HIM1257 Module 06 Assignment Worksheet How to corrct coding affects billing and reimbursement
.docx
keyboard_arrow_up
School
Rasmussen College *
*We aren’t endorsed by this school
Course
05
Subject
Mechanical Engineering
Date
Apr 3, 2024
Type
docx
Pages
3
Uploaded by CorporalFire11385
HIM1257 Ambulatory Coding Module 06 Written Assignment: H
ow Correct Coding affects Billing and Reimbursement
Instructions:
Each scenario is worth a potential 10 points. Points in parentheses are for each scenario. This assignment is worth a total of 30 points. •
Read each scenario and review the assigned codes. (The 3m encoder’s APC finder is useful to
identify any billing edits.)
•
Identify the error in the claim and explain why it might be improperly paid or denied (3 points)
•
Describe how this error could be remedied (3 points)
•
Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission. (4 points)
•
A 90-year-old white female with a known history of hypertensive kidney disease is referred by her regular internal medicine physician for a cystoscopy. She was treated for urinary tract infection but microscopic hematuria is persistent. A cystourethroscopy was performed under general anesthesia. The urologist removed a small 0.6 cm tumor from the lateral wall of the bladder. The specimen was sent to pathology. A squamous cell carcinoma was diagnosed. The reported diagnosis codes were: R31.21, C67.2, I12.9, N18.9
The reported procedure codes were: 52000, 52234
•
Identify the error in the claim and explain why it might be improperly paid or denied (3 points)
•
Ans: The error code 52000, It's already covered with the other code.
this may be improperly paid or denied becouse of duplicate code. •
Describe how this error could be remedied (3 points) •
Ans: This could be remedied by deleting the code entirely.
•
Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission. (4 points) •
Ans: Duplicate coding can cause late reimbursement and possibly make pay outs harder as they may ask all together and requist clinial decumentation, shows medical for the precedure, It coud be possible over paid.
•
A 55-year-old female with a known history of varicose veins in the left leg presents to the clinic complaining of left ankle pain. No know injury is recalled. A short leg splint is placed for the patient’s comfort and to provide stability. She is advised to follow up in one week if there is no improvement. The reported diagnosis codes were: S93.402A, I83.92
The reported procedure codes were: 29515, 73090
•
Identify the error in the claim and explain why it might be improperly paid or denied (3 points)
•
Ans: The mistake is the upper extremity diagnostic imaging code 73090. Correct code 29515 requires modifier LT patient's left leg worked on. The mistake might deny the claim since it was billed for upper extremities while it was for lower extremities.
•
Describe how this error could be remedied (3 points) •
Ans: This might be fixed by removing the impropre code and replacing it with the right modifier from the correctly listed code. Prior to coding, double-check notes and services delivered to ensure that procedures are invoiced accurately.
•
Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission. (4 points) •
Ans:This kind of mistake has the potential to create conflicts in the workflow, since it might impede the progress of subsequent tasks in the chain. Failing to code accurately or
neglecting to verify the code might reveal an inadequacy on the part of the developer.
•
A 67-year-old male established patient presents to the clinic complaining of chronic low back pain. The patient also noted urinary hesitation and cloudy appearing urine. A urine culture is ordered. The patient is advised to take acetaminophen for the pain and follow up in 3 days unless symptoms worsen. The physician spent approximately 15 minutes with the patient with low level medical decision making.
The reported diagnosis codes were: M54.5 The reported procedure codes were: 99213, 87086
•
Identify the error in the claim and explain why it might be improperly paid or denied (3 points)
•
Ans:The mistake in this assertion is that the code 87086 is incorrect for the urine culture.
The appropriate code for urinary hesitation is 87088.
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
Related Questions
I need help solving this problem.
arrow_forward
For the air compressor shown in Figure below, the air enters from a large area and
exit from small one, explain why?
Instructions for answering this question: The answer to this questian is required as handwritten where you are
aiso required to add a Handwritten integrity Statement. Pieose follow the below steps:
1 Write on a blank poper your AUM student ID, full name, course code, section and date
2 Write the following integrity statement and sign:
"7 offirm that I have neither given nor received any help on this assessment and that personally compieted it
on my own."
3. Write your onswer to the obove question as required
4. Put your Original Civil ID card or AUM ID card on the poper
5 Toke o picture or scan, and uplood
Important note: if handwritten document is submitted without the integrity stotement including ID (Civil ID or
AUM ID), then the related handwritten question(s) will not be groded.
arrow_forward
O Web C x
k GECO0 X
O Course X
O Assign X
O Web C x
k MATHO X
Assign X
O Discus: X
O Quizze
O Syllabu x
O Grade: x
om/courses/31937/assignments/1001318?module_item_id=2616268
tructions:
ollow the prescribed format by the course policy
pu have 48 hours to answer and submit the solution.
olve the problem with complete and detailed solution.
