Balanced Living

Life's Pattern Disrupts

The Distracting Pace of Modern Day Life

Life's Pattern Disrupts
The more active, distracting, complexly-interconnected, and highspeed our lives become, the more essential and reflexive it becomes to develop behavioral patterns that simplify the otherwise tricky job of navigating through the bustling, modern, day-to-day grind. These behavioral patterns so many of us have come to rely on are so heavily are often time subliminal. Whether we're referring to the conscious or the subconscious patterns, it is safe to say that they are so essential to 21st century Americans, they are like an autopilot.
 
Despite being interconnected, enabling us to speak in real-time to almost anyone, almost anywhere on or off the planet. Despite being joined to social groups giving real-time visibility throughout impressively large peer groups via a single pane of glass. Despite having a global transportation infrastructure granting us the ability to travel almost anywhere on planet Earth within a 24 hour period for a lower cost than ever before. Despite all of these innovations created to bring us together, statistics show that unprecedented numbers of people today feel more lonely and disconnected than ever before due to the sudden infrastructural impacts of the new social and communication platforms.

Record Breaking Number of Americans Will Travel This Year

The-All-American-Annual-Travelling-Circus-2018

Record Breaking Number of Americans Will Travel This Year

‘Tis the season to traditionally spend with family and friends and this year americans are traveling in record numbers. aaa forecasts 107.3 million americans will take to planes, trains, automobiles and other modes of transportation during the year-end holiday period from sunday, dec. 23 through tuesday, jan. 1. this will be the highest year-end travel volume on record and a 3.1 percent increase in travel volume compared with last year. 2017 marks the ninth consecutive year of rising year-end holiday travel. since 2005, total year-end holiday travel volume has grown by 21.6 million, an increase of more than 25 percent.

By the Numbers: 2018 Year-End Holiday Travel Forecast Automobiles: The majority of travelers – 97.4 million – will hit the road (a 3 percent year-over-year increase). Planes: 6.4 million people will travel by air, a 4.1 percent increase and the fourth year of consecutive air travel volume increases. Trains, Buses, Rails and Cruise Ships: Travel across these sectors will increase by 2.2 percent to 3.6 million. Holiday Headache Hotspots Based on historical and recent travel trends, INRIX expects drivers will experience the greatest amount of congestion before the holiday week – on Wednesday, Dec. 20 and Thursday, Dec. 21 – in the late afternoon as commuters leave work early and mix with holiday travelers. For example, drivers in New York City could see travel times peak at three times a normal trip between 3:30 and 5:30pm.

Medical Coding for Pain Management Services

Pain Management Code Changes Effective November 2017

Medical Coding for Pain Management Services

Pain management medical coding can be a challenge for busy specialists. Pain can be acute, chronic, or both. Treatment strategies differ depending on the type of pain present. Reliable and consistent documentation of pain management, which includes patient responses regarding improvement in pain scores, detailed and thorough care plans, written long-term plans, and periodic reassessment is essential for improving patient care.

Accurately coded medical reports help:

  • Insurance companies obtain the necessary information to determine coverage for chronic and acute pain conditions
  • Physicians obtain the reimbursement they deserve for services provided to their patients

The most common documentation issues include lack of specificity – “acute” or “chronic”, failure to have a common written language and not documenting all pre-comfort care conditions. Pain management physicians and hospitalists providing pain management services can ensure accuracy in their medical coding with the support of reliable medical coding services.

Updates to Pain Medicine Codes in 2018

Pain Management Code Changes Effective November 2017

Updates to Pain Medicine Codes in 2018

On October 1, 2017, practice management and electronic health record systems updated the code sets for pain medicine. New ICD-10 codes in 2018 allow pain physicians to report spinal stenosis with a higher level of specificity and to describe substance abuse in remission. There are also revisions to CPT codes for pain management this year.

  • ICD-10 Code Changes for Pain Medicine
     
    • Revision to Lumbar Spinal Stenosis ICD-10 code M48.06: Lumbar spinal stenosis occurs when the spinal nerves in the lower back are choked. Symptoms include leg pain (sciatica) leg pain with walking (claudication), and tingling, weakness or numbness that radiates from the lower back into the buttocks and legs.
       

    Starting October 1, 2017, M48.06 (spinal stenosis, lumbar region) was expanded to describe the condition with and without neurogenic claudication. Neurogenic claudication, according to the Deuk Spine Institute, is “pain and cramping in the legs or pain and cramping in the buttocks due to narrowing of the spinal canal in the lumbar region or lumbar spinal stenosis causing compression of the nerve root”.

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