COMPLETE WITH INSTRUCTIONS
WK4 ASSIGNMENT HP-214
This week’s assignment involves the coding of three case studies, followed by the completion of the bottom portion of the CMS 1500 claim form. This part of the claim form is for your practice in documenting the CPT codes and the ICD-10 codes that meet the requirement for medical necessity. We are going to pretend that the three fictitious case studies are being performed in an outpatient surgical facility.
Use the attached assignment document to complete and submit for grading.
USE THE INFO BELOW TO COMPLETE
Billing Correctly
This week’s assignment involves the coding of three case studies, followed by the completion of the bottom portion of the CMS 1500 claim form. This part of the claim form is for your practice in documenting the CPT codes and the ICD-10 codes that meet the requirement for medical necessity. We are going to pretend that the 3 fictitious case studies are being performed in an outpatient surgical facility.
Download this fillable CMS 1500 claim form. You must decide which of the CPT codes should be listed first and second. This information is covered for you in both the lecture and in the PowerPoint. While you might not look up the RVUs for every procedure when working as a billing specialist, this is a good foundation activity that will help to instill in you the ability to choose the CPT codes that are the most labor-intensive.
Connect the CPT code on a claim form with the ICD-10 code that demonstrates medical necessity.
Please use the information from each case study to
complete a separate form. You only need to fill in the following numbered boxes on the claim form.
17 – The physician’s name
21 – The ICD-10 codes (these are the codes that you will indicate by their letters A-L)
24 A – The DOS – Enter an eight-digit date
with spaces (MM DD YYYY).
24 D – The CPT code and up to four modifiers
24 E – the ICD-10 indicator, which will be the letter of the code in box 21 of the ICD-10 codes that show medical necessity for each CPT code.
