Week Seven Checkpoint By Melanie Goodwin-Deloach Briefly explain causes and solutions for three of the most common billing and coding errors. What effect does the Medicare National Correct Coding Initiative have on the billing and coding process? Explain your answers. Some of the most common errors in billing and coding can actually be very easily fixed. They generally come down to not using proper modifiers and this can often result in a service not being covered. If the modifier states
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saline. We then closed the skin using 4-0 nylon suture‚ and a Xeroform dressing was applied under a small pressure dressing. She was taken from the operating room in good condition. She tolerated this very well. CPT SERVICE CODE(S): ___________________________________________________ ICD-9-CM DX CODE(S): _______________________________________________ 4. Answer | | | | | Path:body | | 4.5 points Question 2 1. LOCATION: | Outpatient‚ Hospital | PATIENT: | Larry Frost
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1. RADIOLOGY REPORT LOCATION: Hospital‚ Outpatient PATIENT: Dan Diel ORDERING PHYSICIAN: Daniel G. Olanka‚ MD ATTENDING/ADMIT PHYSICIAN: Daniel G. Olanka‚ MD RADIOLOGIST: Morton Monson‚ MD PERSONAL PHYSICIAN: Ronald Green‚ MD EXAMINATION: Gallbladder ultrasound. CLINICAL SYMPTOMS: Increased bilirubin. GALLBLADDER ULTRASOUND: Examination was technically difficult with some limitations due to overlying leads. Large right pleural effusion identified. Gallbladder is visualized. No obvious
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much less complicated than inpatient coding. First‚ outpatient coding is limited to a length of stay less than 24 hours whereas inpatient stays are longer due to the intensity of services. Second‚ for outpatient services‚ physicians are paid using CPT/HCPCS codes‚ whereas‚ hospitals are paid for their hospitality using a complex formula (MS-DRG) because of housing‚ feeding and nurturing the patient back to health. During an inpatient stay‚ the hospital charges based on the amount of time and effort
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Act of 2003 changed the way that patients‚ practitioners and insurance companies viewed medical records. No longer would physician be able to choose the level of privacy they maintained for clients’ records. Patients became more aware of their rights and responsibilities toward their health records. This paper provides a brief synopsis of how HIPAA has affected access to medical records and its affect on medical offices and their employees. There are reasons that a person’s personal health information
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Intermediate Coding Exercises ICD-9-CM Coding Instructions: • Sequence the ICD-9-CM principal diagnosis in the first diagnosis position. • Assign all reportable secondary diagnosis codes including V codes and E codes (both cause of injury and place of occurrence). • Sequence the ICD-9-CM principal procedure code in the first procedure position. • Assign all reportable secondary ICD-9-CM procedure codes. ICD-10-CM and ICD-10-PCS Coding Instructions: • Sequence the ICD-10-CM principal diagnosis code
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Unlike the ICD 10 book‚ which has codes for diagnoses‚ diseases‚ and conditions‚ the CPT book is used to code procedures and diagnostics. The CPT manual is broken into 3 different sections; section 1 contains codes for procedures that are commonly done and have been FDA approved‚ section 2 are considered tracking codes within clinics and hospitals‚ and section 3 codes are used as temporary codes for new and developing procedures that aren’t FDA approved yet. When coding with the CPT book‚ you again
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How do you know if you are ready to start your own medical billing business? You hear about the success stories‚ you dream about working out of your home‚ and making that six-figure paycheck‚ but are you ready? If not prepared you could be setting yourself up to fail. Read on to get yourself thinking about if you are ready‚ and if not‚ what do you need to do get ready. You know your “why” You know your business‚ goals and objectives best. So‚ ask yourself‚ ‘why do I want to start my own business
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drive Macintosh® MAC OS X (10.3 or later) operating system 256 MB RAM 50 MB free disc space At least an 1024 x 768 pixels screen resolution Thousands of colors 16X or faster CD-ROM drive Installation Instructions Windows If your system does not support Auto-run‚ double-click “setup.exe” from My Computer > CD ROM to begin. Macintosh A CD icon labeled “Silvestri Comp Review PN 4e” will appear on the screen once inserted. Double-click it‚ then double-click “Silvestri Comp Review PN 4e
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Background: Medical billing and coding are the key resources in providing healthcare organization revenue and salaries. Based on the amount of each patient visit and if the visit was cleared and processed. The medical coder and biller must collect the accurate information‚ which can provide hospitals reliable revenue to function. The medical billing department must have accurate information and the correct knowledge of medical terminology for procedures‚ and diagnosis. Not only should they know how to accurately
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