HCR 201 Coding Analysis
docx
keyboard_arrow_up
School
University of Phoenix *
*We aren’t endorsed by this school
Course
201
Subject
Mechanical Engineering
Date
Apr 3, 2024
Type
docx
Pages
4
Uploaded by PresidentTeam14266
HCR 201 Medical Billing and Coding: Week 2 Summative Assessment: Coding Analysis 2/20/2024 ICD-10
CPT
HCPCS
Description and Purpose of Code Set
ICD-10, the International Classification of Diseases, 10
th
Edition, is a globally adopted code set designed to systematically classify and code various diseases, medical conditions, and procedures. Its alphanumeric codes offer a precise and standardized means of documenting health information, enhancing communication among healthcare professionals, insurers, researchers, and policymakers. ICD-10 plays a vital role in improving the accuracy of billing, facilitating epidemiological research, and supporting effective healthcare data management on an international level.
CPT, or Current Procedural Terminology, is a standardized set
of medical codes established by the American Medical Association. These codes serve the purpose of providing a consistent language for reporting a range of medical procedures and services performed by healthcare professionals. Used extensively in the United States, CPT codes play a vital role in accurately documenting and communicating information for billing, insurance reimbursement,
and statistical analysis within the healthcare system. Category I corresponds to specific procedures or services. Category II codes are optional and used for
performance measurement. Category III are temporary alphanumeric codes that represent new and developing technology.
The Healthcare Common Procedure Coding System (HCPCS) is a standardized set of codes used in the United States to report and bill medical services
to Medicare and other health insurance programs. Developed by the Centers for Medicare and Medicaid Services (CMS), HCPCS has two levels. Level I codes align with Current Procedural Terminology (CPT) and cover procedures like physician visits and surgeries. Level II codes, alphanumeric in nature, encompass a broader range, including durable medical equipment and medications. HCPCS aims to provide a consistent coding system for streamlined communication, billing, and reimbursement, particularly within government healthcare programs.
How Code is Used
The ICD-10 is used as a standardized system for classifying and coding various diseases, conditions, and medical procedures. The primary uses of ICD-10 include:
The CPT is utilized in various ways
within the healthcare industry:
1.
Procedural Coding: CPT codes are employed to represent and document medical procedures and The HCPCS is used in various ways in the healthcare industry:
1.
Coding for Medicare and Medicaid Services: HCPCS
Level II codes are used to identify and code a wide
1.
Diagnostic Coding: ICD-10
codes are used by healthcare providers to document and represent patient diagnoses accurately. These codes are essential for maintaining comprehensive and standardized health records.
2.
Billing and Reimbursement: Health Insurance claims require 1CD-10 codes to accurately reflect the medical conditions and procedures associated with a patient’s treatment.
3.
Clinical Decision-Making: Healthcare professionals use ICD-10 codes to communicate effectively about patient’s health conditions and to make informed decisions regarding treatment plans and interventions.
services performed by healthcare professionals. These codes cover a wide
range of activities, including surgeries, diagnostic tests, office visits, and other medical interventions.
2.
Billing and Reimbursement: CPT codes play a crucial role in the billing process. When healthcare services
are provided, CPT codes are assigned to accurately describe the procedures performed. These codes are then used on insurance claims to facilitate billing and ensure proper reimbursement from insurance providers.
3.
Communication Between
Healthcare Providers: CPT codes provide a standardized language for healthcare professionals to communicate about the services they deliver. This
helps ensure clarity and precision in conveying information related to range of healthcare services, supplies, and equipment not covered by CPT codes. These codes are particularly important for billing and reimbursement under Medicare and Medicaid.
2.
Durable Medical Equipment (DME) Coding: HCPCS Level II includes codes specifically for DME, such
as wheelchairs, crutches, and medical supplies. 3.
National Uniform Billing (NUB) Form: HCPCS codes are used on the NUB claim form, which is often utilized for institutional billing, such as in hospitals. 4.
Medicare Advantage Plan
Billing: HCPCS codes are used for billing services covered by Medicare Advantage plans.
5.
State Medicaid Programs:
HCPCS codes are widely used in state Medicaid programs to code and bill
