tci Medicare Compliance & Reimbursement - 2004 Issue 18

Rehab: Therapists Getting Caught In Stroke Coding Trap

Choosing the wrong diagnosis can lead to big problems.If outpatient therapy providers are treating patients for the effects of a stroke and are using the stroke itself as the treatment diagnosis code, they're making a big mistake. Often when a patient has a cardiovascular accident and is treated for the CVA in the hospital, he needs outpatient physical therapy to treat the physical effects of the stroke. But therapists are choosing the wrong primary diagnosis when they code their therapy."If that patient is an outpatient, then CVA is not the best diagnosis to use, because that...

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