u/niftythrify

I recently was dinged in an audited for coding F10.90, the provider documented it as alcohol use, unspecified, uncomplicated. It was explained the code cannot be used without severity or a link to a mental health disorder. The provider is even managing medication for this diagnosis. It feels odd to leave it off the encounter and that there isn't anything else to replace it with. Is this just a weird ICD instance where the code ends up deleted and move on?

My father (70) had a severe hemorrhagic stroke in January and his left arm and leg are paralyzed. After inpatient rehab he had to be placed in a nursing home in March. I recently found out his insurance, Medicaid stopped approving PT/OT months ago and they didn't update me. I emailed PT this week to ask about it and they said they would update me in the new year when PT/OT resumes. I am trying to get a list of exercises my dad can do in the gap period right now but the PT is acting like that's so strange. Do residents in nursing homes not get a "home care plan" for PT? I have also asked repeatedly about NMES therapy and they have no idea what I'm talking about. If I can't get assistance from PT/OT does anyone have any apps or video channels so I can assist my dad with some therapy in the meantime?

Purchased my mom the Galaxy A26 from Walmart, mailed it to her thinking setup would be easy. I have easily spent 8 hrs with customer service trying to troubleshoot why this phone won't work. I was told by one agent the transfer pin was incorrect. Called Verizon got a new pin, still doesn't work. Another agent told me I have a bad sim card, bought a new sim card and it still doesn't work. I was told they would call me for a resolution no one called. I was told the issue was escalated and I would have an email in 24 hrs, still no email. I'm at my wits end. We checked the apn, factory reset, network reset, several phone restarts. My mother is a nursing facility and Walmart will only do an in person return which I don't live near her and can't do. Customer service is the worst.

My facility has two providers that have most of their encounters at 48 minutes. I will see encounters with a cough, cold, etc and high time documented and it makes me raise an eyebrow.

I escalated my concerns to the supervisor and auditor. I was told we cannot question the time spent by a provider as coders but that it would be on insurance to catch on to a provider having all high mdms and investigating that way. Is that how it actually works? How frequently does that happen?