1. Discuss two differences between inpatient and outpatient coding. 2. You’ve started your first day at Venture Outpatient Surgery Center. Code the following operative report: Operative Report PREOPERATIVE DIAGNOSIS: Left flank soft tissue mass POSTOPERATIVE DIAGNOSIS: Left flank soft tissue mass SURGEON: John Doe‚ DO OPERATIONS: Excision of left flank soft tissue mass with layered closure measuring 4 cm‚ with margins‚ prior to excision ANESTHESIA: Sedation with 1% lidocaine with epinephrine
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following scenarios could be classified within code ranges 960–979? Patient has lethargy for unintentionally taking too much of her prescribed sleeping pill 10. A patient was admitted to the hospital with a deep burn to the dermis of the arm. For coding purposes‚ you would classify this condition as undeterminable until the physician clarified with more information Part B: 5.96. D. 933.1‚ 31577 5.97. E932.3‚ 43753 5.98. ICD-9-CM and CPT code(s): E015.2‚ 943.03‚ 948.1 5.99. ICD-9-CM and CPT code(s):
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Rebecca E. Clark SOC313: Social Implications of Medical Issues A Look At Systemic Lupus Erythematosus Instructor: Mandee Rowley August 13‚ 2012 A Look At Systemic Lupus Erythematosus Systemic Lupus Erythematosus (SLE) is an autoimmune disease that is primarily a disease of young women. The disease has a wide array of manifestations and can be fatal. SLE produces antibodies to the body’s own cells leading to full-body inflammation and tissue damage
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tasksD)Only for internal useE)Never been done before3 INCORRECT From among the following activities‚ which is the best example of a project?A)Processing insurance claimsB)Producing automobilesC)Writing a term paperD)Completing a college degreeE)All of these are good examples of projects4 CORRECT Which of the following choices is not one of the stages of a project life cycle?A)ConceptualizingB)DefiningC)PlanningD)ExecutingE)Delivering5 INCORRECT In which of the following stages are project objectives
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LOCATION: Outpatient‚ Hospital PATIENT: Stan Hope SURGEON: Mohamad Almaz‚ MD PREOPERATIVE DIAGNOSIS: Left shoulder pain and numbness‚ past shoulder injury POSTOPERATIVE DIAGNOSIS: Normal shoulder PROCEDURE PERFORMED: Diagnostic arthroscopy‚ left shoulder CLINICAL HISTORY: This is a 57-year-old with a l0-year-old rotator cuff tear injury to his left shoulder. The patient does heavy lifting for a living. For the past 6 months the patient has been experiencing pain in this shoulder with
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The coding of DM can be difficult Learn to look for: Various manifestations Types—type 1 or type 2 Controlled or uncontrolled Default is type 2 DM if Type of diabetes mellitus not documented Use Z code for long-term use of insulin--Z79.4 Do not use Z code if insulin is temporarily given to control blood sugar In ICD-10-CM there are 5 category codes for diabetes mellitus: E08 Diabetes mellitus due to underlying condition (code underlying condition first) E09 Drug or chemical induced
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describe the patient’s condition‚ using terminology that includes either specific diagnoses and/or symptoms‚ problems‚ or reasons for the encounter. In the instance where a discrepancy is discovered‚ determining the first-listed diagnosis per the coding conventions of ICD-9-CM‚ as well as the general and disease-specific guidelines within ICD-9-CM‚ will have precedence over the outpatient guidelines. •In the outpatient setting‚ code all documented conditions that coexist at the time of the encounter
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The CCA‚ the CCS and the CCS-P are the only coding credentials worldwide currently accredited by the National Commission for Certifying Agencies (NCCA). The CCA designation has been a nationally accepted standard of achievement in the health information management (HIM) field since 2002. CCA credential differentiates coders by exhibiting commitment and proving coding capabilities across all settings‚ this includes both hospitals and physician practices. The US Bureau of Labor Statistics estimates
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------------------------------------------------- Purpose of Coding ------------------------------------------------- Purpose of Coding ICD-10-CM implementation date is set for October 1‚ 2014. ICD-10-CM implementation date is set for October 1‚ 2014. ICD-9-CM versus ICD-10-CM ICD-9-CM versus ICD-10-CM Purpose of coding Purpose of coding ICD-9 | ICD-10 | 3-7 characters in length | 3-7 characters in length | 13‚000 codes | 68‚000 codes | First digit can be alpha or numeric
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Errors and Compliance in Coding The integrity of the request for payment rests on the accuracy and honesty of the coding and billing within a practice. Incorrect work could simply be an error‚ or it could represent a deliberate effort to obtain fraudulent payment. Medical billers and coders are responsible for ensuring that these errors are limited and promptly fixed. Among the most common causes of errors in coding and billing are truncated coding‚ up-coding or down-coding‚ and using an inappropriate
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