A Caregiver’s Story: Giving Back as I Take Care of Mom

Taking care of aging parents is now the new normal for many adult children.

EDITOR’S NOTE: Laurie Johnson is a longtime permanent panelist on Talk Ten Tuesdays and a member of the ICD10monitor editorial board.

I took my mom to the emergency department (ED) on Sunday afternoon due to shaking chills. She was not running a fever and did not seem to be ill, but I could not stop the shaking. My mom is 88, and when she had this problem before, she was diagnosed with a bile duct stone. In the ED, bloodwork, a chest X-ray, and CT of the abdomen were performed. After five hours, she was discharged home. 

On Monday, her family doctor called and said that we needed to return to the hospital, as her blood cultures were positive. We went back, and she was admitted. Her blood cultures were growing gram negative and gram-positive bacteria. She was started on broad-spectrum antibiotics and fluids.

I have been caring for my parents since 2006, when my father was diagnosed with Parkinson’s disease. My father passed away in 2013. My mom was diagnosed with Alzheimer’s disease shortly after.

When my parents built the house in which we are living, they planned to live on one floor. The house does have a second story, with two bedrooms and a full bathroom. When my father was diagnosed with Parkinson’s, a walk-in bathtub was installed. The bathroom is now completely accessible. I am eternally thankful that this is the case, as it has promoted safety for my mom and myself.

It takes a village to raise children – and to care for elderly parents. I am predominantly her caregiver. I do have a part-time sitter who stays with her a couple of days a week. The sitter has stayed in the hospital with my mom from morning until mid-afternoon. I have been going to the hospital from mid-afternoon until 9 p.m. to keep her company.

I do the wash, housekeeping, and yardwork, and make three meals a day. Members of our church family stay in touch with both of us and provide companionship.

My healthcare experience has been of great value in being an advocate for my mom. Knowing how healthcare works has been invaluable. When we were in the ED for hours, I was able to get her fed. I have been able to speak to the healthcare professionals and understand the tests or procedures necessary, and be able to prepare my mom. 

Fortunately for my mom, I had changed her insurance to a Medicare Advantage (MA) plan. The MA plan has covered her medications and does not require a monthly premium. This episode is her first hospital visit since her insurance carrier was changed, so I will be prepared for incoming bills. This episode does not fall under the No Surprises Act, so I do not have an estimation regarding how much it will cost.

Here are my recommendations for those of you now faced with the same challenge:

  • Be familiar with your parents’ healthcare coverage;
  • Become familiar with your parents’ primary care physician (PCP) and other physicians that participate in their care;
  • Be prepared to have someone stay with your parent while they are in the hospital to ensure that someone can advocate for them;
  • Ensure that their end-of-life plans are established; and
  • Survey your parents’ home to ensure that it is safe. The clutter should be removed, and carpets may need to be moved to reduce tripping hazards.

It is not easy to care for your elderly parents. Yet I believe that my mom and I have gotten closer. I frequently remember my grandmother saying, “Come and see me when I am alive, not when I am dead. I can’t talk with you then.”  

I want to ensure that my mom feels safe and loved during the remainder of her life.

Facebook
Twitter
LinkedIn

Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer

Laurie Johnson is currently a senior healthcare consultant for Revenue Cycle Solutions, based in Pittsburgh, Pa. Laurie is an AHIMA-approved ICD-10-CM/PCS trainer. She has more than 35 years of experience in health information management and specializes in coding and related functions. She has been a featured speaker in over 40 conferences. Laurie is a member of the ICD10monitor editorial board and is a permanent panelist on Talk Ten Tuesdays

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Sepsis Sequencing in Focus: From Documentation to Defensible Coding

Sepsis sequencing continues to challenge even experienced coding and CDI professionals, with evolving guidelines, documentation gaps, and payer scrutiny driving denials and data inconsistencies. In this webcast, Payal Sinha, MBA, RHIA, CCDS, CDIP, CCS, CCS-P, CCDS-O, CRC, CRCR, provides clear guideline-based strategies to accurately code sepsis, severe sepsis, and septic shock, assign POA indicators, clarify the relationship between infection and organ dysfunction, and align documentation across teams. Attendees will gain practical tools to strengthen audit defensibility, improve first-pass accuracy, support appeal success, reduce denials, and ensure accurate quality reporting, empowering organizations to achieve consistent, compliant sepsis coding outcomes.

March 26, 2026
I022426_SQUARE

Fracture Care Coding: Reduce Denials Through Accurate Coding, Sequencing, and Modifier Use

Expert presenters Kathy Pride, RHIT, CPC, CCS-P, CPMA, and Brandi Russell, RHIA, CCS, COC, CPMA, break down complex fracture care coding rules, walk through correct modifier application (-25, -57, 54, 55), and clarify sequencing for initial and subsequent encounters. Attendees will gain the practical knowledge needed to submit clean claims, ensure compliance, and stay one step ahead of payer audits in 2026.

February 24, 2026
Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

Mastering Principal Diagnosis: Coding Precision, Medical Necessity, and Quality Impact

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.

December 3, 2025

Proactive Denial Management: Data-Driven Strategies to Prevent Revenue Loss

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.

November 25, 2025

Trending News

Featured Webcasts

Mastering MDM for Accurate Professional Fee Coding

In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.

March 31, 2026

The PEPPER Returns – Risk and Opportunity at Your Fingertips

Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.

March 19, 2026

Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue

Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.

January 29, 2026

AI in Claims Auditing: Turning Compliance Risks into Defensible Systems

As AI reshapes healthcare compliance, the risk of biased outputs and opaque decision-making grows. This webcast, led by Frank Cohen, delivers a practical Four-Pillar Governance Framework—Transparency, Accountability, Fairness, and Explainability—to help you govern AI-driven claim auditing with confidence. Learn how to identify and mitigate bias, implement robust human oversight, and document defensible AI review processes that regulators and auditors will accept. Discover concrete remedies, from rotation protocols to uncertainty scoring, and actionable steps to evaluate vendors before contracts are signed. In a regulatory landscape that moves faster than ever, gain the tools to stay compliant, defend your processes, and reduce liability while maintaining operational effectiveness.

January 13, 2026

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24