j.jodorigojacobsen_HIM2944-Module-02bethlong_02182024
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Rasmussen College, Saint Cloud *
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2944
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Mechanical Engineering
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Apr 3, 2024
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Directions: The purpose of this assignment is for you to exhibit your critical thinking skills by coding the medical chart. You are also required to complete the assignment by using the 3M encoder. Provide a screenshot from 3M of your work for questions 1 and 5. Your professor will evaluate your answers for coding guideline usage, communication from individual perspective, coding abstraction, sequencing and 3M encoder usage. Please provide all answers in the appropriate boxes listed below the questions.
1.
What is the principal diagnosis? What pathway did you take in order to code the condition properly? Please provide a screen shot of encoder usage for your answer.
2.
Given that you’ve provided the correct answer for question #1. Please list the instructional note listed in the tabular list to help support the ICD-10-CM code in question #1? Provide an explanation of why you feel the code listed for the principal diagnosis is appropriate.
3.
In the History and Physical the patient complains of left upper flank pain should this condition be coded? What coding guideline supports your decision? Explain.
4.
In the family history section of the history and physical the physician documents, “she has a brother with mild epilepsy” should this be coded why or why not? Explain.
5.
Given that the principal diagnosis is listed for question #1, please list all secondary diagnoses and the pathways. Please list all appropriate codes and give the proper sequence of the codes listed. Please provide a screenshot of encoder usage for your answer.
How to do a Screen Shot in a 3M encoder:
1.
Once you have completed finding the code for the answer you need, put your curser on the screen.
2.
Hold down the CTRL (control) key and hit your PRT SC (Print Screen) key at the same time. (You will not see anything happen.
3.
Go to your word document and paste the screen shot in the place where you need to have your answer.
Use additional code. To identify infectious agent. I feel this code fits the patients symptoms through the testing she had done and the outcome of her results with the antibiotics. She was slowly starting to feel better and the physician was only doing what was needed. No it shouldn’t the pain was ruled out with the testing and they had a result of why. There was a discharge diagnosis so the symptoms do not need to be coded.
No this does not, The patient was not tested for this and there was no documentation of the physician giving any education on this disease.
Secondary Diagnoses & Pathway: I wasn’t able to stay on the 3M website. When I tried coding I was given an error and it told me to exit the program. UTI N39.0
If you need further help with taking a Screen Shot, please call the Personal Support Center at 1-866-693-2211. They are available 24/7 and can walk you through what to do.
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