MCCG150 - Reimbursement Case Scenarios

MCCG150 – ICD Procedural Coding Reimbursement Case Scenarios This Assessment is part of the Case Scenarios category and is worth 15% of your grade. Deadline Due by the end of Week 6 at 11:59 pm, ET. (Saturday, 4/15/23 @ 11:59 PM Eastern Time) Completing this Assessment will help you to meet the following: Course Outcomes Understand and apply the appropriate MS-DRG/APR-DRG and how it impacts reimbursement. Directions For this assessment, you will be extracting data from a patient’s medical record and importing this information into the Health Information Management Coding Worksheet provided in the pages below. You will find all patient information within the following documents:  Operation Report Part 1  Operation Report Part 2  Operation Report Part 3  Operation Report Part 4  Patient Information  Health Information Management Coding Worksheet Instructions 1. List the diagnoses. Abstract all information from the patient’s medical record and all conditions that were treated and those that affect treatment according to ICD-10-CM coding guidelines. Code conditions abstracted using ICD-10-CM coding book and enter your data into the Health Information Management Coding Worksheet. 2. List the procedures. Abstract all significant operations and procedures performed during the admission from the patient’s medical record. Code all significant procedures using ICD-10-PCS procedure codes according to ICD-10-CM coding guidelines. You will enter your information into the Health Information Management Coding Worksheet. 3. Abstract any other information required from the patient’s record, including age, sex, discharge status, and length of stay, to completely fill out the Health Information Management Coding Worksheet. Operation Report Part 1

MCCG150 Reimbursement Coding Scenario 2

MCCG150 Reimbursement Coding Scenario 4 Operation Report Part 3

MCCG150 Reimbursement Coding Scenario 5 Operation Report Part 4 Patient Information Name: Faye M. Matthews DOB: 03/10/2011 Patient Address: 214 5 th Street North, St. Pete, Fla 32853 Phone: 822-742-5217 Sex: Female, Marital status: Single Medical Record Number: MM567932176 Health Information Management Coding Worksheet

MCCG150 Reimbursement Coding Scenario 7 MCCG150 Reimbursement Coding Scenario - Grading Rubric Criteria Exceeds Expectations Meets Expectations Needs Improvement Point s ICD-10- CM/PCS Code Identification 45 Points 45 - 43 points Student correctly assigned the ICD-10-CM/PCS code for the case. 42 - 38 points Student correctly assigned the ICD-10-CM/PCS code for at least either ICD-10-CM or PCS code. 37 – 0 points Student correctly assigned the ICD-10-CM/PCS code partial for at least either ICD-10-CM or PCS code. Errors and inaccuracies are present. Patient Demographic s Information 45 Points 45 - 43 points Student correctly assigned all patient demographics information. 42 - 38 points Student correctly assigned all patient demographics information for the patient medical record and name. 37 – 0 points Student correctly assigned all patient demographics information for a least patient name or address. Errors and inaccuracies are present. Mechanics & Grammar 10 Points 10 - 9 points Capitalization and punctuation are correct throughout the assessment. The assessment has no errors in mechanics, grammar, or spelling. 8 - 7 points Capitalization and punctuation are correct throughout the presentation and/or there are a couple of minor mistakes. The assessment has minor errors in mechanics, grammar, or spelling. 6 - 0 points There are several capitalization or punctuation errors in the presentation. The assessment has multiple errors in mechanics, grammar, or spelling. Instructor Comments: Total Points: