A case in point that it is going to be difficult for an untrained person to 
do.

On Thursday 15 June 2006 08:37, Gregory Woodhouse wrote:
On Jun 15, 2006, at 4:59 AM, Mike Schrom wrote:
> CMS, and every commercial payor, already has software to do that,
> which
> IS used to determine payments. It's deeply flawed, for example, CPT
> 31575, examination of the larynx is not payable with ICD-9-CM 478.32,
> vocal cord paralysis. How, do you know that the vocal cord is
> paralyzed
> unless you examine it?
>
> Mike

Does it actually say vocal cord paralysis? Maybe someone (who isn't a
doctor) looked up "vocal cord" in a book and decided it wasn't a
synonym for larynx. Out of curiosity, I picked up a linguistics text
I happened to have handy, "The Speech Chain"  (2nd ed.) by Peter B.
Denes and, Elliot N. Pinson. On p. 49 there's an anatomy diagram with
arrows labeled "larynx" and "vocal cords" pointing to ever so
slightly different locations!

Gregory Woodhouse
[EMAIL PROTECTED]

Metaphors be with you.

-- 
Nancy Anthracite


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