Discuss common CPT coding errors and the methods used to minimize these issues. Identify accurate...

Question

Discuss common CPT coding errors and the methods used to minimize these issues. 	Identify accurate CPT code groupings and symbols. 	Apply the use of health information systems in the practice of the coding. 	Critique the accuracy of diagnostic and procedural coding through the principles and applications of classifications, taxonomies, nomenclatures, terminologies, clinical vocabularies, and auditing. 
	
Document Preview: Unit 9 Assignment:  Unit outcomes addressed in this Assignment: Discuss common CPT coding errors and the methods used to minimize these issues. Identify accurate CPT code groupings and symbols. Apply the use of health information systems in the practice of the coding.Critique the accuracy of diagnostic and procedural coding through the principles and applications of classifications, taxonomies, nomenclatures, terminologies, clinical vocabularies, and auditing. Course outcomes addressed in this Assignment:HI253-4:  Summarize the features of health information systems used for quality coding practices.  HI253-5:  Appraise a health record for deficiencies needed for quality coding.  AHIMA’s Professional Coding Approved Program (PCAP) Mapping:Domain I. Data Content, Structure & Standards (Information Governance)Subdomain I.A Classification Systems1. Apply diagnosis/procedure codes according to current guidelines (Bloom's Level 3)Classification SystemsICD (ICD-9-CM, ICD-10, ICD-10-CM/PCS)TaxonomiesClinical Care Classification (CCC)NomenclaturesCPT, DSM, RxNormTerminologiesLOINC, SNOMED CT                                                   	Instructions: Part 1: Common CPT Coding Errors:  Complete the Assignment Worksheet labeled Part 1 by answering the short answer questions including the Discussion Board question on CTP errors and ways in which to minimize those errors.  Part 2: CPT Codes and Symbols:  Complete the Assignment Worksheet labeled Part 2 by answering the listed questions.  Part 3:  Nuance Quantim and 3M Encoders: A. Please access the AHIMA’s Virtual Laboratories (VLabs) at   HYPERLINK "http://academy.ahima.org/" http://academy.ahima.org/ website. Within the Virtual Lab, go to the Virtual Lab simulations (Help and Support tab) and open the Nuance Quantim Encoder simulation and complete simulation. Once completed, take a screen shot of the completion page and attach to the appropriate Part 3 section of the Assignment...

Robert · Accepted Answer

Unit 9 Assignment 
Part 1: Common CPT Coding Errors 
Provide short answers to the following questions:
A. Mary Kelley, a patient of the Good Health Clinic, asked Kathleen Culpepper, the 
employee who handles medical coding and billing, to help her out of a tough financial spot. 
Her medical insurance authorized her to receive four radiation treatments for her condition, 
one every 35 days. Because she was out of town, she did not schedule her appointment for 
the last treatment until today, which is one week beyond the approved period. The insurance 
company will not reimburse Mary for this procedure.  
She asks Kathleen to change the date on the record to last Wednesday so that it will be 
covered, explaining that no one will be hurt by this change and, anyway, she pays the 
insurance company plenty.
1. What type of action is Mary asking Kathleen to do?   
Answer:- 
She is asking to break the health care ethics of hospitality unit for her personal benefit 
because she thinks that she is playing plenty of money too insurance company.
2.  How should Kathleen handle Mary’s request?   
Answer:- 
She can politely convey her about the code of ethics of the health care system in which she is 
woking.
B. Is intentionally coding for services that were not performed considered fraud or considered 
abuse?  Explain your answer: 
Answer:- 
It can be considered fraud, because if the coding of services were not performed properly, it 
can mislead the system and will make bad reputation for the management as well as people.   
C. What specific office of the federal government enforces health-care fraud and abuse?  
Answer:- 
There are mainly five 5 federal & abuse law which enforces health-care fraud and abuse. 
Claiming for the payment although the treatment has not been done or which is false.  
D. Determining a patient’s insurance information will help the coder decide whether a 
HCPCS level I or Level II code is needed.  Why is this? 
Answer:-  
Patient’s insurance information will help the coder to choose the facility which the person has 
got for his health care insurance plan. This will help to choose whether HCPCS level I or 
Level II code is needed,

Discuss common CPT coding errors and the methods used to minimize these issues. Identify accurate CPT code groupings and symbols. Apply the use of health information systems in the practice of the...

Solution

Answer To This Question Is Available To Download

Related Questions & Answers

Submit New Assignment