Checkpoint: Determining Diagnosis Code Categories Wm. Victor Golden HCR 220 Aug 18‚ 2011 Instructor Charity Booker * A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination‚ the physician orders an MRI to investigate a possible transient ischemic attack. The diagnosis category I would choose in this case would be Symptoms‚ Signs‚ and Ill-Defined Conditions—Codes 780–799
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Correct Coding Initiative have on the billing and coding process? Explain your answers. One billing related issue is‚ billing an invalid or outdated code. This is an issue when using temporary codes. It is important to check and double check your codes to make sure the codes you are using are valid and still in use. It is simple to check your codes because it will save you time and avoid having to redo the bills. Billing non-covered services is an issue for not only the insurance company but as
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Checkpoint: Medical Records Documentation and Billing Compliance plans are a process for finding‚ correcting‚ and preventing illegal medical office procedures (Valerius‚ Bayes‚ Newby‚ & Seggern‚ 2008). Therefore; all steps in the medical billing process correctly carried out‚ would apply as part of a compliance plan. In order to prevent illegal medical office practices‚ every step should be carried out as it was designed. In collecting accurate demographic and insurance information in step
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Checkpoint: Determining Levels of Prevention Heather Merz HSM/210 4/14/2010 Angela Hall Scenario 1: The level of prevention Tertiary prevention. I feel this way because you cannot prevent what has already happened you just have to rehabilitate this person. And hope they learn to not deal with the abuse the lady used the panic which prevented the man from hurting the lady and he went to jail. I would have done things A little differently I would have told her that she needs
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different code categories‚ Category I‚ II‚ and III. The first category I codes are the most numerous and each are five digits long all numeric. Each of them has a description of the procedure the code is for. For example 99204 is Officer or other outpatient visit for evaluation and management of a new patient. They are grouped into sections‚ but they can be used by any physician. For instance a regular physician may use a surgical code even though he is not a surgeon. Each of these codes are for
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Checkpoint: Features of Health Plans There may be variations‚ but all insurance plans are one of two essential types; Indemnity or Managed Care (Valerius‚ Bayes‚ Newby‚ & Seggern‚ 2008). There are five health plans highlighted in this chapter; Indemnity Plans‚ Health Maintenance Plans (HMO’s)‚ Point of Service Plans (POS)‚ Preferred Provider Organization (PPO)‚ and Consumer Driven Health Plans (CDHP) (Valerius‚ Bayes‚ Newby‚ & Seggern‚ 2008). A short description and comparison is as follows:
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HCR/220 October 30‚ 2011 Assignment: Assigning Evaluation and Management (E/M) Codes #1. Initial consultation is performed for a 78-year-old woman with unexplained weight loss‚ abdominal pain‚ and rectal bleeding. A comprehensive history and examination is performed. Code: 99205 Seeing as though this patient is 78 years old‚ we are assuming that we are billing Medicare for these procedures. I chose the code above due to the presentation of problems such as unexplained weight loss‚ abdominal
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HCR/220–Week Six Checkpoint–Applying Level II HCPCS Modifiers * Apply the appropriate Level II HCPCS code modifier for each of the following examples. Explain your rationale. a) Portable home oxygen unit-GY – identifies rental or purchase of durable medical equipment for use in the patient’s home; is statutorily excluded‚ does not meet the definition of any Medicare benefit or for non-Medicare insurers‚ is not a contract benefit‚ is appended to procedures that are excluded from the Medicare
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BUS 210: CheckPoint - Code of Ethics June 4‚ 2011 What would my company be? At the Alexis Group software development company all employees will follow a code of conduct. To ensure that the employees of the Alexis Group are complying with the company’s code of conduct a monitoring system will be put in place. 1. The employees will have to maintain and provide accurate and honest business records. * The company must be able to rely on an employee’s truthfulness and accurate work to
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Emily Barton April 16‚ 2013 English Honors 4 Diagnosis The word diagnosis means to identify the nature and cause of anything. People use diagnosis many different ways with different variations in the use of logic and experience to figure out cause and effect relationships. The word diagnosis does not always have to consist of medical terms. In Charles Frazier’s Cold Mountain‚ the characters have some sort of knowledge about life and their surrounding environment (Way). All of the main characters
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