Medical coding
What each medical coding question is really asking, how to structure the answer, and where the marks are likely to sit.
AHIMA case study: NCCI edits and knee arthroscopy coding
Medical coding
A health information management case study on an internal audit finding two arthroscopy codes reported together for the same knee: whether the National Correct Coding Initiative permits it, and a process to ensure the arthroscopy guidelines are followed.
Assign CPT Codes: Digestive System Coding Exercise
Medical coding
Every statement is built around one code-determining variable — approach, age, extent, complexity — and finding it is the whole exercise.
CPT modifiers and their supporting documentation
Medical coding
Three linked parts in a short prompt: which modifier travels with documentation, a scenario that needs it, and what that documentation actually contains. The third is where most answers thin out.
Classification systems and computer-assisted coding
Medical coding
Four requirements, and the thread joining them is that a code is only as good as the documentation under it. The course outcome names appraising a record for deficiencies, which is the same idea.
DME coding exercise: DMECS, HCPCS and NDC codes
Medical coding
The lookups are quick; the marks are in the three questions underneath them, which are really asking why one HCPCS code maps to many NDC codes and what HIPAA does and does not standardise.
ICD-10-CM diagnostic coding: the first-listed diagnosis
Medical coding
Five outpatient cases testing one rule — uncertain diagnoses are not coded — and three of them are built so the obvious answer is the wrong one.
Nineteen words of prompt and two words of rubric. Provide details means the same service coded identically can pay 85 or 100 per cent depending on whose number is on the claim.
NU671 Unit 2 assigning a CPT E&M code for a new patient
Medical coding
An NU671-8L Unit 2 discussion post reviewing a supplied SOAP note as a new patient encounter, determining which CPT evaluation and management code applies, choosing between the time-based and medical decision making approaches, and — if using MDM — reporting history level, exam scope, and the three elements of medical complexity.
NU673: CPT E and M code and ICD-10 for a new patient
Medical coding
A discussion determining which CPT evaluation and management code and which ICD-10 diagnosis codes to assign for a new patient encounter involving a full physical and psychiatric intake on a 22 year old presenting with depressive symptoms, avoidance and physical anxiety symptoms, justifying the code through the medical decision making complexity approach by counting diagnoses and management options, assessing the amount and complexity of data reviewed and identifying the level of risk, and exploring how the assigned ICD-10 codes affect third party payor reimbursement.