Medical coding
Part A: Answer each of the following questions in one or two paragraphs.
Code the following operative report.
Preoperative Diagnosis: Left flank soft tissue mass
Postoperative Diagnosis: Left flank soft tissues mass
Surgeon: John Doe, DO
Operations: Excision of left flank soft tissue mass with layered closure measuring 4 cm, with margins, prior to excision
Anesthesia: sedation with 1% lidocaine with epinephrine and sodium bicarbonate
Operative Indications: this is a pleasant female who come in with soft tissue lesion in the left flank over what appeared to be a Spigelian Hernia site as well. However, it was not reducible and did not appear to be consistent with a hernia. Consequently, the procedure, risk, benefits, and alternative of excision of this lesion were discussed with the patient, and she understood and wished to proceed with the excision.
Operative Findings: Large soft tissue lesion measuring about 6 cm in greatest dimension
Operative procedure: The patient was brought into the operation room after informed consent was obtained. The patient then underwent sedation with a sterile prep and drape. We then anesthetized with 1% lidocaine with epinephrine and sodium bicarbonate, made a 4-cm incision, and used sharp dissection to dissect circumferentially around this soft tissue lesion, being careful to make sure that we were not entering any kind of hernia sac secondary to Spigelian hernia. As we continued to dissect circumferentially around it without sharp dissection, it was noted that it did go down to a muscle, but no evidence of hernia was identified. The lesion was excised in its entirety and electrocautery was used to control hemostasis. We then irrigated with saline solution and closed the subcutaneous tissue with 3-0 Vicryl interrupted and sutures. We then used 4-0 Vicryl sutures to close the skin in a subcuticular fashion. Benzoin and Steri-Strips were then applied. Blood loss was minimal. The patient tolerated the procedure well and remained in stable condition throughout the procedure.
CPT CODE:
ICD-10 CM CODE:
Discuss tow differences between inpatient and outpatient coding.Discuss coding for obstetrics in relation to the global fee for antepartum and postpartum periods of a normal pregnancy.
Part B. Answer each of the question in one to four sentences.
What is the difference between Excludes1 and Excludes2 notes in the ICD-10?As a hospital outpatient coder, how would you explain evaluation and management to a health information technology intern?What are the three type of wound repair, and what must be documented to code them?How do the types of immunization differ?A patient with a preexisting diagnosis of congestive heart failure was seen in the emergency room for treatment of pneumonia and admitted to the hospital where they discovered the patient was again in congestive heart failure. What guidelines apply to coding these diagnoses, which one would be the principal diagnosis, and why?General Anesthesia is provided for a patient undergoing an upper gastrointestinal endoscopy. Discuss why Current Procedural Terminology codes are used for anesthesia. Who assigns an anesthesia code? What guidelines apply to coding these diagnoses, which one would be the principal diagnosis, and why?A patient has a five-year history of diabetes mellitus. The patient is admitted to the hospital due to insulin pump malfunction. Discuss the ICD-10-CM coding guidelines for underdoing and overdosing of insulin due to insulin pump malfunction.What are some of the problems associated with modifiers- 51 and -59?Explain how evaluation and management (E/M Codes are grouped.A 10-year-old patient is admitted for multiple injuries after begin hit by a car while riding his bike. Discuss the coding guidelines for reporting injuries.
Reimbursement Methodologies
Part A: ANSWER EACH OF THE FOLOWING QUESTINS IN ONE TWO PARAGRAPHS.
Explain the four application of modifier- 51.Explain the difference between fraud and abuse with respect to medical billing practices.Discuss specific regulations about workers’ compensation medical records.
Part B. Answer each of the following question in one to five sentences.
Describe the characteristics of a centralized billing office (cbo).Describe the three categories of cpt codes.Explain the coordination of benefits (cob) provision in a managed care contract.How should a medical office specialist use volumes 1 and 2 of the icd-90-cm book?What is an inpatient?What facility handles the hospitals’ claims and accounts receivable for a state or region?What is physician self-referral as regulated by the stark law?What do the terms upcoded and downcoded mean?What form do physicians use to bill insurance carries?What is the computer system that includes information on procedures, services, charges, and revenue of inpatients called?
