Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

EVALUATION AND MANAGEMENT (E/M) Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided.

EVALUATION AND MANAGEMENT (E/M)

Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding.

THE ASSIGNMENT

  • Assign DSM-5-TR diagnoses, ICD-10, and reimbursement codes to services based on the patient case scenario.

Then, in 2-3 pages, address the following. You will add your narrative answers to these questions to the bottom of the case scenario document and submit them altogether as one document.

  • What reimbursement billing code would you use for this session? Provide your justification for using this billing code.
  • Explain what pertinent information is required in documentation to support your chosen DSM-5-TR diagnoses, ICD-10 coding, and billing code.
  • Explain what pertinent documentation is missing from the case scenario and what other information would be helpful to narrow your coding and billing options. (There are at least 12 missing pertinent components of documentation).
  • Discuss legal and ethical dilemmas related to overbilling, upcoding, and fraudulent practices. Propose 2 strategies for promoting legal and ethical coding and billing practices within your future clinical roles.
  • Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

**patient case scenario attached in file**

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Introduce the topic you intend to research, remember to tie the topic to your concentration/Program. This should include your Research Problem: A statement of the research problem and the research que

Introduce the topic you intend to research, remember to tie the topic to yourconcentration/Program. This should include your Research Problem: A statement of theresearch problem and the research question(s) of inquiry that will later drive thediscussion of methodology and procedures. You should also include your ResearchSetting: A description of the

Assignment Description Social justice problems may affect different populations in unique ways. Social workers must understand the special challenges that may arise when providing services and support

Assignment Description Social justice problems may affect different populations in unique ways. Social workers must understand the special challenges that may arise when providing services and support Assignment Description Social justice problems may affect different populations in unique ways. Social workers must understand the special challenges that may arise when

Create a study guide for Autism Spectrum Disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagra

Create a study guide for Autism Spectrum Disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an

Instructions Read Case: When Jennifer Turned Grouchy. Develop a tentative approach to the problem presented by the grouchy receptionist. Be sure to provide a reasonable opportunity for correction of

Instructions Read Case: When Jennifer Turned Grouchy.  Develop a tentative approach to the problem presented by the grouchy receptionist. Be sure to provide a reasonable opportunity for correction of behavior. Possible ways to help the employee with the problem The necessary progressive nature of any disciplinary action contemplated The needs

Read Case: “Addressing the Squeaky Wheel.” Answer questions 1-3. Case: Addressing the Squeaky Wheel You are the supervisor of 20 people in a department of one of Central Hospital’s service department

Read Case:  “Addressing the Squeaky Wheel.” Answer questions 1-3. Case: Addressing the Squeaky Wheel You are the supervisor of 20 people in a department of one of Central Hospital’s service departments. Three of your employees are titled as working group leaders, but they are usually involved in doing the work

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension. Share your opinions about holistic an

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific illnesses such as cancer, diabetes, and hypertension. Share your opinions about holistic and allopathic care. Would have any conflicts or concerns supporting a patient who chooses? 500 words.  Support your answers with the literature and

For this assignment, you will create a written plan and a PowerPoint presentation. Based on the attached assignment you completed, you will now take the system that you selected for evaluation and cre

For this assignment, you will create a written plan and a PowerPoint presentation. Based on the attached assignment you completed, you will now take the system that you selected for evaluation and create an implementation and support plan. You are to serve as the product manager for the given system.

Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ AACN Essentials This is a PowerPoint presentation designed to test a student’s overall knowledge of the AACN Essentials. Conside

Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */  AACN Essentials This is a PowerPoint presentation designed to test a student’s overall knowledge of the AACN Essentials. Consider how you have developed the knowledge, skills, abilities, and attitudes that enable your achievement of the RN-BSN Program Learning

The field of pharmacology has witnessed significant advancements in the treatment of endocrine disorders. Among the newer medications, Mounjaro and Ozempic have gained attention due to their efficacy

The field of pharmacology has witnessed significant advancements in the treatment of endocrine disorders. Among the newer medications, Mounjaro and Ozempic have gained attention due to their efficacy in managing conditions such as type 2 diabetes and obesity. Discuss about similarities, differences, and clinical implications of these two new drugs. 

For this assessment, you will analyze the same current healthcare problem or issue topic area you selected for Assessments 2 and 3. To explore the chosen topic, use the first four topics of the Socrat

For this assessment, you will analyze the same current healthcare problem or issue topic area you selected for Assessments 2 and 3. To explore the chosen topic, use the first four topics of the Socratic Problem-Solving Approach for critical thinking. Start by defining the healthcare problem or issue based on the selected

In your healthcare career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then, you

In your healthcare career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then, you can analyze the problem and the people and systems it affects. You can also examine potential solutions

Step 1: Reflect on your current health assessment skills and understanding of the importance of health assessment in client care. Step 2: Answer all questions below with explanations and detail. No sc

Step 1: Reflect on your current health assessment skills and understanding of the importance of health assessment in client care. Step 2: Answer all questions below with explanations and detail. No scholarly sources are required. Paragraph one: Briefly describe the type(s) of health assessments you typically perform now or have performed in the past.

Instructions Before completing this assignment, be sure you read what an AUDIT TRAIL is in your textbook. Since the HIPAA privacy rules was implemented, you have been drowning in your audit trails rev

Instructions Before completing this assignment, be sure you read what an AUDIT TRAIL is in your textbook. Since the HIPAA privacy rules was implemented, you have been drowning in your audit trails reviews. You have finally obtained permission from administration to develop and use triggers to help with the review.