Week 2 Essays

For established patients receiving evaluation and management, providers may bill for these services using the CPT codes 99212, 99214. Choosing the correct code depends on the patient’s history, examination findings, and decision-making complexity. If complexity is found to be straightforward taking the provider less than 10 minutes, the billing code will be 99212 (Engle, 2014). If the history and examination findings result in moderate decision-making complexity, requiring more time from the practitioner and more diagnostic procedures the billing code will be 99214 (Engle, 2014). While, Ms. Trinidad does not encounter established patients in the emergency department, within my clinical hours, Ms. Rossow encountered several established patients of various levels of complexity. The billing code 99212 is appropriate to use for patients with low complexity, such as one of Ms. Rossow’s patients whose visit was due to elbow pain after a fall a week ago. Mrs. Rossow also managed the care of patients with a higher level of complexity such as a middle-aged male with a history of recent prostate cancer and a chief complaint of abdominal pain and fever.

This service was provided during the postoperative period for a previous related procedure conducted by the same surgeon.

In English 950/1101-350 one will join in collaborative exercises with their classmates and guided research. Students will use the Norton Field Guide and adventure their ways through CNM’s Library Database’s. Students will receive, ancillary readings, grammar handouts, and model essays from past students. While students will spend most of their time in a classroom, they will also have a chance to go to a computer lab and do research for their essays. Students will receive an assignment one week in advance and is due the following week on Wednesday but the instructor, Sue Fox, will accept it Thursday that week without any grade penalty. After the assignment is graded and handed back, revisions are allowed, students have one week from the point it is handed back, to fix and turn it in for a better grade. By the end of the term students will have written eight essays, the essay genres students will write are; a diagnostic essay, a literacy narrative, a textual analysis, an informative report, an argumentative essay, a proposal, a memoir or reflective essay, and an evaluation essay for the final. Students will be given three chances to earn extra credit as well; students can present their textual analysis to the class for ten points extra credit, one can also receive extra credit if the whole class participates in the course evaluation, and the student will have a chance to earn up

Before discussing the implementation process of ICD-10 it is imperative to understand the differences between ICD-9 and ICD-10 coding and the reason for the transition. The new ICD-10 coding has over 69,000 codes to identify diagnoses compared to 14,000 in the ICD-9 coding version. The increasing number of codes will aid in specificity of all diagnoses. Every diagnosis has a specific code identity. The code identity for the ICD-10 coding is made up of seven digits whereas ICD-9 coding has only three to five digits for each diagnosis. These digits are numbers used to explain a specific injury or procedure. Behind each diagnostic code is an exclusion wording. It gives the diagnosis code in specific detail of the exact diagnosis the physician

I was observing and preparing for today’s and tomorrow’s lessons. One of the computers I was using was kind of freezing on me. The tech person of the school came to take a look at it. However, there was nothing wrong with it. 5th period went over the crossword puzzle and when into groups to do a reading activity that will also be presented next Wednesday. it is worth 50 points and I will be helping article one more, it is hard to judge yet of when to step in and for how long.

And what about that mysterious seventh character? What are you supposed to do with that? This final character represents one of the biggest differences between the old ICD-9 codes and the new ICD-10 codes. ICD-9 didn’t have a means of capturing the details this new 7th character provides. There are certain ICD-10 categories that require the seventh character be assigned, primarily Chapter 19 (injury, poisoning and certain other consequences of external causes) and Chapter 15 (Pregnancy, childbirth and the puerperium).

Coding consists of ICD-9-CM, ICD-10-CM, CPT and HCPCS codes. The codes help classify and document the information for the healthcare system in the United States. The ICD-9-CM stands for the International Classification of Diseases, Clinical Modifications. October 1st 2014 ICD-10-CM came out to update the class with more illnesses, conditions, and injuries of any patient that used the medical services. The ICD-9-CM is generally classified as numerical and alphanumerical codes with codes describing the illness and injuries. The CPT which is Current Procedural Terminology and the HCPCS which is the Healthcare Common Procedure Coding System are used in various medical settings. The CPT is published by the AMA yearly. CPT

