Tuesday, April 14, 2015

Importance Of ICD Codes

ICD Codes, International Classification of Diseases codes are used to classify the diseases. This helps in recording keeping which is not only highly effective but also very authentic. It’s being maintained by USA Govt. and WHO.
These are found on patient paperwork, including hospital records, physician records, and death certificates. Commonly used in American and Europe healthcare facilities, Most of the Indian BPO who provides service to these clients uses these codes for all record keeping.
ICD code

ICD codes could be important to a patient for a variety of reasons:
  • For Doctors’ reimbursements from Insurance company. All the practices done by Doctors for the patients are recorded in CPT codes (Current Procedural Terminology). Then the CPT needs to match with ICD for all payment to be reimbursed.
  • chronic disease patient, once an ICD code has been assigned, it may affect the treatment he or she receives. ICD standardizes the disease & any doctor can treat the follow up patients after feeding the ICD codes for the patients
  • All clinical trials need ICD codes for the person who is getting admitted to the clinical research
  • ICD codes are recorded in Death certificate for insurance payment.

What Does an ICD-9 Code Look Like?


  • ICD-9 codes and ICD-10 codes actually look quite different from each other. ICD-9 codes, which one can find on current paperwork, are being phased out by 2014 - 15.
  • Most ICD-9 codes are comprised of three characters to the left of a decimal point, and one or two digits to the right of the decimal point. Examples: 250.0 means diabetes with no complications, 530.81 means gastro reflux disease (GERD), 079.99 means a virus.
  • Some ICD-9 codes have V or E in front of them. A V code designates a patient who is accessing the healthcare system for some reason that won't require a diagnosis, usually a preventive reason. Examples: V70.0, the code for a general health check-up, V58.66 specifies that a patient is a long term aspirin user, V76.12 is coded for a healthy person who gets a mammogram, and V04.81 is the most common code for a flu shot.
Medical Coding Course


What Does an ICD-10 Code Look Like?

Over the next few years, ICD-10 is the most robust and detailed classification of diseases. This will replace ICD-9 and will bring more standardization in the medical coding world. ICD-10 codes are approached differently and are quite different from their ICD-9 counterparts. These codes are broken down into chapters and sub chapters. They are comprised of a letter plus two digits to the left of the decimal point, then one digit to the right. The letters group diseases. All codes preceded by a C indicate a malignancy (cancer), codes preceded by a K indicate gastrointestinal problems, and so forth.
Examples are:
  • A02.0 indicates a salmonella infection
  • I21.X refers to myocardial infarction
  • M16.1 is used for arthritis in the hip
  • Q codes represent genetic abnormalities, like Q35 for a baby born with a cleft palate
  • U codes are for new problems that develop over time. Any of the antibiotic resistant "superbugs" that develop over time will fall into the U category.

Can ICD learning will help in career prospects?


Most of the Medical Coding and ICDs requirement is in western world. In India, neither our doctors and hospitals or the insurance payers follow the same method for actual day to day payment. So one should learn ICD and Medical coding? 

An esteemed organisation like Apollo hospitals and Medvarsity offer Medical Online medical Coding Courses  for graduates with with certification and placement support.

Tuesday, April 7, 2015

Do you about CHILDHOOD EPILEPSY ?

Epilepsy is a relatively common neurologic disorder in children that has important implications for development, parents, and society. Making the correct diagnosis starts with an accurate and complete history that consequently leads to a directed diagnostic workup. This article outlines a diagnostic and management approach to paediatric seizures and epilepsy syndromes. Making the correct diagnosis of epilepsy or non epileptic imitators allows the practitioner to prescribe appropriate therapy. Initial management for typical epileptic syndromes and seizures and potential adverse effects are discussed. Alternative treatment options for pharmacologically resistant patients such as ketogenic diet, vagal nerve stimulation, and surgery are also discussed. While most children favourably respond to anti epileptic medications, early identification of medication failure is important to ensure optimal neuro development.
CHILDHOOD EPILEPSY


Diagnostic Evaluation
The appropriate management of childhood epilepsy begins with a clinical evaluation that precedes any therapeutic decisions.

