and we will let you know if you have to change them in the E-Z Notes software. You might think we could do this automatically with our updates, but when Russ opened up that part of the program to customization, it prevented us from making the changes without erasing any codes that you added yourself. Therefore, it has to be done by each individual doctor.
I was alerted by Julie at Doctors Access that the code 715.5, which we have listed as “Osteoarthritis- Hip” is a bad code and does not exist as such, it should be 715.15 ( http://en.wikipedia.org/wiki/List_of_ICD-9_codes_710-739:_diseases_of_the_musculoskeletal_system_and_co nnective_tissue) .
To go into the software and remove it or add the “1” , this is what you do: Go to “Set up”, enter your password (eznotes, if you have not changed it) select “Personalize your DX Codes” and delete the code 715.5 or make it 715.15 in any section it exists, if it ends up on a CMS 1500 form, it will get bounced back without payment.
The other code that is a problem is the 719.5, it is missing the fifth digit (0-9)
2009 ICD-9-CM Diagnosis Code 719.5 Stiffness of joint not elsewhere classified
The codes below are more specific and correct and should be used instead:
2009 ICD-9-CM Diagnosis Code 719.50
Stiffness of joint not elsewhere classified involving unspecified site
2009 ICD-9-CM Diagnosis Code 719.51
Stiffness of joint not elsewhere classified involving shoulder region
2009 ICD-9-CM Diagnosis Code 719.52
Stiffness of joint not elsewhere classified involving upper arm
2009 ICD-9-CM Diagnosis Code 719.53
Stiffness of joint not elsewhere classified involving forearm
2009 ICD-9-CM Diagnosis Code 719.54
Stiffness of joint not elsewhere classified involving hand
2009 ICD-9-CM Diagnosis Code 719.55
Stiffness of joint not elsewhere classified involving pelvic region and thigh
2009 ICD-9-CM Diagnosis Code 719.56
Stiffness of joint not elsewhere classified involving lower leg
2009 ICD-9-CM Diagnosis Code 719.57
Stiffness of joint not elsewhere classified involving ankle and foot
2009 ICD-9-CM Diagnosis Code 719.58
Stiffness of joint not elsewhere classified involving other specified sites
2009 ICD-9-CM Diagnosis Code 719.59
Stiffness of joint not elsewhere classified involving multiple sites
The following 7 locations are here I found the 719.5: box 4 of Lumbar, box 4 of lumbar with extremity, box3 and 4 of Cervical, box 4 of Cervical with extremity, box 4 of Thoracic, Multiple Regions in miscellaneous section, and Entire DX list. To delete it, Highlight the code and hit delete. The first time you hit delete, the code goes away, the second time you hit delete, the space you created goes away. Remember to hit “Save” at each screen. With a little practice, you will get good at this.
These are the links to send to prospective patients so that they can have the paperwork done before they come in:
New Patient Intake form: http://www.eznotesinc.com/docs/patient_intake_form.pdf
Auto Accident form: http://www.eznotesinc.com/docs/Auto%20Accident%20Questionnaire.pdf
Workman’s Comp: http://www.eznotesinc.com/docs/Work%20Comp%20Intake%20Form.pdf
Helpful Hyper Links:
List of new ICD-9 codes for Oct. 2009:
http://ilchiro.org/associations/4370/files/icd9_2010_adjustments.pdf
More Diagnosis codes: http://www.chiro.org/LINKS/dx.shtml
Google’s new, free phone info service: http://www.google.com/goog411/
This is a link to calculate how much Vitamin D you get from the sun: http://nadir.nilu.no/~olaeng/fastrt/VitD-ez_quartMED.html
Halloween recipes: http://www.mnn.com/family/holiday/stories/halloween-recipes-for-trick-free-treats
Fitness web site: http://www.crossfit.com/
Just for laughs:
This is a web site of your patients as they shop at Walmart: http://www.peopleofwalmart.com/
Keep your monitor clean: http://www.raincitystory.com/flash/screenclean.swf
Motivational Quyote:
"When you dance, your purpose is not to get to a certain place
on the floor. It's to enjoy each step along the way."
— Wayne Dyer: Self-development author and speaker
Remember: Back up your patient data, back up your customization and keep your E-Z Notes Install disc safe.
Innately Yours,
Dr. Michael Silbert
E-Z Notes Inc.
141 W. Jackson Blvd. Suite A-20
Chicago, IL 60604
Toll Free: 866.821.6837 Option 2
E-Mail: drmsilbert@aol.com
