Procedural Coding Power point

Procedural Coding Power point - Overview An Administrative...

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An Administrative Medical Specialist’s duties vary with the size and type of facility where they are employed. In large to medium-sized facilities, an AMS may specialize in clinical coding of health information, or supervise and manage other coders in one or many different departments. In smaller facilities and ambulatory or outpatient clinics, the AMS will perform duties that include scheduling, registration, transaction entry, insurance billing, reimbursement, and even collection activities – and may also be responsible for ensuring the procedural and diagnostic codes used when billing insurance for reimbursement are correct. Overview
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Overview Consider this scenario: Audrey is out hiking when she steps on a rock and her right ankle buckles. She manages to limp back to the house, where she applies ice to the ankle and then goes to bed. The next morning, she finds she is unable to put much weight on her right leg and her ankle is swollen. She calls the doctor and makes an appointment for later that afternoon. (contd.) When Audrey sees her doctor, he examines her and has an X-ray series performed. After looking at the X-ray film and looking at Audrey's ankle, it is determined that she has a broken fibula, the small bone in her lower leg. You have learned that the doctor's determination or assessment is called a diagnosis. Right now we are more interested in what the doctor does next. Audrey's doctor sets the bone and then puts a cast on Audrey's leg, from her knee to her toes. This "boot cast" represents the procedure the doctor performs to fix his patient's problem. procedure
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Overview (contd.) You, as the AMS, filing Audrey's bill with the insurance company, probably wouldn't write, "cast, lower right leg" for the procedure her doctor performed. Instead, you would write the procedure or service code in the space for the procedure on the CMS-1500. This Unit will show you how to find current procedure codes by using the Current Procedural Terminology (CPT®) codebook or manual. In this Unit we will also discuss the history and use of CPT codes. We will examine the format of the CPT codebook and you will learn how to correctly use the CPT codebook to code for procedures. In addition, other coding systems, such as HCPCS and Volume III of the ICD-9-CM will be discussed. procedure or service code Current Procedural Terminology (CPT®)
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Objectives 1. Understand the terminology associated with procedural coding 2. Understand the use of the CPT® manual 3. Know the layout and format of the CPT® and HCPCS manual 4. Understand the symbols and other conventions of the CPT® 5. Know the purpose of the Guidelines and Notes in the CPT® 6. Know the purpose of the HCPCS Guidelines
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Objectives 7. Know the steps required to select an appropriate procedure or service code 8. Describe the placement of codes and modifiers on the CMS-1500 9. Define the proper use of modifiers 10. 11. Select procedural codes from sections of the CPT® for given scenarios and
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This note was uploaded on 02/21/2012 for the course CODEING unknown taught by Professor Unknown during the Spring '12 term at Joliet Junior College.

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Procedural Coding Power point - Overview An Administrative...

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