Four diagnostic questions help to determine the clinical management and prognosis as follows:
(1) Seizure confirmation —“Are the described or witnessed events seizures?”
(2) Seizure classification—“What is the likely neuroanatomical location for the seizure”?
(3) Epilepsy classification—“What are the most likely causes or triggers for these       seizures?”
(4) Syndrome identification—“Do age of onset of the seizures, developmental milestones, neurological exam, EEG pattern, and/or brain imaging fit a typical pattern or syndrome?”

Epilepsy and Seizures Management
Seizure management can be achieved either pharmacologically which is preferred and more efficacious or by nonpharmacologic measures such as resective surgery or ketogenic diet.
  
1.      Pharmacological Treatment Options
 Monotherapy
 Monotherapy is desirable because it decreases the likelihood of adverse effects and avoids drug interactions, which tend to happen sometimes with polypharmacy. In general, recommendations are to start anti-seizure therapy with a single drug, and most children with epilepsy achieve complete seizure control with mono therapy when using the correct drug for the seizure type. When using more than one drug, it is recommended to change only one drug at a time, because it is impossible to determine which drug is responsible for a beneficial or an adverse effect if we make several changes simultaneously. The less frequent the doses are, the more compliance rate will be achieved.


2.      Non pharmacologic Treatment Options
Children with antiepileptic medication-resistant epilepsy or ongoing seizures with focal abnormality should be considered for epilepsy surgery.


For those who have a more serious paediatric epilepsy, optimal management and a favorable outcome will rely in part on patient-specific factors, education, and access to pharmacological and non-pharmacological treatments.

Wednesday, April 1, 2015

Which Education Is Better Classroom Education or Online Education??


Classroom Education 

  •        Automobile Mechanic/Technician
  •       Computer Science/ Engineering
  • ·       Heating, Ventilation, Air Conditioning Technician
  • ·       Nursing and Patient care

Online Education

  • ·         Limited direct contact with colleagues and professors
  • ·         Fewer opportunities to join on campus clubs and extracurricular activities

The traditional schooling experience requires a student to attend classes in person and on campus. It makes sense to attend classes in person if a student decides to spend valuable full time inside a campus or a in a hostel. There are certainly more opportunities and advantages to join various groups, have peer related evaluation and learning while simultaneously taking classes on campus.
Also, student may need additional assistance from guidance counsellors and professors, which is more readily available on campus. Traditional classes may be a better choice for students who aren't very savvy with technology or who enjoy interacting with teachers and professors face-to-face.
In addition, there are some subjects that require more hands-on training during class, such as:

Online education is also known as distance learning and consists of taking classes via the internet. More and more students take online classes because of the flexibility and convenience it provides. Student can attend class sessions from the comfort of home and complete assignments at almost any time of the day. To get details about on-line courses visit us 
Online classes are great for individuals who have a demanding work schedule and / or family responsibilities. In addition, online classes are more cost efficient because they doesn't require any travelling and simultaneously earning. This is possible as the student can schedule his / her education along with work life. The distance learning format allows students to pursue education through an out-of-state school without having to transfer residence.

However, there are some clear cons to online education, including:


While some of the clear advantages of online courses over traditional ones are:

  Online learning is here to stay


      Distance education has been around for many decades in the form of correspondence study. Digital learning started to grow rapidly in the early 2000s with the expansion of personal computers and laptops along with internet facility available at cheap prices. Participation is only likely to increase as technology and software further develop.

  Learning outcomes are just as good.

         Studies indicate that, distance education is getting more & more effective than face-to-face classes. Some topics, particularly those centred on visualization of 3D structures, like Massive bridges, structure of human heart, can be more efficiently learned online. Others are better suited to traditional classes, such as where social interaction or hands-on learning is particularly relevant.

