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Directions:Be sure to make an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct...

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Directions:Be sure to make an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English spelling and grammar. Sources must be cited in APA format. Your response should be four (4) pages in length; refer to the "Assignment Format" page for specific format requirements.

For this writing assignment, please explain why the following course objectives are important for medical billers and coders to understand:

  1. Explain the steps for accurate surgical and procedural coding in a hospital setting using ICD-10-PCS
  2. Explain E/M services and codes, assign CPT codes correctly, and use the CPT index
  3. Explain coding with HCPCS and describe federal laws, regulations, and penalties relating to coding compliance
  4. Explain how to review and analyze medical records and the importance of audits

Please include at least three scholarly articles within your response. Overall response will be formatted according to APA style

Answered 8 days After Apr 29, 2022

Solution

Dr. Saloni answered on May 08 2022
95 Votes
4
Questions and Answers
Contents
Answer 1    1
Answer 2    2
Answer 3    2
Answer 4    3
References    3
Answer 1
Step 1: Analyse the Report's Heade
It involves all that the provider state did and why.
Step 2: Analyse the CPT® Codebook
Evaluate the CPT® codebook to recognise the code options depending on the report's header details. Determine the disparities in the documentation and codes required to assist one service versus another.
Step 3: Analyse the Document or Report Details
One should determine everything that the document or report states (Chung et al., 2018).
Step 4: Develop a Preliminary Code selection
The focus is on making a preliminary code selection depending on documentation. It is preliminary since analysing the policies, guidelines, and so on may result in the elimination of some codes or the requirement for additional codes or modifiers.
Step 5: Analyze the Guidelines
Examine all applicable CPT® guidelines, such as parenthetical references, to confirm that all rules are enforced, supplemental, assisted facilities are captured, and so on.
Step 6: Analyze Policies and Remove Extras
To ensure that bundled services are properly eliminated.
Step 7: Add Essential Modifiers
For example, when there is no indication of which organ was repaired, a modifier is required to indicate which organ was repaired (Mandia, 2020).

Answer 2
E/M codes are the coding system that employs CPT codes ranging from 99202-to-99499 to depict services rendered by a skilled healthcare professional. CPT codes are an essential component of the billing process. E/M services have been cognitive in nature, with a skilled healthcare professional diagnosing and treating injury or illness (Roycroft, 2022).
There are CPT codes for almost everything a qualified health professional can do, and novel ones are introduced each year. Many CPT codes, similar to ICD codes, are organised by indentation. Each distinctive medical procedure or...
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