Portfolio Project Directions and Rubrics

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Bryant & Stratton College *

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Mechanical Engineering

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Apr 3, 2024

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MCCG222 – Advanced CPT and HCPCS Level II Coding Portfolio Project Directions and Rubrics This Portfolio Project is worth 15% of your overall grade. Completing this Assessment will help you to meet the following: Course Outcome  Abstract and apply the advanced CPT and HCPCS level II classification requirements in accordance with the official coding guidelines. Program Outcome  Abstract information from medical charts to assign the correct diagnosis (ICD-10), procedure (CPT) and supply (HCPCS Level II) code in a variety of medical situations. Institutional Outcomes  Information Literacy and Communication - Utilize current technology and resources to locate and evaluate information needed to accomplish a goal, and then communicate findings in visual, written and/or oral formats.  Relational Learning - Transfer knowledge, skills, and behaviors acquired through formal and informal learning and life experiences to new situations.  Thinking Abilities - Employ strategies for reflection on learning and practice in order to adjust learning processes for continual improvement.  Community and Career - Participate in social, academic, and professional communities for individual growth and to function as a citizen of a multicultural world.  Quantitative and Scientific Reasoning - Follow established methods of inquiry and mathematical reasoning to form conclusions and make decisions. Scenario You are a physician's office Coding Educator for Premier Medical Group. As a Coding Educator, you are responsible for onboarding new Certified Coders. Certified Coders review patient records, identify what information they need to abstract from the documentation, and then assign the correct code(s) to that information. One of the important reasons for accurate assignment is to ensure that services rendered are reimbursed appropriately. As a Coding Educator, you have been tasked with creating a coding training aid for new Certified Coders that will contain codes for a patient's diagnosis, procedures completed, and drugs and supplies used. To create this training aid, you must review the provided patient's records, assign appropriate codes, and provide rationale as to why the selections were made. Directions For this project, you will review a patient's records, which will be provided in Blackboard over the next several weeks, and you will identify diagnosis codes, procedural codes, and drug and supply codes when applicable. You will record the identified codes in the Coding Template, which you will download in Blackboard. Each week, you will add additional codes to this

MCCG222 - Portfolio Project Directions and Rubrics 2 template. The complete template will serve as your coding training aid for new Certified Coders. Deadline Deliverable items for the Portfolio Project will be required at different points during the course. Details for each submission are included below in the Deliverable Descriptions. Deliverable Descriptions Week 2: Rodney Balbo's Emergency Room Visit  Due by the end of Week 2 at 11:59 pm, ET. 1. Download the Emergency Room Visit Note in Blackboard, review it, and then assign the appropriate ICD-10-CM, CPT, and/or HCPCS Level II code(s) on the template provided. 2. On the same template, in 250 words or more, reflect on your method for finding the codes for this patient. Describe your steps to ensure you have this coded properly. Week 3: Rodney Balbo's Office Visit  Due by the end of Week 3 at 11:59 pm, ET. 1. Download the Office Visit Note in Blackboard, review it, and then assign the appropriate ICD-10-CM, CPT, and/or HCPCS Level II code(s) by adding on to the template. 2. On the same template, in 250 words or more, reflect on your method for finding the codes for this patient. Describe your steps to ensure you have this coded properly. Week 4: Rodney Balbo's Imaging Service  Due by the end of Week 4 at 11:59 pm, ET. 1. Download the Imaging Service Note in Blackboard, review it, and then assign the appropriate ICD-10-CM, CPT, and/or HCPCS Level II code(s) by adding on to the template. 2. Using Medicare's website, determine whether or not the CPT has an active LCD and identify the LCD Article ID Number by adding on to the template. 3. On the same template, in 250 words or more, reflect on your method for finding the codes for this patient. Describe your steps to ensure you have this coded properly. Week 5: Rodney Balbo's Outpatient Surgery #1  Due by the end of Week 5 at 11:59 pm, ET. 1. Download the Outpatient Surgery #1 Note in Blackboard, review it, and then assign the ICD-10-CM, CPT, and/or HCPCS Level II code(s) by adding on to the template.