 It is cheaper, but not because of fees

     Online study content is made with some capital investment at the beginning. After that it needs very less amount to update. Unlike books and print media, the whole content is not required to be printed again. So saves a lot of money in preparation. Apart from that, as lot of students are enrolling., this reduces the cost of wages and salaries of the employees working for the online course leading to more cheap price for students.
       In India, Digital learning is playing an important role many diploma,PG,certification ,Correspondence courses are available in market place in all education fields. Even medical courses are also available after MBBS, Life sciences students also. Medvarsity an initiate from Apollo Hospitals offers online healthcare courses like diploma's,certification,PG diploma courses with practical training from Experienced professionals of Apollo. Provides books and support for students.

Sources: www.study.com ,

Sunday, March 29, 2015

Azathioprine Pulse Therapy in the treatment of psoriatic arthritis:

Treatment available for treating psoriasis of joint are able to clear the lesions but relapse is common. While treating psoriasis with Azathioprine Pulse Therapy, it was observed that the involvement of joints (arthritis of small and big joints) also cleared. To see whether intermittent high dose (IHD) and continuous low dose (CLD) azathioprine given to clear psoriasis also clear the joint involvements and produce prolong/permanent remission.


Methods                            

Six out of 60 psoriasis patients treated with azathioprine pulse therapy (APT) had joints involvement. All received azathioprine pulse therapy for treating psoriasis which contain azathioprine 500 mg given on three consecutive days and was repeated every month on the same date along with azathioprine100 mg orally in between the IHD. The entire treatment was divided into four phases. Phase I, continued till clearance of all lesions of psoriasis. In phase II nine more APT is given. In phase III only azathioprine100 mg was continued for 9 months. In phase IV azathioprine100 mg was also stop and patients were followed up without any treatment for any recurrence till the end of the study.


Result

Six patients with joint pain and arthritis cleared in 1–12 months and are in remission since 35–95 months
.

Conclusions

Thus azathioprine pulse therapy regimen is able to put psoriatic arthritis into prolong/permanent remission.




Sunday, March 22, 2015

Stay Healthy Working Mom’s Diet

Mothers play multiple roles to meet the obligations of work, family and society. They have an important role in influencing health decisions of entire families (from infants to the elderly) and shoulder the responsibility for their mental and physical well-being, especially children. Given these demands on their time, working mothers are known to compromise their personal health. The dual responsibility of work and home prevents them from taking time for relaxation and exercise. This is especially true of young mothers who may not have family or reliable external support. While it is important to pursue career aspirations, it is equally important for women to maintain good health.

Here are six simple steps to stay healthy:

Eat balanced meals. Eating healthy food like fruits, green leafy vegetables and lentils keep a person energetic and also healthy as they do not have artificial fats and sugars. Do not be sedentary or sit at a desk all day long. Moving around and exercising for at least an hour a day will help in weight loss. 


Exercise at least three times a week; preferably opt for an aerobic exercise like swimming or cycling. Sleep well. Try to get at least eight hours of sleep every night to feel refreshed in the mornings. Practice moderation in food and drink as it reduce the risk of lifestyle diseases like diabetes and obesity. Schedule a visit with your doctor once a year and have a health check.

A new study revealed that "Moms who work full-time are healthier at age 40 than moms who stay at home, work part time, or moms who find themselves repeatedly out of work." Read more at http://www.medicalnewstoday.com/articles/249299.php

You are the most important link in your family's good health. Make sensible life style choices and keep that link healthy.

Monday, March 16, 2015

Present Innovative Technology Healthcare Devices

This week will focus on few of the innovative healthcare devices which are changing or will change the way we get treatment.

Needle-Free Diabetes Care: 

Diabetes self-care is a pain and I mean literally. Considering insulin therapy is the best we can provide for the patient and as we all know insulin can be administered by injections only. Apart from that, it brings the constant need to draw blood for glucose testing. Continuous glucose monitors and insulin pumps are today's best options for automating most of the complicated daily process of blood sugar management – but they don't completely remove the need for skin pricks and shots. Neither have they protected you from infection, fatty degeneration and local skin lesions. 



