Question

In: Nursing

Please answer the following in your initial post: What is the ICD-10-CM? How will it impact...

Please answer the following in your initial post:

What is the ICD-10-CM? How will it impact the coding of claims?

Describe at least one of the outpatient coding guidelines listed in your text.

What is the CPT?

What is one symbol that is used throughout the CPT coding book? Describe its purpose.

What is medical necessity, and how is it communicated to the insurance companies?

Should physicians be required to prove the medical necessity of the services they have provided? Why, or why not?

Solutions

Expert Solution

1. ICD -10-CM stands for International Classification of Diseases, tenth revision, Clinical Modification. It is a system used by health care providers and clinicians to classify and code all diagnoses, symptoms and procedures. It was published by the World health organisation and uses an unique alphanumeric code to identify the diseases and other health problems. It is used for mortality and morbidity statistics. The ICD 10 has a great impact on the revenue cycle for providers.
2. The outpatient coding guidelines are as follows:
• In the outpatient setting, the first listed diagnosis is used as the principal diagnosis.
• Diagnosis are often not established at the time of first visit. It will take two or more visits before confirming the diagnosis.
• If the patient needs a outpatient surgery, the reason for the surgery is coded as the first listed diagnosis.
• When q patient is admitted for observation, the medical condition is coded as the first listed diagnosis. If there is complications it is coded as secondary diagnosis.
3. CPT stands for Current Procedural Terminology. It was formed by the American Medical Association. It describes medical, surgical and diagnostic services. It was designed to communicate uniform information regarding the services among physicians, coders, patients, organizations, financiers and administrators. It is similar to ICD coding except that it denotes the services given.
4. CPT symbols commonly used are as follows:
• Bullet on the left of code denotes new code
• Triangle on the left of code indicates the code is revised.
• Plus denotes add on codes
• Asterisk shows minor surgery
• Semi colon shows shorter descriptions

Nightingale answered 2 years ago
Next > < Previous

Related Solutions

Please answer the following in your initial post: What is the ICD-10-CM? How will it impact...
Please answer the following in your initial post: What is the ICD-10-CM? How will it impact the coding of claims? Describe at least one of the outpatient coding guidelines listed in your text. What is the CPT? What is one symbol that is used throughout the CPT coding book? Describe its purpose. What is medical necessity, and how is it communicated to the insurance companies? Should physicians be required to prove the medical necessity of the services they have provided?...
Please answer the following questions in your initial post: What is the importance of small business...
Please answer the following questions in your initial post: What is the importance of small business in the United States? How did the Telfers finance their start-up? Why is it difficult for budding entrepreneurs to secure bank financing or venture capital? What is an intrapreneur? How does it differ from an entrepreneur? How does the notion of taking an existing idea and making it better relate to the successful launch of Pillow Pets? Have you or a friend ever had...
Provide the correct ICD-10-CM code(s) for each of the following diagnoses: Directions: Use an ICD-10-CM manual...
Provide the correct ICD-10-CM code(s) for each of the following diagnoses: Directions: Use an ICD-10-CM manual to obtain codes. Do not leave any blank spaces and all letters must be capitalized. a. Swimmer’s ear in the left ear        b. Type 1 diabetes mellitus with diabetic nephropathy        c. Labor, obstructed, due to a deformed pelvis        d. Essential hypertension        e. Alzheimer’s       rev: 06_22_20
ASSIGNMENT: Using your ICD-10-CM code book, apply the correct ICD-10-CM diagnosis code(s) to each. All documentation...
ASSIGNMENT: Using your ICD-10-CM code book, apply the correct ICD-10-CM diagnosis code(s) to each. All documentation in the scenarios should be considered physician documentation. Remember, when the documentation indicates a patient was "admitted", you are required to use inpatient coding guidelines. Don't forget to verify your code as well as any instructional notes, etc. in the Tabular section so as to secure you have a valid code assignment. SCENARIO #1:  The patient was admitted to the hospital for monitoring of seizure-like...
Explain ICD-10-CM and CPT-4
Explain ICD-10-CM and CPT-4
What is the importance of a good understanding of A&P when coding in ICD-10-CM. How do...
What is the importance of a good understanding of A&P when coding in ICD-10-CM. How do you feel about you’re A&P knowledge? What can you do to improve those skills and to gain a better understanding of anatomy and physiology? in 300 words
1.what is icd 10? 2. describe how the use of icd-10 affects the accuracy and integrity...
1.what is icd 10? 2. describe how the use of icd-10 affects the accuracy and integrity of health data both internally and externally to the health care system? write a 2 page essay
In the Musculoskeletal System and Connective Tissue chapter of ICD-10-CM, what is the difference between a...
In the Musculoskeletal System and Connective Tissue chapter of ICD-10-CM, what is the difference between a pathological fracture and a traumatic fracture? Give an example of a scenario for coding a pathological fracture. Along with your example, provide the ICD-10-CM code(s) that would be assigned for the scenario. Be sure to follow coding guidelines and instructional notes, and assign the appropriate 7th character if needed.
Please answer the following questions. Post your answers to the Discussions area of the course. What...
Please answer the following questions. Post your answers to the Discussions area of the course. What factors affect taxable income or the difference between gross and taxable income? What are the primary types of taxable income, as defined by the IRS? In addition to random selections, what are the four most common signals the IRS look for when selecting taxpayers for audits? What are the five general tax reduction strategies? Give a brief synopsis of each.
For your initial post, address the following: Decision surrounding biases have a great impact on organizations....
For your initial post, address the following: Decision surrounding biases have a great impact on organizations. From what you have read and researched, discuss the impact of biases on the decision-making process. Choose one of the heuristic options listed in chapter 3 and provide a basic analysis of how it creates a bias and give a real-world example. Initial Post Length: minimum of 350 words  
ADVERTISEMENT
Subjects
ADVERTISEMENT
Latest Questions
ADVERTISEMENT