Essential of Psychology
Part A: Select One of the following questions to answer in one or two paragraphs.
Outline Freud’s structural model of the psyche. What are its three main parts? How are they related? Roughly, how much of our psyche is unconscious? In the context of your discussion, explain the meaning of sublimation.Discuss the different kinds of parenting styles, Provide examples, Outline the effects parenting styles on children, Finally, what role does temperament play in assessing the relative merits of parenting styles?
Part B Answer each of the following In three to five sentences.
In brief, what is the primary thesis of the James-Lange theory of emotion?In an experiment studying the effects of background-noise levels on reading- content retention, what would you assume to be the dependent variable? What would you assume to be the independent variable why?What kind of drug is Rohypnol, and why is called the ‘’ date rape drug’’? What is the reticular formation? Where us it located, why is it important?Discuss memory traces and their role in decay.When you wish an employee to become adept a particularly boring task, which scheduled of reinforcement would you choose? Why?Discuss the term cognitive dissonance and how it helps people continue with dangerous habits.Define prejudice, stereotype, discrimination and selg-fulfilling prophecy. How they all are related?Discuss the importance of REM sleep.Contrast the medical, psychoanalytical, behavioral, cognitive, humanistic, and sociocultural perspectives of mental illness.
Part C:
In a case of __________, perhaps due to a severe psychological trauma, a person, a person’s memories are repressed, even to the extent that he may not remember his name.Dissociative fugueAssociative fugueDissociative AmnesiaDissociative identity disorderIntrinsic and extrinsic form dog motivation are both considered in the_____________ perspective on motivation. HierarchicalDrive- reductionIncentiveCognitiveThe so-called foot-in the-door technique illustratesObedience.Compliance.Conformity.Resistance.Also referred to as the ‘’ master gland, ‘’ the ______ gland controls the functioning of the overall endocrine system.PituitaryThyroidSteroidHypothalamus
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Media Is The Plural Of Medium And Is A Broad Term That May Refer To Mass Communi
/in Uncategorized /by developerMedia is the plural of medium and is a broad term that may refer to mass communication forms such as print (including newspapers and magazines), radio and television broadcasting, advertising, photography, and cinema.Unlike mass media, social media function in a dialogic manner (many sources to many receivers) while mass media function in a monologic manner (one source to many receivers). There are other important differences as well.Describe at least three additional factors that distinguish social media from mass media.Why is credibility a critical aspect of social media?
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Media Moguls Mm Normally Sells T 240 000 Units Per Year It Cost Pp Mm 52 To Purc
/in Uncategorized /by developerMedia Moguls (M&M) normally sells (T) 240,000 units per year. It cost (PP) M&M $52 to purchase each unit, the (C) carrying costs equal 15% of the unit’s purchase price. (O) Ordering cost per order is $260. (a) What is the EOQ? (b) How many orders should M&M place each year?
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Media Often Utilizes Different Techniques Such As Layout Images Sound And Video
/in Uncategorized /by developerMedia often utilizes different techniques such as layout, images, sound, and video. What is one way that these techniques could work together to support a message? Give a specific example.
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Media Outlets Such As Espn And Fox Sports Often Have Web Site That Provide In De
/in Uncategorized /by developermedia outlets such as espn and fox sports often have web site that provide in depth coverage of news and events. portions of these web sites are restricted to members who pay a monthly subscription to gain access to exclusive news and commentary. these web sites typically offer a free trial period to introduce viewers to the web site. assume that during a recent fiscal year, espn.com spent $1,800,000 on a promotional campaign for the espn.com web site that offered two free months of service for new subscribers. in addition assume the following information:# average mo new customer stays with the 25 months$10.00$2.00determine the number of new customer accounts needed to break even on the cost of the promotional campaign. in forming your answer, 1. treat the cost of the promotional campaign as a fixed cost, and 2. treat the revenue less variable cost per account for the subscription period as the unit contribution margin.
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Media Sometimes Serves To Solidify Or Undermine Our Understanding Of The Social
/in Uncategorized /by developerEvaluation Criteria
Your initial post is due by Thursday at 11:59 PM EST. Your responses to other posts are due by Sunday at 11:59 PM EST.