for various healthcare services and supplies.
6.
Coding for Ambulance
medical procedures and treatments.
Services: HCPCS Level II includes codes for ambulance services.
Examples of Each Code Set
ICD-10-CM:
L51.1
– Stevens-Johnson syndrome
B35.9
- Dermatophytosis, unspecified Ringworm NOS
ICD-10-PCS:
6A750Z4
– Dialysis of blood, single vessel, arteriovenous shunt
0FB03ZX
– Resection of prostate, percutaneous approach, no device
CPT Codes:
25392
– Osteoplasty, radius AND ulna; shortening (excluding 64876)
88360
– Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor),
quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual
99202
– new patient office visit, 15 minutes met or exceeded
00566
– Anesthesia for direct coronary artery bypass grafting; without pump oxygenator
HCPCS:
C8910 – Magnetic resonance angiography without contrast, chest (excluding myocardium)
G0305
– Post-discharge pulmonary surgery services after LVRS, minimum of 6 days of services
L5700
– Replacement, socket, below knee, molded to patient model
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help
References
American Medical Association. (2023). CPT Professional 2024
. American Medical Association.
CPT® overview and code approval
. (n.d.). American Medical Association. Retrieved February 20, 2024, from https://www.ama-assn.org/practice-management/cpt/cpt-overview-and-code-approval
HCPCS - General Information
. (n.d.). CMS. Retrieved February 20, 2024, from https://www.cms.gov/medicare/coding-billing/healthcare-
common-procedure-system
HCPCS Level II Expert 2024
. (2023). AAPC.
ICD-10-CM Complete Code Set 2024
. (2023). AAPC.
Valerius, J., Bayes, N., Newby, C., & Blochowiak, A. (2019). Loose Leaf for Medical Insurance: A Revenue Cycle Process Approach
. McGraw-Hill Education.
What Is ICD-10?
(n.d.). AAPC. Retrieved February 20, 2024, from https://www.aapc.com/resources/what-is-icd-10
Related Documents
Related Questions
I need help coding in MATLAB. I have a .txt file containing the following data. That data is saved in a file named data.txt. I am wondering how I could extract all or some of that data into another .m file. Can you show me the code.
[[5.0018696581196584, 17.863820207570207, -13.086858974358975], [5.0018696581196584, 17.863820207570207, -13.086858974358975], [5.0018696581196584, 17.863820207570207, -13.086858974358975]]
arrow_forward
Pearson eText
Study Area
Access Pearson
mylabmastering.pearson.com
P Pearson MyLab and Mastering
Problem 15.6
P Course Home
b Answered: HW_02.pdf EE 213-01 > Assignments HW_#...
3 of 8
■ Review
Document Sharing
User Settings
The jet plane has a mass of 250 Mg and a horizontal
velocity of 100 m/s when t = 0.
Part A
If both engines provide a horizontal thrust which varies as shown in the graph in (Figure 1), determine the plane's velocity in 5 s.
Neglect air resistance and the loss of fuel during the motion.
Express your answer to three significant figures and include the appropriate units.
Figure
1 of 1
>
☐
μÅ
?
v =
Value
Units
Submit
Request Answer
Provide Feedback
Next >
arrow_forward
I need help solving this problem.
arrow_forward
Chapter 12 - Lecture Notes.pptx: (MAE 272-01) (SP25) DY...
Scores
arrow_forward
Access Pearson
mylabmastering.pearson.com
P Pearson MyLab and Mastering
Problem 15.43
P Course Home
b Answered: HW_02.pdf EE 213-01 > Assignments HW_#...
Pearson eText
Study Area
Document Sharing
User Settings
The 20-g bullet is travelling at 400 m/s when it becomes
embedded in the 2-kg stationary block. The coefficient of
kinetic friction between the block and the plane is
μk = 0.2. (Figure 1)
Part A
Determine the distance the block will slide before it stops.
Express your answer to three significant figures and include the appropriate units.
Figure
1 of 1
με
S =
Value
Units
Submit
Request Answer
Provide Feedback
?
4 of 8
Review
Next >
arrow_forward
K
mylabmastering.pearson.com
Chapter 12 - Lecture Notes.pptx: (MAE 272-01) (SP25) DY...
P Pearson MyLab and Mastering
Mastering Engineering
Back to my courses
Course Home
Scores
Course Home
arrow_forward
Can someone please help me to answer all of the following questions thank you!!
arrow_forward
A nearsighted eye is corrected by placing a diverging lens in front of the eye. The lens will create a virtual image of a distant object at the far point (the farthest an object can be from the eye and still be in focus) of the myopic viewer where it will be clearly seen. In the traditional treatment of myopia, an object at infinity is focused to the far point of the eye. If an individual has a far point of 39.5 cm, prescribe the correct power of the lens that is needed. Assume that the distance from the eye to the lens is negligible.
arrow_forward
Q1 please
arrow_forward
sample calculations
目
File Edit View Insert Format Data To
100%
$ % .0
.00 12:
fx |
A
1
Variable
Value
Units
