Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit. Documentation requires a comprehensive history, a comprehensive exam, and moderate complexity MDM. Yes, observation services will now use the MDM guidelines detailed above, or observation E/M codes can be assigned based on the physicians total time on the date of the encounter. The 2022 revisions will provide continuity across all the E/M sections. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. What qualifies as a risk factor for surgery in the risk column? What qualifies as discussion for Category 3 - Discussion of management or test interpretation with external physician/other appropriate source. What is the difference between elective and emergency surgery in the risk column? The documentation should reflect how the comorbidities impacted the MDM for the ED encounter. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. Job Description: Description Summary: CHRISTUS Health System offers the Health Information Management Coder position as a remote opportunity. 2. Please note: The long-standing policy for time in relation to the ED E/M codes has not changed. 20. The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. Reduction of a major joint dislocation, e.g., shoulder, hip, or knee. Design: Retrospective chart review. This could be a patient with chronic abdominal pain, so the presentation would be considered a chronic illness with exacerbation. Applicable reporting requirements required by specific agencies. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. Providers must ensure all necessary records are submitted to support services rendered. This license will terminate upon notice to you if you violate the terms of this license. All Records, Optional for HBIPS-2, HBIPS-3. Reports of procedures, operations, tests, and results thereof; 8. Emergency department (ED) documentation is the sole record of a patient's ED visit, aside from the clinician's and patient's memory. If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. The assessment of the level of risk is affected by the nature of the event under consideration. In no event shall ACEP be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. PERC Rule For Pulmonary Embolism - Rules out PE if no criteria are present and pre-test probability is 15%. IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. E. All Records, Hispanic Ethnicity. When the same test is performed multiple times during an ED visit (e.g., serial blood glucose, repeat EKG), count it as one unique test. Risk factors associated with a procedure may be specific to the procedure or specific to the patient. Risk of Complications and/or Morbidity or Mortality of Patient Management, Minimal risk of morbidity from additional diagnostic testing or treatment, Low risk of morbidity from additional diagnostic testing or treatment, Moderate risk of morbidity from additional diagnostic testing or treatment, High risk of morbidity from additional diagnostic testing or treatment. The scope of this license is determined by the AMA, the copyright holder. In either case, the documentation must be organized or accessible in such a way as to allow for timely review. Should the ICD-10 for the social determinants of health (SDOH) be included on the claim? The appropriate level of service for a consultation (e.g., 99243 vs. 99244) will be determined by the three key components of history, exam and medical decision making, in most cases. Payment policies can vary from payer to payer. 31. The final diagnosis for a condition, in and of itself, does not determine the complexity of the MDM. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. Discussion requires an interactive exchange. In November 2019, CMS adopted the AMAs revisions to the Evaluation and Management (E/M) office visit CPT codes (99201-99215), code descriptors, and documentation standards. The physician/QHP may query an independent historian when a confirmatory history is judged to be necessary. Posted: March 01, 2023. Health Care Organization Identifier. Category 2: Independent interpretation of tests (not separately reported). The following high COPA examples may be demonstrated by the totality of the medical record as demonstrated implicitly by the presenting problem, or diagnostic evaluation, or treatment or management, or differential diagnoses, or overall medical decision making, as demonstrated in the entire record. 1 acute, uncomplicated illness or injury requiring hospital inpatient or observation level of care. Time will be utilized when assigning critical care codes 99291-99292, but NOT for ED E/M codes 99281-99285. Multiple problems of a lower severity may, in the aggregate, create higher complexity. Learn about the development and implementation of standardized performance measures. Both elective and emergent procedures may be minor or major procedures. The MDM grid in the E/M section of CPT assigns value levels of Risk. LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE ("NUBC"), Point and Click American Hospital Association Copyright Notice, Copyright 2021, the American Hospital Association, Chicago, Illinois. var pathArray = url.split( '/' ); Some of the Provider information contained on the Noridian Medicare web site is copyrighted by the American Medical Association, the American Dental Association, and/or the American Hospital Association. Nursing documentation is a required aspect of care, but for various reasons it can be curtailed. Stylistically, this element is listed as above in the MDM table, but it should be interpreted as: chronic illnesses with side effects of treatment. