HIM1257 Ambulatory Coding Module 06 Written Assignment: H ow…

Question HIM1257 Ambulatory Coding Module 06 Written Assignment: H ow… HIM1257 Ambulatory Coding Module 06 Written Assignment: How Correct Coding affects Billing and ReimbursementInstructions: Each scenario is worth a potential 10 points. Points in parentheses are for each scenario. This assignment is worth a total of 30 points. Read each scenario and review the assigned codes. (The 3m encoder’s APC finder is useful to identify any billing edits.)Identify the error in the claim and explain why it might be improperly paid or denied (3 points)Describe how this error could be remedied (3 points)Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission. (4 points) A 90-year-old white female with a known history of hypertensive kidney disease is referred by her regular internal medicine physician for a cystoscopy. She was treated for urinary tract infection but microscopic hematuria is persistent. A cystourethroscopy was performed under general anesthesia. The urologist removed a small 0.6 cm tumor from the lateral wall of the bladder. The specimen was sent to pathology. A squamous cell carcinoma was diagnosed. Identify the error in the claim and explain why it might be improperly paid or denied (3 points) The reported diagnosis codes were: R31.21, C67.2, I12.9, N18.9The reported procedure codes were: 52000, 52234 Describe how this error could be remedied (3 points)   Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission. (4 points)  A 55-year-old female with a known history of varicose veins in the left leg presents to the clinic complaining of left ankle pain.  No know injury is recalled.  A short leg splint is placed for the patient’s comfort and to provide stability. She is advised to follow up in one week if there is no improvement.Identify the error in the claim and explain why it might be improperly paid or denied (3 points) The reported diagnosis codes were: S93.402A, I83.92The reported procedure codes were: 29515, 73090 Describe how this error could be remedied (3 points)                 Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission. (4 points)  A 67-year-old male established patient presents to the clinic complaining of chronic low back pain. The patient also noted urinary hesitation and cloudy appearing urine. A urine culture is ordered. The patient is advised to take acetaminophen for the pain and follow up in 3 days unless symptoms worsen. The physician spent approximately 15 minutes with the patient with low level medical decision making.Identify the error in the claim and explain why it might be improperly paid or denied (3 points) The reported diagnosis codes were: M54.5 The reported procedure codes were: 99213, 87086 Describe how this error could be remedied (3 points)Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission. (4 points)  Health Science Science Nursing HIM 1257 Share QuestionEmailCopy link Comments (0)