diameter
height
m
4
volume
m^3
3
The image above shows a section of a Google sheet. What formula should be written in cell
B4 to calculate the volume of a cylinder with a diameter value in B2 and height in B3?
a) =0.25*PI()*B2^2 * B3
b) =PI()*B2^2 * B3
c) =pi*diameter^2 * height
d) =PI*B2^2 * B3
3 5
arrow_forward
Part III Capstone Problem
Interactive Physics - [Lab7Part3.IP]
Eile Edit World View Object Define Measure Script Window Help
Run StoplI Reset
圖|& 品凸?
Time
Length of Spring 22
6.00
dx
Center of Mass of Rectangle 2
5.000
Tension of Rope 3
Jain@
IFI
... N
ot
rot
***lad
Split
4.000
Velocity of Center of Mass of Rectangle 2
Vx Vx
V Vy
MM
Ve
- m/s
m/s
3.00
*** m/s
Vo
..* lad/s
2 00
Center of Mass of Rectangle 1
1.000
tol
rot
*.* rad
EVelocity of Center of Mass of Rectangle 1
Vx Vx
VVy
M
0.000
-m/s
w 30
m/s
w..
MI
Ve
母100
*** m/s
Vo
... rad/s
+
EAcceleration of Center of Mass of Rectangle 1
Ax Ax
A Ay
AUJAI
Ae
--- m/s^2
... m/s^2
-- m/s^2
.-- rad/s^2
3.00
Aø
Mass M1 = 2.25 kg is at the end of a rope that is 2.00 m in length. The initial angle with
respect to the vertical is 60.0° and M1 is initially at rest. Mass M1 is released and strikes M2
= 4.50 kg exactly horizontally. The collision is elastic. After collision, mass M2 is moving on
a frictionless surface, but runs into a rough patch 2.00…
arrow_forward
What would be the analysis of the given table or graph?
arrow_forward
permanent-magnet (pm) genera x
Bb Blackboard Learn
L STAND-ALONE.mp4 - Google Dri x
O Google Drive: ülwgjuó jc lis u
O ME526-WindEnergy-L25-Shuja.p x
O File | C:/Users/Administrator/Desktop/KFUPM%20Term%232/ME526/ME526-WindEnergy-L25-Shuja.pdf
(D Page view
A Read aloud
T) Add text
V Draw
Y Highlight
O Erase
17
of 26
Wind Farms
Consider the arrangement of three wind turbines in the following schematic in which wind
turbine C is in the wakes of turbines A and B.
Given the following:
- Uo = 12 m/s
A
-XẠC = 500 m
-XBC = 200 m
- z = 60 m
- Zo = 0.3 m
U.
-r, = 20 m
B
- CT = 0.88
Compute the total velocity deficit, udef(C) and the velocity at wind turbine C, namely Vc.
Activate Windows
Go to Settings to activate Windows.
Wind Farms (Example Answer)
5:43 PM
A 4)) ENG
5/3/2022
I!
arrow_forward
Study Area
Document Sharing
User Settings
Access Pearson
mylabmastering.pearson.com
P Pearson MyLab and Mastering
The crash cushion for a highway barrier consists of a
nest of barrels filled with an impact-absorbing material.
The barrier stopping force is measured versus the vehicle
penetration into the barrier. (Figure 1)
Part A
P Course Home
b My Questions | bartleby
Review
Determine the distance a car having a weight of 4000 lb will penetrate the barrier if it is originally traveling at 55 ft/s when it
strikes the first barrel.
Express your answer to three significant figures and include the appropriate units.
Figure
1 of 1
36
μΑ
S =
Value
Units
Submit
Request Answer
Provide Feedback
?
Next >
arrow_forward
Chrome
File
Edit
View
History
Bookmarks
People
Tab
Window
Help
McGraw-Hill Campus - ALEKS Science - CHM1045 GEN CHEM 1 BLENDED 669113
A bconline.broward.edu/d21/le/content/466883/fullscreen/12868783/View
McGraw-Hill Campus - ALEKS Science
O GASES
Interconverting pressure and force
A chemistry graduate student is designing a pressure vessel for an experiment. The vessel will contain gases at pressures up to 470.0 MPa. The student's
design calls for an observation port on the side of the vessel (see diagram below). The bolts that hold the cover of this port onto the vessel can safely withstand
a force of 2.80 MN.
pressure vessel
bolts
side
View
port
Calculate the maximum safe diameter w of the port. Round your answer to the nearest 0.1 cm.
O cm
Explanation
Check
O2021 McGraw-Hill Education. All Rights Reserved. Terms of Use
FEB
arrow_forward
I am trying to plot an orbit in MATLAB. There is something wrong with my code because the final values I get are incorrect. The code is shown below. The correct values are in the image.
mu = 3.986*10^5; % Earth's gravitational parameter [km^3/s^2]
% Transforming orbital elements to cartesian coordinate system for LEOa_1 = 6782.99;e_1 = 0.000685539;inc_1 = 51.64;v_1 = 5;argp_1 = 30;raan_1 = 10;
[x_1, y_1, z_1, vx_1, vy_1, vz_1] = kep2cart(a_1, e_1, inc_1, raan_1, ... argp_1, v_1);
Y_1 = [x_1, y_1, z_1, vx_1, vy_1, vz_1];
% time_span for two revolutions (depends on the orbit)t1 = [0 (180*60)];
% Setting tolerancesoptions = odeset('RelTol',1e-12,'AbsTol',1e-12);
% Using ODE45 to numerically integrate for LEO[t_1, state_1] = ode45(@OrbitProp, t1, Y_1, options);
function dYdt = OrbitProp(t, Y)
mu = 3.986*10^5; % Earth's gravitational parameter [km^3/s^2]
% State Vector
x = Y(1); % [km]
y = Y(2); % [km]
z = Y(3); % [km]
vx = Y(4);…
arrow_forward
I need help with problems 1, 2, and 3 pertaining to the print provided below.
arrow_forward
SEE MORE QUESTIONS
Recommended textbooks for you