On 4/4/17 I met Mr. Kobetic at the office of Dr. O’Hara Neurosurgeon. Mr. Kobetic reports he has no back pain. He is allowed to remove the back brace for sleeping and reports his left side muscles are tender when he is lying in bed. X-rays were taken before the appointment today. Mr. Kobetic was examined by PA Ms. Masaud then Dr. O’Hara came in. Examination showed good strength, sensation and strength. The x-rays showed the fracture has healed. Mr. Kobetic may now remove the back brace. He is to increase his activity as tolerated. Mr. Kobetic will follow up with the office only if needed. Mr. Kobetic will be making the stress test appointment with the cardiologist to determine if he had a cardiac issue that caused the auto accident. Mr. Kobetic reports he has no recollection of the accident and what caused it. Once the test is complete and he has a follow up appointment he will let me know. Mr. Kobetic returns to work today.

(TCO 2) Because Timothy was laughed at by his second grade peers, he was reluctant to speak out in class. This is a demonstration of which goal of psychology?

The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10-CM) is a type of coding system to represent disorders, signs and symptoms, atypical results, complaints, and social conditions. It comprises 14,400 distinctive codes and its structure provides the ability to create future codes (Medicaid.gov., n.d.a). Also, the code set occupies three to seven positions. The code uses alphanumeric characters in all positions, unlike ICD-9 which used it only in the first spot. Character 1 is alpha, character 2 is numeric, characters 3-7 are alpha or numeric (CDC.gov, 2015). Furthermore, ICD-10-CM comprises 68,000 codes which allow codes to be combined such as codes pertaining to diagnoses with symptoms

Inpatients are usually sicker and undergo more serious surgeries then those who are not admitted as an inpatient makes can make the admitted patient’s case more complex to code. Coders need to realize the difference between inpatient vs outpatient coding. When coding for an inpatient it’s essential to remember that the ICD-9-CM official guidelines are followed when diagnosis and procedure codes re being assigned but when an outpatient is involved ICD-9-CM the official coding guidelines

Had visual and mobility problems, difficulty using hands and fingers. Ambulated with a cane and wore a brace on the right lower extremity. Shoulders and upper and lower extremities were weak. Problems with memory, concentration, understanding, completing tasks, and getting along with people. Had difficulty managing money. Was able to feed himself, understood and followed directions. A caregiver or his mother assisted him with all activities and reminded him to take his

16. If a patient was discharged from the hospital with a diagnosis of probable myocardial infarction without a history of MI in the past the correct ICD-9 code would be 410.91. This is because if a diagnosis at time of discharge is uncertain it is still coded as if it existed or was established.

DOI: 8/18/2014. Patient is a 43-year-old male driver who sustained work-related injuries to multiple body parts after being involved in a one-vehicle rollover accident. As per OMNI entry, he was initially diagnosed with multiple traumatic injuries; thoracic spine, rib, collar bone, left humerus, and left leg fracture; multiple small fractures to vertebral spine; and chipped 3 teeth.

As a physical therapist working in an outpatient facility, majority of the patients that I manage suffer from neck injuries sustained from motor vehicular accidents or a fall incident. Handling patient with cervical spine injury is challenging as it is vulnerable to further injury should it not be rehabilitated with extreme caution. It is essential that the clinician should not rely solely on diagnostic reports and should perform significant detailed assessments that include ligamentous stability tests with individuals that had cervical spine trauma (Mckinnis, 2014 p. 159). It should be noted that in any motor vehicular accident it is important to identify injury patterns and trauma protocols should be applied. Injuries brought about by motor vehicle accidents are not always apparent. For instance, during evaluation there is no evidence of any soft tissue damage or any manifestation of fractures, but one can still end up with long-term disability due to back or neck pain. With that, an exhaustive physical examination coupled with an appropriate diagnostic procedure will give more information about the patient’s condition and guide treatment decisions. This is truly vital because there are times reports that was initially identified as normal but later progressed into something fatal that might bring about disability or worse – death. For this reason, it is indispensable for medical personnel to have sufficient knowledge about radiologic findings. Therapists should be