ipl-logo

M201 Unit 2 Errors In Research

517 Words3 Pages

As a former student in M201/M202, I have to admit that I was a bit intimidated at the size of the ICD-10 CM/PCS coding books. However, as we began learning about the guidelines and rules to coding it all started to come together. Last year’s transition to ICD-10 for the United States, had required changes for all health care systems. With that being said, coders were now required to code more detailed information which makes it available for more frequent errors. Therefore, in this discussion I will explain two examples of minor errors that I had trouble with in M201/M202. Example 1: As, we all know that coding for a pregnancy can be a bit overwhelming at times. Some minor errors that I came across would be understanding when and when not to apply the code O80 and making sure that I didn’t miss any detailed information. Also, I would forget the importance of distinguish the difference between an uppercase letter “O” and a zero. This would cause confusion and incorrect codes for my assignments. As a result, I started to pay more …show more content…

According to the rule in CMS, “A code from category I22, Subsequent ST elevation (STEMI) and non ST elevation (NSTEMI) myocardial infarction, is to be used when a patient who has suffered an AMI has a new AMI within the 4 week time frame of the initial AMI. A code from category I22 must be used in conjunction with a code from category I21. The sequencing of the I22 and I21 codes depends on the circumstances of the encounter.” (ICD-10-CM Official Guidelines for Coding and Reporting FY 2016 , 2016). As a co. I struggled with would be making sure I didn’t miss any details on when the patient had their initial AMI. Therefore, whenever I had an assignment with a patient who was being treated for an AMI, I would either go to my instructor for help or ask one of my

Show More
Related
508 Words | 3 Pages

Hence, medical practices are advised to do a cost-benefit analysis to determine if hiring more personnel will indeed prove helpful, or it is better to accept longer reimbursement cycles. Now think about the accuracy. It is not possible for coders to know if the assigned ICD-10 codes are proper, given their inexperience with the new code set. Also, there is little room for feedback since October 1 is right around the corner.

Read More
86 Words | 1 Pages

The ICD-10 and CPT codes are required to be submitted because the ICD-10 codes represent all diagnosis and the CPT codes represent all procedures performed. In order for the physician to get paid accurately and to be sure that patients are billed for everything they should be billed for they must both be submitted. Adding on, it is unethical to have a procedure done with no diagnosis because at that time the insurance company can choose to deny payment for that procedure without the proper

Read More
250 Words | 1 Pages

In most cases, the -59 modifier is used, although there are other acceptable modifiers. These modifiers must be supported by documentation in the medical record. No Modifiers: these code pairs should never be reported together, regardless of modifiers. Mutually Exclusive Code Pairs (MEC): these code pairs should not be reported together because they are mutually exclusive of each other.

Read More
458 Words | 2 Pages

Initially, facilities voluntarily used HCPCS codes, but with the implementation of HIPAA in 1996, facilities began to report HCPCS for transaction codes (Webb, 2012). CPT (Current Procedural Terminology) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations (Rouse, 2015). The HCPCS level II coding system has a selected standard coding system with a wide acceptance among both public and private insurers. The HCPCS level II codes set are alphanumeric code set and primarily include non-physician products, supplies, and procedures not included in CPT. For HCPCS to bill the and identify the service that are been used such as.

Read More
489 Words | 2 Pages

How ICD-10 impacts the revenue cycle management by Sashi Padarthy discusses the “opportunity” for facilities to improve on “clinical documentation, revenue cycle performance, and analytic capabilities for business intelligence” (Padarthy, July 2012, p. 7). Padarthy suggests the shift from ICD-9-CM to ICD-10 will require multi-departmental assessments to determine core factors within ICD-10 will that will directly influence coding, billing and reimbursement. Padarthy proposes facilities analyze their current diagnostic and procedural codes to assess whether their current codes accurately represent services provided. In addition, he asks facilities to determine “if an opportunity to leverage ICD-10” exists, and if so, what is needed; updated eligibility requirements, increased medical necessity

Read More
1183 Words | 5 Pages

This has been changed and as of present, the Centres of Medicaid and Medicare Services would be updating the system quarterly. The quarterly release of updates is intended to allow regular changes to be available to the health care facilities. This followed requests by some facilities for a faster incorporation of latest and more efficient systems into the existing coding system (Cms.gov, 2015). Currently, the HCPCS codes are generated internally. The generation takes place based on the national program operating needs.

Read More
284 Words | 2 Pages

HCPCS Level II codes commonly are referred to as national codes or by the acronym HCPCS, which stands for the Healthcare Common Procedure Coding System. HCPCS codes are used for billing Medicare and Medicaid patients and have been adopted by some third-party payers. These codes, updated and published annually by the Centers for Medicare and Medicaid Services (CMS), are intended to supplement the CPT coding system by including codes for nonphysician services, administration of injectable drugs, durable medical equipment (DME), and office supplies. The main terms are in boldface type in the index.

Read More
701 Words | 3 Pages

We all know that on October 1, 2015 ICD-9 will no longer be precise information in the coding world. It will soon be ICD-10. Which is considered a major long overdue upgrade. It will advance healthcare in many many ways.

Read More
404 Words | 2 Pages

There are thousands upon thousands of codes to choose wisely from. Without CPT codes a biller wouldn't be able to communicate with the insurance company to get reimbursed for services performed. CPT codes are used in unison with ICD codes to build a picture or story of what was performed on a patient. They are also used to track health

Read More
523 Words | 3 Pages

A core element of confidence building is showing the professionals how to value and use information adopted for coded data. This type of information has the power to describe medical necessity in support of admissions, readmission’s and continued stays. An example I would like to give is, by pinpointing

Read More
589 Words | 3 Pages

There are around 40,000 injury and poisoning codes in ICD-10 compared to a meager 2,600 in ICD-9. Even external cause of injury increased from 1,300 in ICD-9 to 6,800 in ICD-10. 3. ICD-10 will improve patient care. Let us clear this up a bit.

Read More
775 Words | 4 Pages

For instance, a simple mistake

Read More
421 Words | 2 Pages

In early October, I completed my critical care HESI. My HESI score was 605, which was the lowest HESI score I ever received. The HESI was very complicated in my opinion. After receiving feedback and reviewing the HESI result, I have chosen the top 3 areas that I am strongest and also areas that need to be improve on. The strongest areas of my critical HESI are musculoskeletal, physical assessment, and drug dosage calculation.

Read More
602 Words | 3 Pages

The difference: this type of coding is required for popular Medicare and Medicaid plans that have many patients. On October 14, 2015, all plans will work under ICD 10, which will improve medical billing by providing doctors with more information as to better diagnose clients (2015). Moreover, ICD 9 uses the outdated

Read More
1001 Words | 5 Pages

When going into the service learning project I did not know what to expect. I knew I would have to find the perfect way to communicate with other to get the best information possible. Asking questions about the process of choosing an EMR and problems that they had in the transition process was one of the topics I decided to further pursue. I was eager to learn how the clinic dealt with change and how it affected the environment of the clinic. I needed to ask different people in the clinic because though they used the same system, they each use a different part of the EMR, each for different reasons and for their particular job.

Read More

More about M201 Unit 2 Errors In Research

Open Document