Elements Of Electromagnetics
Mechanical Engineering
ISBN:9780190698614
Author:Sadiku, Matthew N. O.
Publisher:Oxford University Press

Mechanics of Materials (10th Edition)
Mechanical Engineering
ISBN:9780134319650
Author:Russell C. Hibbeler
Publisher:PEARSON

Thermodynamics: An Engineering Approach
Mechanical Engineering
ISBN:9781259822674
Author:Yunus A. Cengel Dr., Michael A. Boles
Publisher:McGraw-Hill Education

Control Systems Engineering
Mechanical Engineering
ISBN:9781118170519
Author:Norman S. Nise
Publisher:WILEY

Mechanics of Materials (MindTap Course List)
Mechanical Engineering
ISBN:9781337093347
Author:Barry J. Goodno, James M. Gere
Publisher:Cengage Learning

Engineering Mechanics: Statics
Mechanical Engineering
ISBN:9781118807330
Author:James L. Meriam, L. G. Kraige, J. N. Bolton
Publisher:WILEY
Related Questions
- I need help coding in MATLAB. I have a .txt file containing the following data. That data is saved in a file named data.txt. I am wondering how I could extract all or some of that data into another .m file. Can you show me the code. [[5.0018696581196584, 17.863820207570207, -13.086858974358975], [5.0018696581196584, 17.863820207570207, -13.086858974358975], [5.0018696581196584, 17.863820207570207, -13.086858974358975]]arrow_forwardPearson eText Study Area Access Pearson mylabmastering.pearson.com P Pearson MyLab and Mastering Problem 15.6 P Course Home b Answered: HW_02.pdf EE 213-01 > Assignments HW_#... 3 of 8 ■ Review Document Sharing User Settings The jet plane has a mass of 250 Mg and a horizontal velocity of 100 m/s when t = 0. Part A If both engines provide a horizontal thrust which varies as shown in the graph in (Figure 1), determine the plane's velocity in 5 s. Neglect air resistance and the loss of fuel during the motion. Express your answer to three significant figures and include the appropriate units. Figure 1 of 1 > ☐ μÅ ? v = Value Units Submit Request Answer Provide Feedback Next >arrow_forwardI need help solving this problem.arrow_forward
- Chapter 12 - Lecture Notes.pptx: (MAE 272-01) (SP25) DY... Scoresarrow_forwardAccess Pearson mylabmastering.pearson.com P Pearson MyLab and Mastering Problem 15.43 P Course Home b Answered: HW_02.pdf EE 213-01 > Assignments HW_#... Pearson eText Study Area Document Sharing User Settings The 20-g bullet is travelling at 400 m/s when it becomes embedded in the 2-kg stationary block. The coefficient of kinetic friction between the block and the plane is μk = 0.2. (Figure 1) Part A Determine the distance the block will slide before it stops. Express your answer to three significant figures and include the appropriate units. Figure 1 of 1 με S = Value Units Submit Request Answer Provide Feedback ? 4 of 8 Review Next >arrow_forwardK mylabmastering.pearson.com Chapter 12 - Lecture Notes.pptx: (MAE 272-01) (SP25) DY... P Pearson MyLab and Mastering Mastering Engineering Back to my courses Course Home Scores Course Homearrow_forward
- Can someone please help me to answer all of the following questions thank you!!arrow_forwardA nearsighted eye is corrected by placing a diverging lens in front of the eye. The lens will create a virtual image of a distant object at the far point (the farthest an object can be from the eye and still be in focus) of the myopic viewer where it will be clearly seen. In the traditional treatment of myopia, an object at infinity is focused to the far point of the eye. If an individual has a far point of 39.5 cm, prescribe the correct power of the lens that is needed. Assume that the distance from the eye to the lens is negligible.arrow_forwardQ1 pleasearrow_forward