Initial Discussion Post
Your initial post should be at least 250 words and must substantively integrate the assigned readings from the module with proper APA style formatting. You may use additional sources and materials as long as they are relevant to the discussion and cited properly.
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Medicaid Has Had Unprecedented Growth Since The 1990s In Its Managed Care Progra
/in Uncategorized /by developerMedicaid has had unprecedented growth since the 1990s in its managed care programs. As of 2003, 59.1 percent of the total Medicaid population was enrolled in a managed care plan. Discuss the growth as it pertains to risk based managed care (RBMC) and primary care case management (PCCM). Which do you prefer?
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Medical Associates Is A Large For Profit Group Practice Its Dividends Are Expect
/in Uncategorized /by developerMedical Associates is a large for profit group practice. Its dividends are expected to grow at a constant rate of 7 percent per year into foreseeable future. The firm last dividend (D0) was $2, and its current stock price is $23. The firm beta coefficient is 1.6; the rate of return on 20-year T-bonds currently is 9 percent; and the expected rate of return on the market, as reported by a large financial services firm is 13 percent. The firm target capital structure calls for 50 percent debt financing, the interest rate required on the business’s new debt is 10 percent, and its tax rate is 40 percent.a.What is the cost of equity estimate according to the Capital Asset pricing Model?
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Medical Coding Today Felicia Masterson Comes Into Your Office She States That Sh
/in Uncategorized /by developermedical coding
Today, Felicia Masterson comes into your office. She states that she is Joan Kellogg’s sister and that she has been asked by her sister to collect a copy of her complete medical record. Ms. Masterson tells you that her sister has moved to another town and needs the records for an upcoming medical appointment with her new doctor. She hands you a printout of an e-mail, supposedly from Ms. Kellogg, to serve as documentation that she should have the records. As the professional coding specialist in this office, what should you do?
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Medical Coding
/in Uncategorized /by developerMedical coding
Part A: Answer each of the following questions in one or two paragraphs.
Code the following operative report.
Preoperative Diagnosis: Left flank soft tissue mass
Postoperative Diagnosis: Left flank soft tissues mass
Surgeon: John Doe, DO
Operations: Excision of left flank soft tissue mass with layered closure measuring 4 cm, with margins, prior to excision
Anesthesia: sedation with 1% lidocaine with epinephrine and sodium bicarbonate
Operative Indications: this is a pleasant female who come in with soft tissue lesion in the left flank over what appeared to be a Spigelian Hernia site as well. However, it was not reducible and did not appear to be consistent with a hernia. Consequently, the procedure, risk, benefits, and alternative of excision of this lesion were discussed with the patient, and she understood and wished to proceed with the excision.
Operative Findings: Large soft tissue lesion measuring about 6 cm in greatest dimension
Operative procedure: The patient was brought into the operation room after informed consent was obtained. The patient then underwent sedation with a sterile prep and drape. We then anesthetized with 1% lidocaine with epinephrine and sodium bicarbonate, made a 4-cm incision, and used sharp dissection to dissect circumferentially around this soft tissue lesion, being careful to make sure that we were not entering any kind of hernia sac secondary to Spigelian hernia. As we continued to dissect circumferentially around it without sharp dissection, it was noted that it did go down to a muscle, but no evidence of hernia was identified. The lesion was excised in its entirety and electrocautery was used to control hemostasis. We then irrigated with saline solution and closed the subcutaneous tissue with 3-0 Vicryl interrupted and sutures. We then used 4-0 Vicryl sutures to close the skin in a subcuticular fashion. Benzoin and Steri-Strips were then applied. Blood loss was minimal. The patient tolerated the procedure well and remained in stable condition throughout the procedure.
CPT CODE:
ICD-10 CM CODE:
Discuss tow differences between inpatient and outpatient coding.Discuss coding for obstetrics in relation to the global fee for antepartum and postpartum periods of a normal pregnancy.
Part B. Answer each of the question in one to four sentences.
