For those of you ready to pack up and head for the highways or airports and take off for your summer vacations, I have some advice…
Stay at home.
I mean it: stay at home.
It’s not just travel-related peril I’m talking about here. There is a world of nasty stuff out there, and it’s waiting for you, at the beach, and in the mountains.
It’s also in the north, south, east, and west – and in the country’s heartland.
Summer, it seems, is a time for some exotic and some very serious diseases.
In 2016, we learned a lot about the Zika virus. Marked by diagnosis code A92.8, it is primarily transmitted by mosquitos.
It spread from Uganda to South America and now to places that we all consider prime vacation destinations: Costa Rica, the Dominican Republic, Puerta Vallarta, Cancun, Barbados.
The entire Caribbean and all of coastal Mexico currently have travel advisories regarding Zika infection.
If you plan on staying in the U.S., remember that Florida has reported 72 cases of Zika.
Although Florida and Miami-Dade County health officials lifted a cautionary warning on June 2, 2017, they are wary of the months of July and August, when the Zika outbreak took off last year.
Since Zika mosquitos cannot survive at higher altitudes, maybe it’s safer to plan a getaway to the mountains.
Although mosquitos don’t do well at those altitudes, ticks love it.
Lyme disease, diagnosis code A69.20, is found anywhere deer and their foul passengers: the deer tick.
That includes virtually every wooded area where you might want to hike, camp, fish, climb, or walk.
Centers for Disease Control and Prevention (CDC) figures show that the number of reported cases of Lyme disease in the U.S. recently tripled, as those ticks have expanded their geographic comfort zone to include the entire northeast and upper Midwestern United States.
There are reportedly 30,000 identified cases of Lyme disease treated annually.
The CDC recommends that if you do go into the woods or fields of the Mid-Atlantic states, walk in the center of trails and just don’t touch anything. Spray yourself all over with DEET, pre-treat your clothes and gear with permethrin, and thoroughly wash everything you wear or carry as soon as you can.
Deer ticks infest the woodlands of the northeast and Midwest, but other ticks carrying other diseases infest other parts of the country.
Rocky Mountain spotted fever, A77.0, is a potentially deadly disease spread by ticks throughout the country. Although dogs do not suffer from the disease, the brown dog tick, which I presume prefers brown dogs, carries this infection across the entire continental United States.
There are other new tick-borne diseases that you are likely to hear about in 2017. These include the Heartland virus, which is predictably spreading across, well, the heartland: states like Texas, Oklahoma, Missouri, Tennessee, and Arkansas.
The not-as-much-fun-as-it-sounds Bourbon virus, B34.9, has been identified in Missouri, Oklahoma, and Kansas.
According to the CDC, although few cases have been identified, “several” of the patients have died.
Ticks are inarguably disgusting, but they are not the only carriers of this summer storm of diseases.
In Washington State, deer mice are said to be responsible for five cases of the deadly hantavirus, B33.4, so far in 2017.
So it might be a good plan to stay off of the beach, and stay out of the woods. Don’t go to the northeast, or the southeast, or the west coast, or the heartland.
Maybe the desert is safe: no mosquitos, less vegetation, no deer mice (or deer).
But you may have noticed temperatures exceeding 100 degrees in the southwest. These temperatures led to a spike in the number of potentially fatal heat stroke cases in affected areas.
Although well-conditioned athletes are better able to survive a core body temperature of 104 degrees or higher, two young athletes training in 100+ degree temperatures recently died.
My advice for your vacation time in July and August is this: go home, pull your curtains shut, turn the air conditioning on high, and binge-watch “Friends from College” on Netflix.
That may not sound like much fun, but the alternative choices are too scary for me.
Like the song says: “sometimes I wonder what I’m a-gonna do, but there ain’t no cure for the summertime blues.”
This past weekend we “fell back” and gained that extra hour. This makes it a good time to look at how we assign codes for
EDITOR’S NOTE: AI-assisted editing tools were used only for proofreading and language refinement; all analysis, interpretation, and conclusions reflect the author’s original work. Artificial intelligence
Please log in to your account to comment on this article.
Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.
Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.
Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.
Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY26 IPPS, including new ICD-10-CM/PCS codes, CCs/MCCs, and MS-DRGs, plus insights, analysis and answers to your questions from two of the country’s most respected subject matter experts.
Get clear, practical answers to Medicare’s most confusing regulations. Join Dr. Ronald Hirsch as he breaks down real-world compliance challenges and shares guidance your team can apply right away.
Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.
During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.
Learn how to navigate the proposed elimination of the Inpatient-Only list. Gain strategies to assess admission status, avoid denials, protect compliance, and address impacts across Medicare and non-Medicare payors. Essential insights for hospitals.
Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more
Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
