tailieunhanh - Lecture Medical assisting: Administrative and clinical competencies (2/e) - Chapter 16

Chapter 16 - Medical coding. After completing chapter 16, you will be able to: Explain the purpose and format of the ICD volumes that are used by medical, describe how to analyze diagnoses and locate correct codes using the ICD, identify the purpose and format of the CPT, name three key factors that determine the level of Evaluation and Management codes that are selected,. | Medical Assisting Chapter 16 PowerPoint® to accompany Second Edition Ramutkowski • Booth • Pugh • Thompson • Whicker Chapter 16 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Medical Coding Objectives 16-1 Explain the purpose and format of the ICD volumes that are used by medical. 16-2 Describe how to analyze diagnoses and locate correct codes using the ICD. 16-3 Identify the purpose and format of the CPT. 16-4 Name three key factors that determine the level of Evaluation and Management codes that are selected. Medical Coding Objectives Objectives (cont.) 16-5 Identify the two types of codes in the Health Care Common Procedure Coding System (HCPCS). 16-6 Describe the process used to locate correct procedure codes using CPT. 16-7 Explain how medical coding affects the payment process. 16-8 Define fraud and provide examples of fraudulent billing and coding. Diagnosis Codes: The ICD-9-CM The Diagnosis Process Patient Chief . | Medical Assisting Chapter 16 PowerPoint® to accompany Second Edition Ramutkowski • Booth • Pugh • Thompson • Whicker Chapter 16 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Medical Coding Objectives 16-1 Explain the purpose and format of the ICD volumes that are used by medical. 16-2 Describe how to analyze diagnoses and locate correct codes using the ICD. 16-3 Identify the purpose and format of the CPT. 16-4 Name three key factors that determine the level of Evaluation and Management codes that are selected. Medical Coding Objectives Objectives (cont.) 16-5 Identify the two types of codes in the Health Care Common Procedure Coding System (HCPCS). 16-6 Describe the process used to locate correct procedure codes using CPT. 16-7 Explain how medical coding affects the payment process. 16-8 Define fraud and provide examples of fraudulent billing and coding. Diagnosis Codes: The ICD-9-CM The Diagnosis Process Patient Chief Complaint Physician Medical Diagnosis Insurance Diagnosis Code The diagnosis codes are found in the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9) The use of ICD-9 codes in healthcare is mandated by HIPAA for reporting: Patient’s Diseases Conditions Signs and Symptoms Alphabetic Index (Volume 2) Diagnoses appear in alphabetical order The index is organized by condition Should be used initially to look up conditions Tabular List (Volume 1) Diagnoses appear in numerical order Listing is organized according to source or body system Diagnosis Codes: The ICD-9-CM (cont.) Using the ICD-9 The Alphabetical Index is never used alone to find a diagnosis code because it does not contain all the necessary information. Diagnosis Codes: The ICD-9-CM (cont.) Code Structure Codes are made up of three, four, and five digits and a description. The four and five digit codes are mandated by payers when they are available. V Codes E Codes Identify encounters

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• Medical assisting
• Lecture Medical assisting
• Clinical competencies
• Administrative competencies
• Medical coding
• Diagnosis codes
• Clinical procedures
• Administrative medical assisting
• Clinical medical assisting
• Medical assisting profession
• Medical assistant credentials
• Administrative practices
• Clinical practices
• Medical assisting practice
• Responsibilities of the medical assistant
• Medical assisting organizations
• Medical assisting externships
• Externship scenarios
• Assisting in geriatrics
• Geriatric patients
• Medical office
• Accounting for the medical office
• Assisting in pediatrics
• Pediatric patient care
• Minor surgery
• Medical asepsis
• Medical specialties
• Nursing careers
• Medical law
• Physician rights
• Externship process
• Expectations of externship candidates
• Insurance terminology
• Managed care plans
• Standard payment procedures
• Accepting payment
• Body organization
• Anatomical terminology
• Integumentary system
• Structure of skin
• Skeletal system
• Bone structure
• Skeletal muscles
• Muscular system
• Cardiovascular system
• Structures of the heart
• respiratory system
• Paranasal sinuses
• Nervous system
• Neuron structure
• Urinary system
• Renal sinus
• Reproductive system
• Male reproductive system
• Female reproductive system