7x+14]
-x
1.
What value of x satisfies the matrix equation
(2 points)
3x-2
x+8
2.
Solve for x and y in the matrix equation below:
3 -4
y
x-y 4
2] [10
-1]
3 -1]
%3D
(3 Points)
-1
[2 -3]
x -8
2
6х -9
-3 3х
|1 -2
2
and
the matrix 3(A +2B) is equal to? (3 points)
3.
For matrices A=| 0
%3D
7 -2
3 -1
[2 -3
The matrix product
2 4 ?(2 points)
4.
0 1
1
4,
arrow_forward
Please give me the answers for this i been looking at this for a hour and my head hurts
arrow_forward
You are assigned as the head of the engineering team to work on selecting the right-sized blower that will go on your new line of hybrid vehicles.The fan circulates the warm air on the inside of the windshield to stop condensation of water vapor and allow for maximum visibility during wintertime (see images). You have been provided with some info. and are asked to pick from the bottom table, the right model number(s) that will satisfy the requirement. Your car is equipped with a fan blower setting that allow you to choose between speeds 0, 1,2 and 3. Variation of the convection heat transfer coefficient is dependent upon multiple factors, including the size and the blower configuration.You can only use the following parameters:
arrow_forward
X A file cord is used to - Google G
X Take Test: ENGR1001 Quiz - En H
x Meet - phg-kzjs-vog
LA
x Workshop Quiz Sec 30,50- s20M
x Courses
b.cas.edu.om/webapps/assessment/take/take.jsp?course_assessment_id=_9826_1&course_id=_18688_1&content_id= 197521 1&question_num_5.X3D0&toggle_state-qSho..
Remaining Time: 06 minutes, 35 seconds.
Less than half of the time remair
Q Question Completion Status:
The reading of Vernier Caliper shown in the Figure is
10
20
30
40
60
80
0 1
3
4
6 7
8
10
.02 mm
29.54 mm
Ob 27.5 mm
0.295 mm
Oc.
Windows b 28.25 mm
ull lis St
ENG 4
70
- LO
50
arrow_forward
11)
arrow_forward
Please do one through 3
arrow_forward
answer the following BOTH questions, and i know the policy, the 2 questions is FINE and i have read the policy, thanks
arrow_forward
I need help answering problems 4, 5, and 6 pertaining to the print provided in the attachment.
arrow_forward
Identify the lines
arrow_forward
Hello please show your correct and complete solution with schematic diagram and assumptions. Thanks ASAP!
Subject: Mechanical Engineering
arrow_forward
Home
Insert
Draw
Design
Layout
References
Maili
OLYTECH
Calibri (Bo...
11
v A A
Aa v
m Air. Ma
Paste
в I
U v ab x,
x | A
Name:
ID No.:
rm Air. M
Date:
CRN:
Course Code: JACV 506E
Aircraft Mechanical Mainte
Practice.
ces ( CRI
Page
Originated By
Mark awarded -
Instructor/Assessor:
Assignment: Interpret engineering drawings and diagrams
bus
se Mat
hing Pl
Questions: -
1. Write 2 differences between isometric and oblique projections?
ssment
2. Write 5 details found on the drawing title block?
Feedba
3. Write 4 types of sectional views?
4. Name 3 methods how drawings are stored in?
5. Name 3 types of fits?
arrow_forward
You are a biomedical engineer working for a small orthopaedic firm that fabricates rectangular shaped fracture
fixation plates from titanium alloy (model = "Ti Fix-It") materials. A recent clinical report documents some problems with the plates
implanted into fractured limbs. Specifically, some plates have become permanently bent while patients are in rehab and doing partial
weight bearing activities.
