Preview

Medical Coding Final Exam

Better Essays
Open Document
Open Document
1065 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Medical Coding Final Exam
PART A: 1. The main difference between coding outpatient and inpatient is the procedure codes. Current Procedural Terminology (CPT) codes are used for outpatient coding and the International Classification of Diseases Ninth Revision Clinical Modification (ICD-9-CM) is used for inpatient coding. CPT codes are published by the American Medical Association and The World Health Organization (WHO) is responsible for ICD codes. The ICD-9 diagnoses codes are used for both outpatient and inpatient coding.
Inpatient medical coding: This refers to coding the records of patients who are required to stay in a hospital or any other healthcare unit for more than 24 hours, hence the name inpatient coding. Since the medical records of patients who are admitted to a hospital for treatment tend to be a lot more complex, this naturally makes the job of inpatient medical coders that much harder. Due to advances in medicine, a lot of procedures that earlier required a hospital stay can now be performed on a same-day basis.
Outpatient medical coding: As the name suggests, outpatient coding involves coding the medical charts of patients who are discharged from a healthcare facility within 24 hours. So, outpatient medical coders are responsible for charting the medical records of patients who receive treatments or undergo diagnostic procedures in clinics, doctor offices or hospital emergency rooms on the same-day basis. 2. CPT Code: 21930
ICD-9-CM Code: 782.2 3. One of the unusual aspects of OB is the global fee that encompasses the antepartum, delivery, and postpartum period of normal pregnancy. The initial blood history, physical examination, blood pressure, weight, fetal heart tones, routine analysis, and monthly visits up to twenty-eight weeks gestation, biweekly visits, thirty-six weeks gestation, and weekly visits until delivery are all included in antepartum care. Delivery services should include hospital admission with history and physical, the management of

You May Also Find These Documents Helpful

  • Good Essays

    Hcr Week8

    • 388 Words
    • 2 Pages

    The differences affect the coding process because of the time frame they are being used. Coding is done by inpatient medical coders as soon as the patient is discharged. For outpatient care coding is being done during the patient visit, before they done with their care or discharged. The coding for inpatient and outpatient is coded…

    • 388 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    This where the patient gets registered, admitted, and discharged this information is very important without this in health records it would make it a lot harder to get the patient seen. This is why it is a key component to health care because without this it wouldn’t run as smoothly.…

    • 716 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    The work environment is in a private or public medical office where the health records specialist will organize and check coding in a secure data base on the computer.…

    • 473 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Coding Scenarios

    • 371 Words
    • 2 Pages

    6. An initial inpatient consultation occured. The consultation consisted of a detailed history, detailed exam, and a MDM of low complexity. The E/M code will be 99253.…

    • 371 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    OPERATIVE INDICATIONS: This is a pleasant female who comes in with a soft tissue lesion in the left flank over what appeared to be a spigelian hernia site as well.…

    • 341 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    In and Out

    • 336 Words
    • 2 Pages

    The other big difference is “outpatient coding is done while the patient is still present in the treatment facility and inpatient coding is done when the patient is discharged from the hospital (WiseGEEK).”…

    • 336 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Healthcare Reimbursement

    • 2290 Words
    • 10 Pages

    To understand how fraud impacts coding systems one must understand how medical professionals and health care facilities are reimbursed for their services. In most cases a patient does not pay for a service directly. Most payments to medical professionals and health care facilities are made by a third party payer, whether it is private insurance or a government program like Medicare. “The ICD-9-CM is used by physician’s offices to code and classify morbidity data from medical records, physician offices, and surveys conducted by the National Center for Health Statistics” (Valerius, Bayes, Newby, Seggern, 2012, p. 128). This is the coding process. They billing or coding specialist fills out the coding form to send to the third-party payer (insurance company) so the hospital or physician’s office can be reimbursed for the services rendered.…

    • 2290 Words
    • 10 Pages
    Powerful Essays
  • Satisfactory Essays

    Category I codes are always procedure codes. They are codes which exist for any and all types of procedures that are done within our facility. It does not matter what the procedure is that is completed, there will always be a particular code to coincide with it. One example of a category I code would be 96360. This is the code used for intravenous infusion and hydration- initial, 31 minutes to 1 hour in length.…

    • 337 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Most of the codes we see in the United States today are version 9, called ICD-9-CM codes. With few exceptions, the paperwork we receive when we leave a doctor’s office will contain both CPT codes (Current Procedural Terminology) to describe the service that was rendered for billing purposes, and ICD-9-CM codes to describe why that service was provided. Further, most death certificates filed since, 1977 will have an ICD-9 code on them.…

    • 977 Words
    • 4 Pages
    Powerful Essays
  • Best Essays

    Collection, analyzing, and interpretation of data are important functions at the skilled facility. The nurses are major contributors of data that is either, generated electronically or by the health record department staff. Health care provision today is centered on evidence-based care, which continues to influence the type of care patients receive. Statistical information enables the health care providers to plan, formulate current and future policies, improve patient care through evidence-based studies, evaluate, and improve on customer care, and for compliance purposes. Examples of data collected on daily basis are the daily patient census that summarizes the total number of patients per unit by the end of the day computed manually at 12 midnight. This reporting tool is presented in tabular format and shows all new admissions, readmissions, in-house transfers, transfers out to other levels of care, discharges, deaths, or missing patients. Another example of statistical…

    • 1188 Words
    • 4 Pages
    Best Essays
  • Better Essays

    1. Differentiate between the official coding guidelines for using V codes in an inpatient and outpatient setting.…

    • 1126 Words
    • 5 Pages
    Better Essays
  • Good Essays

    In the inpatient coding the ICD codes are utilized whereas in the outpatient coding the CPT codes are utilized. Also contrary to as stated above…

    • 354 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    When it comes to inpatient coding, coders have to be very attentive in order to correctly code the reason for the principal diagnosis because it is crucial to the MS-DRG formula. As for the outpatient coding, the first listed diagnostic code indicates the reason for the encounter. In conclusion, the outpatient coding summarizes all diagnoses and typically includes a single procedure whereas inpatient coding requires daily coding of each service on each day of hospitalization.…

    • 1534 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    CPT Coding

    • 267 Words
    • 1 Page

    There are three different CPT category codes. There are category I codes, category II codes, and category III codes. Category I codes can also be known as the main codes to be used. These codes can be used by all physicians, even though they are grouped into different sections. For example, the section for Surgery codes can be used by all different physicians. An example of a code from category I is 00730 which is used for anesthesia for procedures on upper posterior abdominal wall. Category II codes can also be known as goal codes. These codes are used to track performance measures for a medical goal. An example of a code used from category II is 4000F which is for tobacco use cessation intervention, counseling. Last, there are Category III codes. These can be referred to as temp codes. Category III codes are used temporarily for emerging technology and procedures. They may become a permanent part of the regular Category I codes if it proves effective. An example of a code from category III is 0182T which is a high dose rate electronic brachytherapy, per fraction.…

    • 267 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    Medical billing and coding professionals hold pivotal roles in hospitals, doctor’s offices, physician’s practices and specialty medical practices. They are responsible for the accurate flow of medical information and patient data between physicians, patients and third-party payers. Without them, healthcare businesses could not function efficiently.…

    • 612 Words
    • 3 Pages
    Satisfactory Essays