Diagnostic coding

question b Question B: ICD 10 was developed by the World Health Organization as a unique system for morbidity and mortality reporting. ICD diagnostic coding should accurately reflect the healthcare p

question bQuestion B:

ICD 10 was developed by the World Health Organization as a unique system for morbidity and mortality reporting.  ICD diagnostic coding should accurately reflect the healthcare provider’s findings.   Diagnostic coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.

Apply your current knowledge of accurate code selection.

Include ALL the following aspects in the discussion post:

  • share an example of a diagnosis code
  • confirm that all the required characters are present
  • discuss all appropriate steps to selecting a diagnosis code
  • why does the Medical Coder reference both the Alphabetic Index and Tabular List in code selection   question 2
  • 1001W2 Discussion

Each week, you will be asked to respond to the prompt or prompts in the discussion forum. Your initial post should be 75-150 words in length, and is due on Sunday. By Tuesday, you should respond to two additional posts from your peers.

Professional Billers and Coders

Professional Billers and Coders have a moral, legal, and ethical responsibility to submit claims properly. It is vital that students understand the high stakes. To help you get a feel for the scope of the issue of fraud explore this site.

Explore the different aspects to billing and coding fraud.

Include ALL the following aspects in the discussion:

  • Choose two examples of fraud that interest you
  • Summarize the case
  • Discuss the role the coder played in the fraud
  • Consider what your response would/should be if you were asked to be a part of the fraud
  • Discuss if ignorance of the billing/coding rules provides sufficient legal protection?

View your discussion rubric.

question3

“Unspecified” Codes

The use of “unspecified” codes has been a common topic of discussion in the industry. There is a sense that unspecified codes will corrupt the reliability of the data we compile based on these codes. There seems to be a consensus that the use of these codes is bad and should be avoided. Here is an article specifically addressing the issue of unspecified ICD-10 codes. “Another disadvantage of unspecified codes is that they fail to document patient’s complexity.” “Physicians who use lots of unspecified codes might start hearing, “Why can’t you see 25 or 28 patients a day?  Why not put in a mid-level clinician to do this work?” Dr. Mazzola noted. Unspecified codes do often represent a missed opportunity, Mendenez agreed: “Many physicians’ documentation supports a more specific code; they’re just not using it.

Implement the concept of unspecified codes when used in code selection.

Include ALL the following aspects in the discussion:

  • After reading the attached article, do you agree with the author?  Why or Why Not?
  • Support your agreement or disagreement by providing an article that shares an example of an unspecified ICD-10-CM code.
  • What is the more specific code/s that should be used instead of the unspecified code in the article you attached?
  • Discuss with your peers why this would be a more related coding choice
  • question4

Tumor

A tumor/cancer registry contains recorded information about the status of patients with tumors.  It is organized so that data can be analyzed as it is collected.

A Tumor Registrar is a growing profession in healthcare.

Explore the relationship between the tumor registry (Data) and the tumor registrar (Person):

Include ALL the following aspects in the discussion:

  • Research the duties of the Tumor Registrar.
  • Describe at least 5 duties of the Tumor Registrar.
  • How does neoplasm coding assist the Tumor Registrar in providing information to the medical community?
  • Discuss your thoughts on how a Tumor Registrar can impact your future career in coding
  • question5

Managing Asthma

Asthma is a condition in which your airways narrow and swell and produce extra mucus.  This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

In the USA, asthma is one of the leading causes of school absenteeism. On average, in a classroom of 30 children, about three are likely to have asthma. Asthma-friendly schools are those that make the effort to create safe and supportive learning environments for students with asthma. They should have policies and procedures that allow students to successfully manage their asthma.

Apply the readings from this week to address asthma statistics.

Include ALL the following aspects in the discussion:

  • List 5 potential asthma triggers
  • Discuss what schools and families can do to reduce the incidence of asthmas attacks.
  • Select 3 asthma codes, list the code and its description.
  • Discuss questions or confusion you have about coding asthma diagnosis
  • question6

High-risk Pregnancy

A high-risk pregnancy is a pregnancy where there are potential complications that could affect the mother, the baby or both.  Research indicates that In the USA, high risk pregnancies can result in low birth rates in 8.2% of the 4.3 million babies born each year.  A high risk pregnancy if not properly managed, can lead to serious complications, injury and even death.

High-risk pregnancy patients should be reported with a code from Category O09.  Supervision of a high-risk pregnancy should be the first listed diagnosis.

Explain the coding terminology and definition of high-risk pregnancies.

Include ALL the following aspects in the discussion:

  • List 3-5 of the causes of a high risk pregnancy.
  • Identify a high risk pregnancy code.
  • Discuss the condition associated with the code.
  • question7

External Causes of Morbidity

Chapter 20 of your ICD-10-CM reference manual includes those codes that are External Causes of Morbidity.

The Code ranges are (V00-Y99).  The classifications of codes include environmental events and circumstances as the cause of injury, and other adverse effects.

Analyze codes using the ICD-10-CM reference manual.

Include ALL the following aspects in the discussion:

  • Compare the difference between morbidity and mortality.
  • Select a code or category of codes from this section that you find humorous and tell why you think the code is funny.
  • Demonstrate the significance of the World Health Organization capturing all categories of diagnosis codes in this reference manual
  • Include codes that are funny and those that are not.
  • question8

Review and Reflection.

Throughout this course, we have learned that coding is described as the transformation of a healthcare diagnosis into alphanumeric codes.  The code tells the insurer how much it owes for the care provided and the services billed.  Coding takes a medical report and turns it into a set of codes, which make up a crucial part of the medical claim and allows for uniform documentation.  Coding also allows the medical administration staff to analyze the effectiveness of treatment in their facility.

Personalize what you have learned in the past eight weeks.

Include ALL the following aspects in the discussion:

  • Discuss the 3 most practical and easiest applied lessons you learned.
  • Explain what 2 concepts were the hardest to grasp?
  • Describe what you will do to learn these difficult concepts
  • Do you still think billing and coding is the right career for you

please make sure it is plagrisam free and only have to be75 to 150 words