HIT 108 OC1 Coding Error Assignment

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Oakland Community College *

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108

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Industrial Engineering

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Dec 6, 2023

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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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