- sample calculations 目 File Edit View Insert Format Data To 100% $ % .0 .00 12: fx | A 1 Variable Value Units diameter height m 4 volume m^3 3 The image above shows a section of a Google sheet. What formula should be written in cell B4 to calculate the volume of a cylinder with a diameter value in B2 and height in B3? a) =0.25*PI()*B2^2 * B3 b) =PI()*B2^2 * B3 c) =pi*diameter^2 * height d) =PI*B2^2 * B3 3 5arrow_forwardPart III Capstone Problem Interactive Physics - [Lab7Part3.IP] Eile Edit World View Object Define Measure Script Window Help Run StoplI Reset 圖|& 品凸? Time Length of Spring 22 6.00 dx Center of Mass of Rectangle 2 5.000 Tension of Rope 3 Jain@ IFI ... N ot rot ***lad Split 4.000 Velocity of Center of Mass of Rectangle 2 Vx Vx V Vy MM Ve - m/s m/s 3.00 *** m/s Vo ..* lad/s 2 00 Center of Mass of Rectangle 1 1.000 tol rot *.* rad EVelocity of Center of Mass of Rectangle 1 Vx Vx VVy M 0.000 -m/s w 30 m/s w.. MI Ve 母100 *** m/s Vo ... rad/s + EAcceleration of Center of Mass of Rectangle 1 Ax Ax A Ay AUJAI Ae --- m/s^2 ... m/s^2 -- m/s^2 .-- rad/s^2 3.00 Aø Mass M1 = 2.25 kg is at the end of a rope that is 2.00 m in length. The initial angle with respect to the vertical is 60.0° and M1 is initially at rest. Mass M1 is released and strikes M2 = 4.50 kg exactly horizontally. The collision is elastic. After collision, mass M2 is moving on a frictionless surface, but runs into a rough patch 2.00…arrow_forwardWhat would be the analysis of the given table or graph?arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Elements Of ElectromagneticsMechanical EngineeringISBN:9780190698614Author:Sadiku, Matthew N. O.Publisher:Oxford University PressMechanics of Materials (10th Edition)Mechanical EngineeringISBN:9780134319650Author:Russell C. HibbelerPublisher:PEARSONThermodynamics: An Engineering ApproachMechanical EngineeringISBN:9781259822674Author:Yunus A. Cengel Dr., Michael A. BolesPublisher:McGraw-Hill Education
- Control Systems EngineeringMechanical EngineeringISBN:9781118170519Author:Norman S. NisePublisher:WILEYMechanics of Materials (MindTap Course List)Mechanical EngineeringISBN:9781337093347Author:Barry J. Goodno, James M. GerePublisher:Cengage LearningEngineering Mechanics: StaticsMechanical EngineeringISBN:9781118807330Author:James L. Meriam, L. G. Kraige, J. N. BoltonPublisher:WILEY

Elements Of Electromagnetics
Mechanical Engineering
ISBN:9780190698614
Author:Sadiku, Matthew N. O.
Publisher:Oxford University Press

Mechanics of Materials (10th Edition)
Mechanical Engineering
ISBN:9780134319650
Author:Russell C. Hibbeler
Publisher:PEARSON

Thermodynamics: An Engineering Approach
Mechanical Engineering
ISBN:9781259822674
Author:Yunus A. Cengel Dr., Michael A. Boles
Publisher:McGraw-Hill Education

Control Systems Engineering
Mechanical Engineering
ISBN:9781118170519
Author:Norman S. Nise
Publisher:WILEY

Mechanics of Materials (MindTap Course List)
Mechanical Engineering
ISBN:9781337093347
Author:Barry J. Goodno, James M. Gere
Publisher:Cengage Learning

Engineering Mechanics: Statics
Mechanical Engineering
ISBN:9781118807330
Author:James L. Meriam, L. G. Kraige, J. N. Bolton
Publisher:WILEY