But there's new skin in this game. Echo Therapeutics (Philadelphia) is developing technologies that would replace the poke with a patch. The company is working on a transdermal biosensor that reads blood analytics through the skin without drawing blood. The technology involves a handheld electric-toothbrush-like device that removes just enough top-layer skin cells to put the patient's blood chemistry within signal range of a patch-borne biosensor. The sensor collects one reading per minute and sends the data wirelessly to a remote monitor, triggering audible alarms when levels go out of the patient's optimal range and tracking glucose levels over time.


If this innovation is coming to everyday market, we can truly see a needle free diabetic treatment.

A Valve Job with Heart




The Sapien transcatheter aortic valve is a life-saving alternative to open-heart surgery for patients who need new a new valve but can't endure the rigors of the operation. Manufactured byEdwards Life Sciences (Irvine, CA), the Sapien has been available in Europe for some time but is only now finding its first use in U.S. heart centers—where it is limited only to the frailest patients thus far. 

The Sapien valve is guided through the femoral artery by catheter from a small incision near the grown or rib cage. The valve material is made of bovine tissue attached to a stainless-steel stent, which is expanded by inflating a small balloon when correctly placed in the valve space. A simpler procedure that promises dramatically shorter hospitalizations is bound to have a positive effect on the cost of care. Apollo hospitals is one of the leading HealthCare service provider in India with Innovative Technology support for patients for all kinds of health problems and also emerged as an Educational institution  which provides many PG, diploma, Certification courses for all medical Care professionals and graduates. For Diabetes management course details at Medvarsity online ltd visit us.



Saturday, March 14, 2015

Do you know about Hepatitis C ??

Hepatitis C is the one of the brothers of the hepatitis family which consists of Hepatitis A, B, C, D, E and others. Hepatitis C caused by the hepatitis C virus. It’s called the silent nosocomial infection as patients usually don’t acknowledge the early symptoms effects.

Symptoms of Hepatitis C include:

·         Jaundice 
·         Stomach pain
·         Loss of appetite
·         Nausea
·         Fatigue
It mimics other common Jaundice related disorders and most commonly Hepatitis A, E.
Hepatitis C

How do someone Get Hepatitis C?

You get the hepatitis C virus from the blood or body fluids of an infected person. Commonly occurs due to negligence in clinical set ups who don’t adhere to regulations of safe blood transfusions. Body fluids transferred via sexual contact can also cause this.

How it is circulated from one human body to another?

·         Blood transfusion by infected blood.
·         Sharing drugs and needles
·         Having sex, especially if you have an STD, an HIV infection, several sex partners, or have rough sex.
·         Being stuck by infected needles
·         Through birth from a mother to a child
·         Organ transplant
·         From Maternal transfer during pregnancy

Are There Any Long-Term Effects of Hepatitis C?

Hepatitis C

What's the Treatment for Hepatitis C?Liver cirrhosis

The latest is a once-daily pill called Harvoni that cures the disease in most people in 8-12 weeks. It combines two drugs: Sovaldi (sofosbuvir) and ledipasvir.
Other options include taking a combination of Sovaldi, Olysio (simeprevir), interferon which is taken by injection, and/or ribavirin (which comes as a liquid, tablet, or capsule).

Side Effects of Hepatitis C Treatment

·         Flu-like symptoms
·         Fatigue
·         Hair loss
·         Low blood counts
·         Trouble thinking
·         Nervousness
·         Depression
Hepatitis  Treatment


Latest Development in hepatitis C vaccination in India

Natco is the first company in India to get approval for generic sofosbuvir tablets, 400mg, from Drugs Controller General (India)," says the company in its filing. Sofosbuvir is a medicine used for chronic hepatitis C infection and sold globally by Gilead Sciences, Inc, under its brand Sovaldi. Natco will market generic sofosbuvir under its brand HEPCINAT and through strategic partners in India. It plans to price its generic medicine at an MRP of Rs 19,900 for a bottle of 28 tablets and expects to launch in India very soon.
Sources and extracts from: www.webmd.com, http://www.thepharmatimes.in/