• Explain what pertinent information, generally, is required in documentation to support DSM-5-TR and ICD-10 coding.
• Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.
• Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Sample Solution

Pertinent information that is generally required in documentation to support DSM-5-TR and ICD-10 coding includes the patient’s current diagnosis, symptom presentation, psychosocial history, family history, relevant past medical history and any other medical/mental health impairments. Additionally, the clinician should include diagnostic findings such as physical/neurological exams, laboratory results or imaging studies that confirm or refute potential diagnoses.

Sample Solution

Pertinent information that is generally required in documentation to support DSM-5-TR and ICD-10 coding includes the patient’s current diagnosis, symptom presentation, psychosocial history, family history, relevant past medical history and any other medical/mental health impairments. Additionally, the clinician should include diagnostic findings such as physical/neurological exams, laboratory results or imaging studies that confirm or refute potential diagnoses.

In the case scenario provided there was an inadequate amount of pertinent information present to be able to provide an accurate code for DSM 5-TR and ICD 10 coding. The clinician failed to note details about the patient’s age or gender which would have been useful when developing a more detailed assessment plan. Furthermore, there was not enough detail regarding KW’s family history: whether she has children or siblings who could assist with her care; whether she had any prior mental health treatment; how long ago was she discharged from treatment? This additional detail would help narrow down possible billing options based on what type of services were provided by the PMHNP.

To improve documentation to support coding and billing for maximum reimbursement clinicians must ensure they document all pertinent information related to the patient including but not limited to: age, gender identity (if applicable), cultural background (race/ethnicity), marital status, employment status etc., as well as a comprehensive description of their presenting symptoms; psychiatric/medical history; medications taken; social supports available; functional capacity assessments are all key elements in helping accurately assess patients condition(s) and develop effective treatments plans. Clinicians must also sign off on each entry with their signature date so that it can easily be referenced at a later time if needed. Finally they need to ensure they use accepted terminology according understandable language both laypeople professionals alike order comply guidelines set forth respective regulating bodies ensuring appropriate reimbursement citing Matheny & Ward 2018 .

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