How would you select the ICD-9 and CPT codes for the procedural claim (encounter) for the ED visit? “EHR Coding and Reimbursement”
Recall an encounter with a patient that had a particular impact on you, that you remember vividly. Relate the encounter to the series of questions identified by John’s Model and consider whether you now understand the situation any better than you did before or whether you have you gained a greater understanding of ‘personal knowing’ or the impact that you had in the encounter.
February 5, 2021Provide empirical evidence to support three (3) ways a masters-prepared nurse would use the AACN Essentials in practice. A minimum of two (2) current scholarly articles no older than 5 years old are required in this section of the presentation.
February 5, 2021How would you select the ICD-9 and CPT codes for the procedural claim (encounter) for the ED visit? “EHR Coding and Reimbursement”
How would you select the ICD-9 and CPT codes for the procedural claim (encounter) for the ED visit?
“EHR Coding and Reimbursement”
A 16-year-old female who has asthma has an Emergency Department visit for angina, shortness of breath, and wheezing. The doctor performs a chest x-ray, breathing treatments, and a Nuclear Medicine Stress Test utilizing a treadmill while monitoring the patient’s heart palpitations. While the patient is in the ED, the doctor evaluates her asthma and changes her prescription medication.
Review the chapter and consider the following questions:
1. How would you select the ICD-9 and CPT codes for the procedural claim (encounter) for the ED visit?
2. What diagnosis and procedure codes will result in full reimbursement for the procedures rendered?
3. How will the claim demonstrate the medical necessity for the exams?
After reading the required chapter on EHR Coding and Reimbursement complete and submit the following:
-Begin your case study with an introduction explaining the purpose of the case study.
-Explain and answer the questions listed above. Be descriptive on the steps necessary to perform the above scenario. Defend your response and use terminology related to the scenario.
-Describe billing upcoding and downcoding. Describe the penalties related to performing these tasks. Is there a chance for the scenario listed above to be upcoded or downcoded? Explain your response.
Important reminder: Do not forget to include a reference page, including all sources cited in your essay. The essay requires a minimum 700 word response, SINGLE-spaced (1.0) in Times New Roman 12 pt font.
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