HealthCare information systems

label Health & Medical
account_circle Unassigned
schedule 1 Day
account_balance_wallet $5

Robbie is a Certified Coding Associate. Ever since he started working at the facility, it has been his job to assign diagnosis and procedure codes to clinical data based on his review of the documentation in the patients’ records. How might Robbie’s accuracy affect the reimbursements the facility receives from Medicare and Medicaid?

Jun 18th, 2015

Thank you for the opportunity to help you with your question!

Each different diagnosis has a certain code.  For instance, depression would be a separate code from generalized anxiety.  Medicare and Medicaid only gives certain amounts for each code, in others words, some codes (that may seem similar) would receive totally different (either more money or less money) than other codes.  Although depression and anxiety may be clinically related, they have different diagnosis codes and therefore, different reimbursement amounts from Medicare and Medicaid.  Procedure codes also vary - CT scan without contrast and CT scan with contrast have different codes and therefore, different reimbursement amounts.  It's necessary to be certain your diagnosis and procedure codes are accurate when submitted to ensure the most reimbursement.

Please let me know if you need any clarification. I'm always happy to answer your questions.
Jun 18th, 2015

Studypool's Notebank makes it easy to buy and sell old notes, study guides, reviews, etc.
Click to visit
The Notebank
...
Jun 18th, 2015
...
Jun 18th, 2015
Jun 23rd, 2017
check_circle
Mark as Final Answer
check_circle
Unmark as Final Answer
check_circle
Final Answer

Secure Information

Content will be erased after question is completed.

check_circle
Final Answer