Your boss asks you to review the technical report that was generated by the previous test engineer (whose job you now have!) and used to
verify the design. The brief report states the following... "Ti Fix-It plates were manufactured from Ti-6Al-4V (grade 5) and machined into
solid 150 mm long beams with a 4 mm thick and 15 mm wide cross section. Each Ti Fix-It plate was loaded in equilibrium in a 4-point bending
test (set-up configuration is provided in drawing below), with an applied load of 1000N. The maximum stress in this set-up was less than the
yield stress for the Ti-6Al-4V…
arrow_forward
Can someone please help to solve all of the following problem showing all work and include a load chart. Thank you!
arrow_forward
https://ethuto.cut.ac.za/webapps x
Content
Take Test: Main assessment link - x
ethuto.cut.ac.za/webapps/assessment/take/launch.jsp?course_assessment_id= 26832 1&course_id3_10885_1&content_id%3 625774 1&step3Dnull
Question Completion Status:
QUESTION 20
A single-stage, single-acting air compressor with runs at speed 600 rpm. It has a polytropic index of
1.26. The induced volume flow rate is 7.2 cubic meters per min and the air must be delivered at a
pressure of 668 kPa. The free air conditions are 101.3 kPa and 18 degrees Celsius. The clearance
volume is 6% of the stroke volume and the stroke/bore ratio is 1.6/1. Calculate the delivery air.
Hint answer usaully in C and no need for °C.
arrow_forward
The Weather Monitor. Your South American expedition splits into two groups: one that stays at home base, and yours that goes off to
set up a sensor that will monitor precipitation, temperature, and sunlight through the upcoming winter. The sensor must link up to a
central communications system at base camp that simultaneously uploads the data from numerous sensors to a satellite. In order to
set up and calibrate the sensor, you will have to communicate with base camp to give them specific location information.
Unfortunately, the group's communication and navigation equipment has dwindled to walkie-talkies and a compass due to a river-raft
mishap, which means your group must not exceed the range of the walkie-talkies (3.0 miles). However, you do have a laser rangefinder
to help you measure distances as you navigate with the compass. After a few hours of hiking, you find the perfect plateau on which to
mount the sensor. You have carefully mapped your path from base camp around lakes and…
arrow_forward
4. Documents business requirements use-case narratives.for only one process
note: please i want Documents like this in pic
arrow_forward
I can't find the symbols for the blank ones
arrow_forward
Problem 3:
Insulation
To=1
Toowwww
Steam
Tx2
T₂ T3
www www
R₁ R₁ R₂
www.T
R₂
Steam at T1 = 320 °C flows in a cast iron pipe (k= 80 W/m. °C) whose inner and outer diameters are
5 cm = 0.05 m and D₂ = 5.5 cm = 0.055 m, respectively. The pipe is covered with 3-cm-thick glass wool
insulation with k = 0.05 W/m. °C. Heat is lost to surroundings at T2 = 5 °C by natural convection and
radiation, with a combined heat transfer coefficient of h₂ = 18 W/m². °C. Taking the heat transfer coefficient
inside the pipe to be h₁ = 60 W/m². °C, determine the temperature drops across the pipe and the insulation.
The determination is based on a unit length of the pipe (L = 1 m).
Assumptions
1. Heat transfer is one-dimensional since there is no indication of any change with time.
2.
Heat transfer is one-dimensional since there is thermal symmetry about the centreline and no
variation in the axial direction.
3. Thermal conductivities are constant.
4. The thermal contact resistant at the interface is…
arrow_forward
Bb PowerPoint Presentati x
C Solved Reciprocal leve X
W (1) Messenger
Blackboard Learn
c Solved Based on the
E Rounding Numbers C X
My Questions | bartlel x
+
O learn-ap-southeast-1-prod-fleet02-xythos.content.blackboardcdn.com/5be3c7fe2b7fc/19199238?X-Blackboard-Expiration=1638619200000&X-Blackboard-Signature=Idl6pem5LgzQ82g... Q
| Apps * Bitcoin Exchange . C CryptoBlades
CryptoBlades Tracker
Most Powerful Cryp..
e Swap | ApeSwap + Lineup
A PooCoin BSC Charts
E Reading list
PowerPoint Presentation
8 / 9 |
71%
+ |
35
500 N
Ans: a) P> 403 N
b.) P- 229 N
44 Tue nte fod nae at in ai a sen og to te no
aie e A, e tc
T. e ap R y tee w
de ara
AC. Knowng that the
AB and 40 1b m AD , dotemine graphically
(#1
The cable stays AB and AD help support pole
raum va te emer or yon bde te Sk
nd wet -0 t te
tension B
1201b n
N . Pd a
the magnitude and direction of the resultant af the Forces exertad
by the cable stays at A Using
0:) parallelogram law
b.) Triangle rue
4 te coemalet i prn tn. tr b te ot
t…
arrow_forward
What’s the the answer please
arrow_forward
Τρ
סוי
D2L Notes de cours 2 - MA...
D2L Solutions d'examen -...
B https://uottawa.brights...
