Posts tagged ‘diabetes’

November 28, 2012

It’s The End of the World as We Know It (Or Why M1024 Will Change Home Health)

There’s a lot of hype about the world ending in 2012. I don’t believe that, but it reminds me of an REM song & M1024—“It’s The End of the World as We Know It.”

Why? M1024 and its predecessors, M0245 and M0246 have been a part of our home health coding world since 2003 when we started using V codes in our coding. Medicare’s final rule for PPS 2013 limits the use of M1024 to only one particular instance for payment diagnoses beginning Jan. 1, and the plan is to decimate it all together once ICD-10-CM is ushered in Oct. 1, 2014. I applaud deleting M1024 from the OASIS, but I desire a different outcome with the remnants of M1024.

M1024 will be used for fractures only beginning in January. Medicare, in a surprise move, stated that resolved conditions do not belong in M1024 and we shouldn’t have been earning points there. CMS reports that the change will be minimal to our case mix scoring, however other sources report that as many as 60% of our assessments include resolved case mix diagnoses in M1024—that will mean a drop in our payment.

We can still get primary points for diabetes, Neuro 1 and Skin 1 case mix diagnoses if we sequence correctly without using M1024 according to Medicare’s grouper change. But, there is one frequently used method for coding that can mean the end of those points if coders are not careful (less points = less money for those who need it spelled out).

I have a short recording on the change to M1024 that will be posted on my website soon and do not miss the opportunity for more in-depth instruction on the change and its impact in upcoming classes in Dallas and Corpus Christi in December. Check my website for details.

So, it’s the end of the world as we know it. It remains to be seen if we’ll “feel fine.”

June 13, 2012

Heart disease deaths among diabetic patients are falling

Between 1997 and 2006  heart disease and stroke deaths in diabetic patients fell because of better disease management, but the average life expectancy of diabetics is still shorter than Americans without diabetes.

A study, conducted by the Centers for Disease Control and Prevention, and in conjunction with the National Institutes of Health, found, among other improvements, that deaths related to heart disease and stroke dropped by 40%. Adult diabetics are still likely to die at a younger age than one who does not have diabetes.

On average, people with diabetes were less likely to smoke and more likely to be physically active than in the past. However, obesity levels among people with diabetes continued to increase.

To learn more, go to CDC’s diabetes home page. The study appears in the journal Diabetes Care.

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March 14, 2012

Lower-limb amputations declining in diabetes patients

From the Centers for Disease Control and Prevention …

The rate of leg and foot amputations among U.S. adults aged 40 years and older with diagnosed diabetes declined by 65% between 1996 and 2008, according to a new study by the Centers for Disease Control and Prevention (CDC).

The CDC attributes better blood glucose control, foot care, and diabetes management, along with a drop in heart disease, as likely reasons that the number of amputations has fallen. 

Diabetes is the leading cause of nontraumatic amputations of feet and legs among U.S. adults.

The age-adjusted rate of nontraumatic lower-limb amputations was 3.9 per 1,000 people with diagnosed diabetes in 2008 compared to 11.2 per 1,000 in 1996.

To learn more, go to the CDC site on diabetes.

January 23, 2012

Learning about diabetes … or not

Some recent studies show that web-based tools are not effective in diabetes management. The good news, however, is that CMS still has brochures and other information to help patients, whether they have diabetes or not, learn about services.



August 16, 2011

I’m touring Texas!

Intermediate coders, get all the latest information on changes and the best coding education around. I’m

Highlights include:

  • Explain CMS guidance on sequencing.
  • Explain the relevance of OASIS C data items for diagnoses to payment.
  • Explain coding of diagnoses of infections, neoplasms, endocrine disorders such as diabetes, anemias, mental disorders, and the nervous system & sense organs.
  • Identify the differences between different kinds of ulcers.
  • Describe the purpose and appropriate use of V and E codes.
  • And tons more … including identifying new codes that will take effect October 1, 2011.

I will be in Dallas Aug. 24-25;  McAllen Aug. 31-Sept. 1; Houston, Sept. 7-8

IntermediateTourAugSep2011-1: Register and learn more!