Mk70 Unit 3 Assignment 3

I review MR for acct#12807530 v#117806820 and I don't see any G0328 Lab code. The patient notes only show this Lab code 82274(outside Lab). I'm not sure if the G code was a convention code from Medicare since the patient has Highmark Medicare . Please let me know if you need the patient MR copies for review.

Enter the 3-5 alpha/numeric character code from the ICD-9 related to the procedures, services, or supplies listed in Block #24e. List the primary diagnosis on Line A, with any subsequent codes to be entered on Lines B thru H (the highest level of specificity in priority order). Additional diagnoses are optional and may be listed on Lines I thru L. – Required

21. Dr. Lewis treated an established patient in the office who complained of a 3-month history of fatigue and weight loss. An detailed history was performed, exam was detailed and MDM was high. What code would be used?

In the daily changes of healthcare, health information technology is evolving rapidly. The generation of coding is making significant developments along the years as well. The 3M-encoder system provides number of essential options to coders in just one click. It provides sophisticated, easy-to-learn solution for accurate, complete, and compliant coding and grouping. Coders need to be acquainted with these references because they provide back up through the articles in each one of them. 3M Coding and Reimbursement System, 3M Coding Reference, and 3M Coding Reference plus have articles for coders to read and get answers to use the appropriate codes. (Prophet). Due

Second, in order to further confirm the information about characteristics and function of the targeting protein that we have

An accurate and specific documentation of universally accepted set of codes are important for the protection of healthcare providers as well as increased reimbursement for services received. These codes are for the validation of which services the patient received from their health care provider ( (Page, 2009). Having the correct codes in place insures the provider with the information needed by the health insurance carrier. Maintained by the AMA (American Medical Association), this universal numeric assignment is also used for developing guidelines for medical care review as well as data collection for medical education and research (Scott, 2013).

The compliance date for implementation of the International Classification of Diseases, 10th Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS) was October 1, 2013 for all covered entities. Although, a number of countries that have already converted to ICD-10:

The International Classification of Diseases, Tenth Revision (ICD-10) has been in development since 1983 to replace the outdated Ninth Revision (ICD-9) that has been in use in the U.S. for over 35 years (Giannangelo, 2015). Due to the Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification regulation published in 2009, the Clinical Modification (ICD-10-CM) will replace ICD-9-CM Volumes 1 and 2, and the Procedure Coding System (ICD-10-PCS) will replace ICD-9-CM Volume 3 for all HIPAA transactions effective October 2015 (Giannangelo, 2015). These new code sets accommodate new procedures and diagnoses and allow for greater specificity in clinical documentation (Centers for Medicare & Medicaid Services [CMS],

Procedure codes are linked with diagnostic codes to establish the medical necessity of the procedure and the fee reimbursement to the providers (Deborah Vines, 2013, pp. 146-163). There are three categories for CPT. CPT Category I codes describes a procedure or service and are subjected to a lengthy approval process conducted by the CPT Editorial Panel. CPT Category II codes are a set of optional tracking codes, developed principally for performance measurement (Deborah Vines, 2013, pp. 146-163). CPT Category III are temporary codes that are intended to be used for data collection purposes to substantiate widespread use of new technologies, services, and procedures or those that are in the FDA approval process. CPT Nomenclature consist of descriptive terms, guidelines, and identifying codes for reporting medical services and procedures (Deborah Vines, 2013, pp.

this would be different coding they use between other countries and the United States. This is when I believe a patient comes to America with the disease already in them so they talk about it to others they use a code instead of just plainly saying it out loud in front of the patient.

Summary of Findings……………………………………………………………..………. 3 Background Information…………………………………………………….……............. 3 Problem Statement………………………………………………………………..…..…… 4 Analysis of Alternatives…………………………………………………………………… 4 Detailed Recommendations………………………………………………...……………... 5 Implementation and Evaluation…………………………………………………………… 6 References………………………………………………………………………………… 8 Appendix A.……………………………………………………………………………… 14

The outmoded coding professional’s role was to describe and apportion diagnosis, procedure, and other medicinal service codes using ICD-9-CM and HCPCS/CPT coding classifications while referencing the Coding Clinic for ICD-9-CM, Coding Clinic for HCPCS,

Therefore, these codes should be used to identify stable angina and documentation should support that diagnosis.

Computer science, combined with new, more detailed codes of ICD-10-CM, will allow for better analysis of disease patterns and treatment outcomes advancing medical care (aapc.com/ICD-10.) When using the new ICD-10 codes,

codes to be nationally accepted in crucial when dealing with different hospitals. Let's say you are an individual that was out of town, got