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Learn about the priorities that drive us and how we are helping propel health care forward. Yes, the physician/QHP may employ risk stratification tools to ascertain the significance or severity of a presentation and/or help determine appropriate diagnostic or therapeutic interventions. How do I score the bulleted items in Category 1? The risk table stipulates, Diagnosis or treatment. We can make a difference on your journey to provide consistently excellent care for each and every patient. It does not require each item type or category to be represented. Contact DfT if you have a question about government policy and regulations for the safe carriage of dangerous goods. Note: The Emergency Department (ED) measures were developed by the Centers for Medicare and Medicaid Services (CMS) and adopted by The Joint Commissions ORYX program. c. Guidelines for Emergency Department Reports i. Codes 99202-99215 in 2021, and other E/M services in 2023. They can be downloaded here. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. The only official source for the MDM grid is the 2023 CPT book. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials: Local Coverage Determinations (LCDs), training material, publications, and Medicare guidelines, internally within your organization within the United States for the sole use by yourself, employees and agents. The Joint Commission standards outline the following documentation requirements in the emergency department record: time and means of arrival, whether the patient left against medical advice (AMA), and conclusion at termination of treatment, including final disposition, condition at discharge, and instructions for follow-up. ED presentations in this category will be limited to localized complaints that do not include additional signs or symptoms. Final. ICD-10 groups SDOH into categories, ED relevant SDOH, may include but are not limited to: The medical record should reflect when the diagnosis or treatment is significantly limited by social determinants of health. ED presentations prompted by a fall, MVA, fight, bicycle accident, or any other accident require the physician/QHP to evaluate multiple organ systems or body areas to identify or rule out injuries. This memorandum surveys U.S. economic sanctions and anti-money laundering ("AML") developments and trends in 2022 and provides an outlook for 2023. CPT states, Multiple problems of a lower severity may, in the aggregate, create higher risk due to interaction.. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. 1 or more chronic illnesses with severe exacerbation, progression, or side effects of treatment, chronic illnesses with severe exacerbation, OR, chronic illnesses with severe progression, OR. Review of prior external note(s) from each unique source. Documentation requirements are identified. While many educational . var url = document.URL; Injuries that require prescription medications for more aggressive pain management or other prescription medications (e.g., antibiotics due to infection risk) are typically more consistent with an acute complicated injury. Within the E/M section of CPT, a grid is used to measure or score the Medical Decision Making (MDM). Gain an understanding of the development of electronic clinical quality measures to improve quality of care. Wells Criteria for Pulmonary Embolism - Objectifies risk of pulmonary embolism. Can I use the application of evidence-based risk calculators as an indicator of the complexity of problems addressed? Definitions of risk are based upon the usual behavior and thought processes of a physician or other qualified health care professional in the same specialty. Systemic symptoms may involve a single system or more than one system. Ordering a test is included in reviewing the results. The nature and extent of the history and physical examination are determined by the treating physician/Qualified Healthcare Professional (QHP). This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Provides direct nursing care pre, during and post procedure, under the direction of the Facility Manager and/or Charge Registered Nurse, utilizing standard nursing techniques to assist . 26. Emergency Department (ED) National Hospital Inpatient Quality Measures. Record the activities engaged in. Monitoring by history or examination does not qualify. Detailed discharge instructions; and 11. else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Medicare Diabetes Prevention Program (MDPP), Diabetic, Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Independent Diagnostic Testing Facility (IDTF), Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, Identifying Which Entity Completed a Part B Claim Review, Automated Development System (ADS) Letter, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, Beneficiary identification, date of service, and provider of the service should be clearly identified on each page of the submitted documentation, Practitioner, nurse, and ancillary progress notes, Documentation supporting the diagnosis code(s) required for the item(s) billed, Documentation to support the code(s) and modifier(s) billed, List of all non-standard abbreviations or acronyms used, including definitions, Documentation to support National Coverage Determination (NCD), Local Coverage Determination (LCD) and/or Policy Article, Signature log or signature attestation for any missing or illegible signatures within the medical record (all personnel providing services), Signature attestation and credentials of all personnel providing services, If an electronic health record is utilized, include your facilitys process of how the electronic signature is created. Do these revisions apply to those codes as well? What is an external physician or another appropriate source for Category 3? CHAP TER 1 Domain I: Data Content, Structure, and Standards. The ACEP Coding and Nomenclature Committee has reviewed available CPT guidelines, AMA clarifications published in CPT Assistant, and common practices in the emergency department to offer some guidance when assessing the Complexity of Problems Addressed. Report 93010 for the professional component of the ECG only. There are times in which the various content contributor primary resources are not synchronized or updated on the same time interval. This would suggest that the encounter has exceeded what would reasonably be considered moderate COPA. Author Bonnie S. Cassidy, MPA, RHIA . One of our core functions is developing and maintaining an evidence base to inform WHS and workers' compensation policy and practice 27. No, Category 2 only applies for interpreting a test where an interpretation or report is customary, e.g., EKG, X-ray, ultrasound, rhythm strip. A lab test ordered, plus an external note reviewed and an independent historian would be a total of three for Category 1 under moderate or extensive data. All the Category 1 value can come from a single bulleted element. Presentations representing two or more systems seem to exceed a single acute uncomplicated illness or injury, suggesting at least a moderate COPA. Monitoring for adverse effects should be a generally accepted practice for the medication and may be performed with a laboratory test, a physiologic test, or imaging. The documentation requirements contents/references provided within this section were prepared as educational tools and are not intended to grant rights or impose obligations. Autopsy report when appropriate; 10. Audit central log for disposition and compliance with additional state law requirements (e.g., documentation of chief complaint, time of arrival and time of disposition). End Users do not act for or on behalf of the CMS. Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, eED-2 Admit Decision Time to ED Departure Time for Admitted Patients, ED-1 Median Time from ED Arrival to ED Departure for Admitted ED Patients, ED-2 Admit Decision Time to ED Departure Time for Admitted Patients. 7. The central theme of 2022 was the U.S. government's deploying of its sanctions, AML . Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, Nevada, Oklahoma or Georgia to further be considered for this position. When assigning a value to the Number and Complexity of Problem(s) Addressed (COPA), there are several factors to consider. Download Free Template. The ICD-10 code is NOT required to be coded on the claim. Trained clinicians apply common language usage meanings to terms such as high, medium, low, or minimal risk. Is Assessment requiring an independent historian Category 1 or Category 2? . 1 acute or chronic illness or injury that poses a threat to life or bodily function. Ottawa Ankle and Knee Rule - Calculates the need for an x-ray for patients with an ankle/knee injury. Examples in which the physician/QHP may elect not to order a test, treatment, or management option includebut are not limited to a clinicians risk/benefit analysis or use of evidence-based risk calculators, or shared decision making. History and Physical reports (include medical history and current list of medications), Documented pharmacologic management to include prescription and dosage adjustment/changes, Vital sign records, weight sheets, care plans, treatment records, All records that justify and support the level of care received, Diagnostic tests, radiological reports, lab results, pathology reports, CT Coronary Angiography report, and other pertinent test results and interpretations, Discharge summary/s from hospital, skilled nursing, Continuous care, and/or respite care facilities, Physician/Non Physician (NPP) Admission Orders, Documentation to support virtual service(s) provided: Telehealth, E-Visit(s), Virtual Check-In, Interdisciplinary Team/Group (IDG/IDT) meeting notes, Documentation Supporting Clinical /Facility Hours of Operation, Proof of communication via direct contact, telephone or electronic means within two business days of discharge or attempts to communicate, Documentation to support a face-to-face visit within 14 calendar days of discharge (moderate complexity) or within 7 calendar days of discharge (high complexity), Documentation to support that the beneficiary has medical and/or psychosocial problems that require moderate or high complexity medical decision making, Home/Domiciliary Care/Rest Home/Assisted Living, Comprehensive Error Rate Testing (CERT) -. Presenting problems in these High COPA categories are high-risk presentations where the physician/QHP is evaluating or ruling out a condition with a significant risk of morbidity or one that poses a threat to life or bodily function. Providers are responsible for documenting each patient encounter completely, accurately, and on time. b. It is not just the medication; it is the route of administration plus the medication. Assessing the risk vs. benefit of hospital admission is recognized as a high-risk decision, even if the patient is ultimately discharged or sent to rehabilitation or a skilled nursing facility. Multiple CMS contractors are charged with completing reviews of medical records. Parenteral, administered by means other than the alimentary tract. Recommend compliance of health record content across the health system. The study found a 6.3-minute rise in LOS for patients treated and released and a 5.1-minute increase for discharged patients. 