MCCG222 - Portfolio Project Directions and Rubrics 3 2. Assign the appropriate APC by adding on to the template. 3. On the same template, in 250 words or more, reflect on your method for finding the codes for this patient. Describe your steps to ensure you have this coded properly. Week 6: Rodney Balbo's Outpatient Surgery #2  Due by the end of Week 6 at 11:59 pm, ET. 1. Download the Outpatient Surgery #2 Note in Blackboard, review it, and then assign the appropriate ICD-10-CM, CPT, and/or HCPCS Level II code(s) by adding on to the template. 2. Assign the appropriate APC by adding on to the template. 3. On the same template, in 250 words or more, reflect on your method for finding the codes for this patient. Describe your steps to ensure you have this coded properly. Week 7: Final Submission to ePortfolio  Due by the end of Week 7 at 11:59 pm, ET. This is the final submission of your Portfolio Project. Incorporate instructor feedback, make any additional corrections, and submit to your ePortfolio. Upload your Portfolio Project to the Program Outcome in your ePortfolio listed below. Use the following naming convention: MCCG222 – Portfolio Project:  Abstract information from medical charts to assign the correct diagnosis (ICD-10), procedure (CPT) and supply (HCPCS Level II) code in a variety of medical situations. For directions on how to upload your project to your ePortfolio, please see Student Resources in Blackboard on the navigation pane.

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MCCG222 - Portfolio Project Directions and Rubrics 4 MCCG222 – Weeks 2-6 Portfolio Project Coding Template Rubric Criteria Exceeds Expectations Meets Expectations Needs Improvement Poi s Code Accuracy (60 points) 54 – 60 points All ICD-10-CM, HCPCS Level II, and CPT codes are accurately identified, and if applicable, the other area to be identified is correct. 42 - 53 points One ICD-10-CM, HCPCS Level II, or CPT code is inaccurately identified, or if applicable, the other area to be identified is incorrect. 0 – 41 points Two or more ICD-10-CM, HCPCS Level II, or CPT codes are inaccurately identified, and/or if applicable, the other area to be identified is incorrect. Reflection (30 points) 27 – 30 points Provides accurate, thorough, and detailed explanations of the code selections. Word count meets requirement of 250 words or more. 21 – 26 points Provides somewhat accurate, somewhat thorough, and somewhat detailed explanations of the code selections. Word count is 200-249 words. 0 – 20 points Provides inaccurate explanations and lacked detail on the code selections. Word count is less than 200 words. Mechanics (10 points) 9 – 10 points Makes minimal grammar, spelling, and punctuation errors. Errors do not distract reader or cloud meaning of the message. Writing is clear with no "text" or "chat" language. 7 – 8 points Makes several errors grammar, spelling, and punctuation errors. Errors do not distract or cloud the meaning of the message. Some "text" or "chat" language is used. 0 – 6 points Makes several errors grammar, spelling, and punctuation errors. Errors distract reader and/or cloud meaning of the message. Some "text" or "chat" language is used. Instructor Comments: Total Point s:

MCCG222 - Portfolio Project Directions and Rubrics 5

MCCG222 - Portfolio Project Directions and Rubrics 6 MCCG222 – Portfolio Project Final Submission Rubric Criteria Exceeds Expectations Meets Expectations Needs Improvement Point s Code Accuracy (60 points) 54 – 60 points All ICD-10-CM, HCPCS Level II, and CPT codes are accurately identified, and if applicable, the other area to be identified is correct. 42 - 53 points One ICD-10-CM, HCPCS Level II, or CPT code is inaccurately identified, or if applicable, the other area to be identified is incorrect. 0 – 41 points Two or more ICD-10-CM, HCPCS Level II, or CPT codes are inaccurately identified, and/or if applicable, the other area to be identified is incorrect. Reflections (30 points) 27 – 30 points All reflections provide accurate, thorough, and detailed explanations of the code selections. All reflections' word counts meet requirement of 250 words or more. 21 – 26 points Some reflections provide somewhat accurate, somewhat thorough, and somewhat detailed explanations of the code selections, and/or some reflections' word counts are 200-249 words. 0 – 20 points Some reflections provide inaccurate explanations, and lack detail on the code selection s, and/or some reflections' word counts are less than 200 words. Mechanics (10 points) 9 – 10 points Makes minimal grammar, spelling, and punctuation errors. Errors do not distract reader or cloud meaning of the message. Writing is clear with no "text" or "chat" language. 7 – 8 points Makes several errors grammar, spelling, and punctuation errors. Errors do not distract or cloud the meaning of the message. Some "text" or "chat" language is used. 0 – 6 points Makes several errors grammar, spelling, and punctuation errors. Errors distract reader and/or cloud meaning of the message. Some "text" or "chat" language is used. Instructor Comments: Total Points :

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