HIT 108 OC1 Coding Error Assignment
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Oakland Community College *
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Course
108
Subject
Industrial Engineering
Date
Dec 6, 2023
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docx
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HIT 108 OC1
Spring 2021
Coding Error Assignment
12 Points
Due 4/23/21 at 11:59pm via D2L Assignments Submission Folder
CAHIIM Curriculum
AHIMA Entry-Level Competencies for Health Information Management (HIM)
at the Associate Degree Level
Domain
Bloom’s
Level
Entry-Level Competencies
IV.
Revenue Cycle
Management
3
Validate
5
Determin
e
IV.1. Validate assignment of diagnostic and procedural
codes and groupings in accordance with official
guidelines.
IV.1. RM Determine diagnosis and procedure codes
according to official guidelines.
As the coding manager at a facility in Ohio, you receive accounts from the billing department
with potential coding issues prior to billing. It is your job to investigate the account and ensure
the proper codes have been assigned. Today, there is a medical necessity edit that has not been
cleared concerning Epoetin administration. The codes assigned to this outpatient account were:
First-listed diagnosis: I10
Secondary diagnoses: N18.6
D64.9
E10.9
T82.868A
1.
Read the following information from this chart and discuss in detail what the coding
error(s) is(are).
Assigned:
I10
o Corrected: First-listed Diagnosis = T82.868A - thrombosis due to
vascular prosthetic devices, implants and grafts.
Assigned: N18.6
o Corrected: Secondary Diagnosis = I12.0 - hypertensive chronic kidney
disease with stage 5 chronic kidney disease or end stage renal disease.
Assigned: D64.9
o E11.22 - type 2 diabetes with diabetic chronic kidney disease.
Assigned: E10.9
o Corrected: N18.6 - end stage renal disease
Assigned: T82.868A
o Corrected: Z99.2 - dependence on renal dialysis
2. Modify the coding so that you will be able to clear the medical necessity edit based on the
documentation.
Patient Name: Joe Smith
MR#3654777
Acct. # 0000325414
DOS: 10/28/19
Discharge date: 10/29/19
Mr. Smith arrives today with thrombosis of his AV graft. He was unable to receive his dialysis
treatment today and will undergo a thrombectomy procedure to restore graft function. He is a 54-
year-old with hypertension and diabetes taken to the OR and prepped and draped in the usual
sterile fashion. An incision was made permitting access to the graft. A graftotomy was done and
Fogarty catheter inserted to pull back the thrombosis. After successful removal of the
thrombosis, an injection was performed of the anastomotic area to ensure that the graft was
functional. Incision into the graft was then closed, as was the access incision. Patient was taken
to the recovery room in stable condition. He will be observed overnight, and receive his dialysis
tomorrow prior to discharge. He is also to receive an injection of Epoetin for his anemia of CKD.
Answer: The codes that were assigned the first time around do not give enough detail,
which did not justify the medically necessary procedures.
The new codes listed above
should give the detail needed to justify the procedures.
Your assignment will be graded based on the following rubric:
Criteria
Mastery Level
6 points
Intermediate Level
4 points
Novice Level
2 points
Scor
e
Coding
Errors
All coding errors are
identified.
One coding error is not
identified.
Two coding errors
are not identified.
Modification
s of Coding
Assignments
with Regards
to the First-
listed
Diagnosis
and
Secondary
Diagnoses
1. The first-listed
diagnosis is correctly
assigned.
2. All the secondary
diagnoses are
correctly assigned.
3. All the secondary
diagnoses are
correctly sequenced.
One of the following
elements is not
included:
1. The first-listed
diagnosis is correctly
assigned.
2. All the secondary
diagnoses are correctly
assigned.
3. All the secondary
diagnoses are correctly
sequenced.
Two of the following
elements are not
included:
1. The first-listed
diagnosis is
correctly assigned.
2. All the secondary
diagnoses are
correctly assigned.
3. All the secondary
diagnoses are
correctly sequenced.
Total
Comments
Anemia due to CKD should have been identified as an error
and coded!
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