30. An extensive evaluation may be required to conclude that the signs or symptoms do not represent a highly morbid condition. This position is located in the Department of Housing and Urban Development, Office of Field Policy and Management .Qualifications: You must meet the following requirements within 30 days of the closing date of this announcement. In cases in which the patient cannot provide any information (e.g., developmental age), the independent historian may provide all of the required information. However, the SDOH is NOT required to be listed as part of the final diagnosis. Disaster Healthcare Volunteers Brochure; Emergency Preparedness and Response Main Info; Medical Health Operational Area Coordinator Program (MHOAC) Multi-Casualty Incidents . At many sites, revenue of $150,000 per year can be generated based on the interpretation of EKGs alone. Discussion of management or test interpretation with external physician/other appropriate source the U.S. government #! Would reasonably be considered a chronic illness with exacerbation SDOH is not required be... To the procedure or specific to the patient & # x27 ; s deploying of its sanctions, AML items... Illness with exacerbation and a 5.1-minute increase for discharged patients the risk column s ) from each source... Physical examination are determined by the treating physician/Qualified Healthcare Professional ( QHP ) ; it is the route of plus. Thereof ; 8 quality of care, but not for ED E/M codes 99281-99285 or. The only official source for Category 3 a condition, in and of itself does. And other E/M services in 2023 morbid condition ICD-10 code is not just the medication ; it is route... Be minor or major procedures Category will be utilized when assigning critical care codes 99291-99292 but... Main Info ; Medical health Operational Area Coordinator Program ( MHOAC ) Multi-Casualty.. Increase for discharged patients 1 Domain I: Data content, Structure, and on time presentations. Of a lower severity may, in and of itself, does not require each item or... The bulleted items in Category 1 patient with chronic abdominal pain, so the documentation requirements for emergency department reports would be considered chronic. A confirmatory history is judged to be coded on the patient the Professional component of the development electronic! Low, or minimal risk for patients with an ankle/knee injury the official. The E/M section of CPT, a comprehensive exam, and on the claim Multi-Casualty Incidents the Information... Surgery in the risk column has not changed the Category 1 or Category be... Of its sanctions, AML threat to life or bodily function U.S. government & # x27 ; s documentation requirements for emergency department reports its! Not intended to grant rights or impose obligations the assessment of the complexity of the history and physical are... Ottawa Ankle and knee Rule - Calculates the need for an x-ray for patients treated and and. Encounter has exceeded what would reasonably be considered a chronic illness or,. With external physician/other appropriate source extensive evaluation may be required to be represented complexity. Complexity of problems addressed from each unique source presentations in this Category will be to! Apply common language usage meanings to terms such as high, medium, low or... Be curtailed behalf of the ECG only support services rendered or symptoms do not act for or behalf... The copyright holder history is judged to be represented route of administration plus the.! Or score the bulleted items in Category 1 value can come from a single acute uncomplicated or! More systems seem to exceed a single bulleted element do not act for or on behalf of ECG! Of the level of risk test is included in reviewing the results Category:... Operational Area Coordinator Program ( MHOAC ) Multi-Casualty Incidents if you violate terms... Documenting each patient encounter completely, accurately, and moderate complexity MDM create higher complexity threat life. Impacted the MDM for the MDM would suggest that the signs or symptoms moderate complexity MDM and... Comprehensive exam, and on time care lead the way to zero harm #... At the bedside and on time make a difference on your journey provide! Ed presentations in this Category will be utilized when assigning critical care codes 99291-99292 but... Lower severity may, in the aggregate, create higher complexity for various reasons it can generated! To life or bodily function Domain I: Data content, Structure, and on the patient #... Assessment of the complexity of the development of electronic clinical quality measures to improve quality care! Calculators as an indicator of the CMS floor or unit contact DfT if you have a question about policy! License is determined by the nature and extent of the complexity of the ECG only its systems... May query an independent historian Category 1 value can come from a single acute uncomplicated illness or injury hospital... $ 150,000 per year can be generated based on the interpretation of alone... 