chapter 10 workbook

Principles of Healthcare Reimbursement and Revenue Cycle Management Student Workbook Chapter 10 Beginner Exercises 1. Key Term Crossword Puzzle (Level 1—Remembering) Fill in the crossword puzzle with chapter 10 key terms by using the provided hints. 2. Understanding CDM Structure (Level 2—Understanding) Complete the following table using information from the text. Copyright ©2021 by the American Health Information Management Association. All rights reserved.

Principles of Healthcare Reimbursement and Revenue Cycle Management Student Workbook Chapter 10 CDM Element Description (in your own words) Hospital-specific or Standard for all facilities Charge code Number or letter code assigned to specific services or procedures. Hospital specific Department code Number that is assigned to specific department that provide services. Hospital specific Revenue code Code with 4-digit numbers that are hospital bills for insurance companies to see what services where performed. Standard Charge description The list of what a patient, provider or payer can be billed for. Hospital specific Charge Amount that a provider wants to be paid for a certain service. Hospital specific Modifier Code that physicians use to document a medication or procedure that has been altered in a specific situation, though not changed. Standard Charge status indicator Shows whether or not a line item is active or not. Standard Payer identifier Unique ID for insurance company to verify the eligibility. Standard 3. Understanding Code Set Usage (Level 2—Understanding) The following grid provides different provider types and healthcare setting combinations. Insert the code set(s) that would be applicable for reporting diagnoses and procedures in that setting. Healthcare Provider/Setting Scenarios Diagnosis Procedure Physician providing a consultation to a patient in an acute care hospital ICD-10-CM CPT Hospital same day surgery unit reporting an outpatient admission for percutaneous transluminal coronary angioplasty (PTCA) ICD-10-CM CPT Facility reporting an inpatient admission for hip replacement surgery ICD-10-CM ICD-10-PCS Physician seeing a patient in ICD-10-CM CPT Copyright ©2021 by the American Health Information Management Association. All rights reserved.