Answered: The purpose of this exercise is to…

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Coding

Section: Chapter Questions

Problem 5R

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Question

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The purpose of this exercise is to recognize and understand the subgroups that comprise a total market 1. Segment patients based on symptoms and risk factors. 2. Segment patient subgroups based on treatment. 3. Segment patient/treatment subgroups based on providers. 4. Segment patient/treatment/provider subgroups based on payers. • Report using one slide per segment

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Example: Segmentation of CKD patients
based on diagnosis and disease stage.
Stage 5
Stage 4
Stage 3
Stage 1-2
ESRD
Severe CKD
Moderate CKD
Mild CKD
Not diagnosed

Expert Solution

Step 1PUROSE OF EXERCISE TO RECOGNIZE AND UNDERSTAND THAT SUBGROUP COMPRIES OF TOTEL MARKET

ans -( 1) segment based on SYMPTOMS and risk fator

Progression of chronic kidney disese

At risk normal kidney function ( early kidney disese or may not present the estimate GFR ( GLOMARURUS FILTRATION RATE) >90ml/min
Mild CKD THE GFR IS 60-89 ml/min
Moderate CKD GFR IS 30- 59 /min
Severe CKD GFR IS 15- 29 ml/min
ESKD(END STAGE KIDNEY DISESASE) <15 ml/min GFR