exam on inpatient and outpatient codinhg
Kayla Kuebler 21597852 38177400 Page 1 of 4
255 Main St. Apt. B-12 Corinth, N.Y 12822 themamaz13@yahoo.com 1. The three goals of the Physicians Payment Reform are to decrease Medicare expenditures. As well as redistribute physician’s payments more equitably. Also to ensure quality health care at a reasonable rate.
2. I would use modifier -57, decision for surgery with the E/M code for this case. Due to the E/M service and the decision for surgery were made earlier that same day.
3. There are three components of the relative value unit the first component is work, which is the amount of time, the intensity of effort and the technical expertise required for the physician to provide the service. The second would be the overhead component also known as the practice expense, it is identified as the allocation of cost associated with the physicians practice (ex. Staffing) that must be expended in order to provide a service. The third component is malpractice and is identified as the cost of the medical malpractice insurance coverage/ risk associated with providing the service.
4. People age 65 and older, along with patients who are experiencing end-stage renal disease are both eligible for Medicare. As well as people who are eligible for disability benefits from social security, they are too covered by the Medicare program.
5. To find the main terms in the index of the CPT you must use these basic location methods, you must search by the service or the procedure, the anatomic site, condition or disease. You also could use synonyms, eponym’s or abbreviations to find main terms in the index.
6. The E/M code 99253 would be used to report an initial impatient consultation. With a detailed history and exam along with a MDM of low complexity.
7. There are many elements when considering the correct E/M code. There are four elements of history which include chief complaint, history of present illness, as well as review of symptoms and past, family, and/or social
255 Main St. Apt. B-12 Corinth, N.Y 12822 themamaz13@yahoo.com 1. The three goals of the Physicians Payment Reform are to decrease Medicare expenditures. As well as redistribute physician’s payments more equitably. Also to ensure quality health care at a reasonable rate.
2. I would use modifier -57, decision for surgery with the E/M code for this case. Due to the E/M service and the decision for surgery were made earlier that same day.
3. There are three components of the relative value unit the first component is work, which is the amount of time, the intensity of effort and the technical expertise required for the physician to provide the service. The second would be the overhead component also known as the practice expense, it is identified as the allocation of cost associated with the physicians practice (ex. Staffing) that must be expended in order to provide a service. The third component is malpractice and is identified as the cost of the medical malpractice insurance coverage/ risk associated with providing the service.
4. People age 65 and older, along with patients who are experiencing end-stage renal disease are both eligible for Medicare. As well as people who are eligible for disability benefits from social security, they are too covered by the Medicare program.
5. To find the main terms in the index of the CPT you must use these basic location methods, you must search by the service or the procedure, the anatomic site, condition or disease. You also could use synonyms, eponym’s or abbreviations to find main terms in the index.
6. The E/M code 99253 would be used to report an initial impatient consultation. With a detailed history and exam along with a MDM of low complexity.
7. There are many elements when considering the correct E/M code. There are four elements of history which include chief complaint, history of present illness, as well as review of symptoms and past, family, and/or social