Scenario: Samuel presents today for a disability examination. The physician completes a basic disability examination that...

Scenario: Samuel presents today for a disability examination. The physician completes a basic disability examination that includes measurement of height, weight, and blood pressure, completion of a medical history following a life insurance pro forma, collection of blood sample or urinalysis complying with chain of custody protocols, and completion of necessary documentation and certificates.

In this scenario what errors did you make on the initial post regarding coding for the given scenario?

Why do you think you made those errors?

How can you correct any steps you missed or did incorrectly?

Why is it important for healthcare employees to use the CPT coding system correctly?

What are some consequences of incorrect coding?

Solutions

Expert Solution

MEDICAL DISABLITY EVALUATION INCLUDES:

if by the treating physician and lab procedures.

measurement of height,weight and blood pressure.
completion of a medical history following a life insurance pro forma.
collection of blood sample and urine analysis compling with chain of custody protocols.

completion of necessary documentation/certificates.

Q: In this scenario what errors did you make on the initial post regarding coding for the given scenario?

errors may be:

code only for physician and lab procedure.

separate code for history and examination and certification.

Q:Why do you think you made those errors?

these code includes all the procedures listed above but unfortunately i will think these are needed separete codes.

Q:How can you correct any steps you missed or did incorrectly?

I will recheck the aapc-cpt code book(99450).

Q:Why is it important for healthcare employees to use the CPT coding system correctly?

because if the coding is not correct the payment for the physician will not be correct.

Q:What are some consequences of incorrect coding?

Coding Errors May Lead to Fraud and Abuse Fines

As you can see, incorrect coding causes poor patient care and trouble with reimbursements,Practices and providers who have a history of coding mistakes may face fines and or federal penalties for fraud or abuse.

This can cause denials and delay services, revenue as well as destroy the patient experience. Affects Patient Satisfaction: Incorrect medical coding and/or billing can negatively impact your patients' experiences outside of the office, which can affect your reputation.

Nightingale answered 1 year ago

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