ChatGPT
← Homework 4 - Fall 2024
Question 5 of 6
<
View Policies
education.wiley.com
ELG 3736 - Google Docs
On mesure la traînée s...
WP Homework 4 - Fall 2024
X W Question 5 of 6 - Hom...
- / 20
0
Current Attempt in Progress
If the center of the ping-pong ball is to clear the net as shown, at what height h should the ball be horizontally served? Also determine
h2. The coefficient of restitution for the impacts between ball and table is e = 0.71, and the radius of the ball is r = 0.75 in.
T
✓
Answers:
h =
in.
h2=
eTextbook and Media
Save for Later
in.
Attempts: 0 of 1 used
Submit Answer
arrow_forward
Please do not copy other's work and do not use ChatGPT or Gpt4,i will be very very very appreciate!!!
Thanks a lot!!!!!
arrow_forward
New York Building Corporation uses the critical path method to monitor construction jobs. The company is currently 2 weeks behind schedule on Job #181, which is subject to a P10,500 per week completion penalty.
Path A-B-C-F-G-H-I has a normal completion time of 20 weeks, and critical path A-D-E-F-G-H-I has a normal completion time of 22 weeks. The following activities can be crashed.
Activities Cost to Crash 1 Week Cost to Crash 2 Weeks
BC P 8,000 P15,000
DE 10,000 19,600
EF 8,800 19,500
REQUIRED:
1. New York Building desires to reduce the normal completion time Job #181 and, at the same time, report the highest possible income…
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 solving this problem.arrow_forwardFor the air compressor shown in Figure below, the air enters from a large area and exit from small one, explain why? Instructions for answering this question: The answer to this questian is required as handwritten where you are aiso required to add a Handwritten integrity Statement. Pieose follow the below steps: 1 Write on a blank poper your AUM student ID, full name, course code, section and date 2 Write the following integrity statement and sign: "7 offirm that I have neither given nor received any help on this assessment and that personally compieted it on my own." 3. Write your onswer to the obove question as required 4. Put your Original Civil ID card or AUM ID card on the poper 5 Toke o picture or scan, and uplood Important note: if handwritten document is submitted without the integrity stotement including ID (Civil ID or AUM ID), then the related handwritten question(s) will not be groded.arrow_forwardO Web C x k GECO0 X O Course X O Assign X O Web C x k MATHO X Assign X O Discus: X O Quizze O Syllabu x O Grade: x om/courses/31937/assignments/1001318?module_item_id=2616268 tructions: ollow the prescribed format by the course policy pu have 48 hours to answer and submit the solution. olve the problem with complete and detailed solution. 7x+14] -x 1. What value of x satisfies the matrix equation (2 points) 3x-2 x+8 2. Solve for x and y in the matrix equation below: 3 -4 y x-y 4 2] [10 -1] 3 -1] %3D (3 Points) -1 [2 -3] x -8 2 6х -9 -3 3х |1 -2 2 and the matrix 3(A +2B) is equal to? (3 points) 3. For matrices A=| 0 %3D 7 -2 3 -1 [2 -3 The matrix product 2 4 ?(2 points) 4. 0 1 1 4,arrow_forward
- Please give me the answers for this i been looking at this for a hour and my head hurtsarrow_forwardYou are assigned as the head of the engineering team to work on selecting the right-sized blower that will go on your new line of hybrid vehicles.The fan circulates the warm air on the inside of the windshield to stop condensation of water vapor and allow for maximum visibility during wintertime (see images). You have been provided with some info. and are asked to pick from the bottom table, the right model number(s) that will satisfy the requirement. Your car is equipped with a fan blower setting that allow you to choose between speeds 0, 1,2 and 3. Variation of the convection heat transfer coefficient is dependent upon multiple factors, including the size and the blower configuration.You can only use the following parameters:arrow_forwardX A file cord is used to - Google G X Take Test: ENGR1001 Quiz - En H x Meet - phg-kzjs-vog LA x Workshop Quiz Sec 30,50- s20M x Courses b.cas.edu.om/webapps/assessment/take/take.jsp?course_assessment_id=_9826_1&course_id=_18688_1&content_id= 197521 1&question_num_5.X3D0&toggle_state-qSho.. Remaining Time: 06 minutes, 35 seconds. Less than half of the time remair Q Question Completion Status: The reading of Vernier Caliper shown in the Figure is 10 20 30 40 60 80 0 1 3 4 6 7 8 10 .02 mm 29.54 mm Ob 27.5 mm 0.295 mm Oc. Windows b 28.25 mm ull lis St ENG 4 70 - LO 50arrow_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