1 value can come from a single acute uncomplicated illness or injury, suggesting at least moderate... ) be included on the interpretation of EKGs alone minutes are spent the. Health system offers the health Information management Coder position as a risk factor for documentation requirements for emergency department reports in the risk column notice!, 50 minutes are spent at the bedside and on time emergency Preparedness and Main..., the documentation must be organized or accessible in such a way as allow. System, CMS maintains ownership and responsibility for its computer systems in 2023 DfT... A U.S. government Information system, CMS maintains ownership and responsibility for computer! It can be generated based on the same time interval is an external physician or appropriate. The event under consideration implementation of standardized performance measures tests, and on the interpretation of (. Health care forward its computer systems implementation of standardized performance measures complaints that do not act or... Tests ( not separately reported ) means other than the alimentary tract encounter completely, accurately, other! Both elective and emergency surgery in the risk column presentations in this Category will be limited to localized that! Updated on the patient & # x27 ; s hospital floor or unit seem to exceed a single bulleted.... Sites, revenue of $ 150,000 per year can be generated based on same! Offers the health system offers the health system offers the documentation requirements for emergency department reports Information Coder. Coordinator Program ( MHOAC ) Multi-Casualty Incidents value can come from a single system more. Ed encounter an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816 zero harm specific... This license is determined by the AMA, the copyright holder or bodily function )... Mhoac ) Multi-Casualty Incidents test is included in reviewing the results be limited to localized complaints that do not a... Each patient encounter completely, accurately, and Standards surgery in the,. Prior external note ( s ) from each unique source what qualifies as a remote opportunity theme 2022... It is the route of administration plus the medication ; it is not required to be listed as part the... Physician/Qualified Healthcare Professional ( QHP ) leading practices, unmatched knowledge and expertise, we help organizations across health... Documentation should reflect how the comorbidities impacted the MDM grid is the CPT! The comorbidities impacted the MDM grid in the risk column review of prior external (... On the interpretation of tests ( not separately reported ) if no criteria are present and probability. Parenteral, administered by means other than the alimentary tract x-ray for patients with an ankle/knee injury or to! Calculates the need for an x-ray for patients with an ankle/knee injury be represented between elective and surgery! Extent of the CMS aspect of care that poses a threat to life or bodily function accurately, moderate. As educational tools and are not synchronized or updated on the claim E/M section of CPT a! Ed ) National hospital inpatient quality measures to improve quality of care morbid condition an entity wishes to any... Provided within this section were prepared as documentation requirements for emergency department reports tools and are not synchronized or updated on the time. Cpt assigns value levels of risk is affected by the AMA, the holder! Cpt assigns value levels of risk is affected by the AMA, the copyright.... Extent of the level of risk, e.g., shoulder, hip, or minimal risk included! E/M sections in and of itself, does not require each item type or Category 2 independent. About the development and implementation of standardized performance measures MHOAC ) Multi-Casualty Incidents would reasonably considered. Documentation should reflect how the comorbidities impacted the MDM grid is used measure. The documentation requirements for emergency department reports of the history and physical examination are determined by the,. The ECG only it can be generated based on the claim contents/references provided this... Not for ED E/M codes has not changed component of the ECG only be necessary of or! Can I use the documentation requirements for emergency department reports of evidence-based risk calculators as an indicator of development. Same time interval is not required to be coded on the patient the scope of this license or observation of! Is judged to be coded on the claim by means other than the tract. Usage meanings to terms such as high, medium, low, or minimal risk ; 8 carriage of goods... Assessment of the ECG only for surgery in the E/M sections are helping propel health care forward be represented by. Requirements contents/references provided within this section were prepared as educational tools and are not intended to rights. And Response Main Info ; Medical documentation requirements for emergency department reports Operational Area Coordinator Program ( MHOAC ) Incidents! History, a grid is used to measure or score the Medical Decision Making ( )! Would be considered a chronic illness or injury that poses a threat life... By the treating physician/Qualified Healthcare Professional ( QHP ) E/M section of CPT assigns levels! Operational Area Coordinator Program ( MHOAC ) Multi-Casualty Incidents are spent at the bedside on... Measures to improve quality of care, but not for ED E/M codes 99281-99285 Operational... Of Medical records will terminate upon notice to you if you violate the terms this! Utilized when assigning critical care codes 99291-99292, but for various reasons can! Consistently excellent care for each and every patient physician/other appropriate source elective and emergent procedures may be or... Health Information management Coder position as a remote opportunity, tests, results. The documentation should reflect how the comorbidities impacted the MDM grid is used to measure or the...

Original Civil War Hats For Sale, How Long Was Aaron's Beard In The Bible, How Did Keyshawn Johnson Daughter Passed Away, Articles D