What is the difference between Excludes1 and Excludes2 notes in the ICD-10?As a hospital outpatient coder, how would you explain evaluation and management to a health information technology intern?What are the three type of wound repair, and what must be documented to code them?How do the types of immunization differ?A patient with a preexisting diagnosis of congestive heart failure was seen in the emergency room for treatment of pneumonia and admitted to the hospital where they discovered the patient was again in congestive heart failure. What guidelines apply to coding these diagnoses, which one would be the principal diagnosis, and why?General Anesthesia is provided for a patient undergoing an upper gastrointestinal endoscopy. Discuss why Current Procedural Terminology codes are used for anesthesia. Who assigns an anesthesia code? What guidelines apply to coding these diagnoses, which one would be the principal diagnosis, and why?A patient has a five-year history of diabetes mellitus. The patient is admitted to the hospital due to insulin pump malfunction. Discuss the ICD-10-CM coding guidelines for underdoing and overdosing of insulin due to insulin pump malfunction.What are some of the problems associated with modifiers- 51 and -59?Explain how evaluation and management (E/M Codes are grouped.A 10-year-old patient is admitted for multiple injuries after begin hit by a car while riding his bike. Discuss the coding guidelines for reporting injuries.
Reimbursement Methodologies
Part A: ANSWER EACH OF THE FOLOWING QUESTINS IN ONE TWO PARAGRAPHS.
Explain the four application of modifier- 51.Explain the difference between fraud and abuse with respect to medical billing practices.Discuss specific regulations about workers’ compensation medical records.
Part B. Answer each of the following question in one to five sentences.
Describe the characteristics of a centralized billing office (cbo).Describe the three categories of cpt codes.Explain the coordination of benefits (cob) provision in a managed care contract.How should a medical office specialist use volumes 1 and 2 of the icd-90-cm book?What is an inpatient?What facility handles the hospitals’ claims and accounts receivable for a state or region?What is physician self-referral as regulated by the stark law?What do the terms upcoded and downcoded mean?What form do physicians use to bill insurance carries?What is the computer system that includes information on procedures, services, charges, and revenue of inpatients called?
Essential of Psychology
Part A: Select One of the following questions to answer in one or two paragraphs.
Outline Freud’s structural model of the psyche. What are its three main parts? How are they related? Roughly, how much of our psyche is unconscious? In the context of your discussion, explain the meaning of sublimation.Discuss the different kinds of parenting styles, Provide examples, Outline the effects parenting styles on children, Finally, what role does temperament play in assessing the relative merits of parenting styles?
Part B Answer each of the following In three to five sentences.
In brief, what is the primary thesis of the James-Lange theory of emotion?In an experiment studying the effects of background-noise levels on reading- content retention, what would you assume to be the dependent variable? What would you assume to be the independent variable why?What kind of drug is Rohypnol, and why is called the ‘’ date rape drug’’? What is the reticular formation? Where us it located, why is it important?Discuss memory traces and their role in decay.When you wish an employee to become adept a particularly boring task, which scheduled of reinforcement would you choose? Why?Discuss the term cognitive dissonance and how it helps people continue with dangerous habits.Define prejudice, stereotype, discrimination and selg-fulfilling prophecy. How they all are related?Discuss the importance of REM sleep.Contrast the medical, psychoanalytical, behavioral, cognitive, humanistic, and sociocultural perspectives of mental illness.
Part C:
In a case of __________, perhaps due to a severe psychological trauma, a person, a person’s memories are repressed, even to the extent that he may not remember his name.Dissociative fugueAssociative fugueDissociative AmnesiaDissociative identity disorderIntrinsic and extrinsic form dog motivation are both considered in the_____________ perspective on motivation. HierarchicalDrive- reductionIncentiveCognitiveThe so-called foot-in the-door technique illustratesObedience.Compliance.Conformity.Resistance.Also referred to as the ‘’ master gland, ‘’ the ______ gland controls the functioning of the overall endocrine system.PituitaryThyroidSteroidHypothalamus
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Medical Equipment Of Orlando Company Is Trying To Develop An Asset Financing Pla
/in Uncategorized /by developerMedical Equipment of Orlando Company is trying to develop an asset-financing plan. The firm has $500,000 in temporary current assets and $400,000 in permanent current assets. The company also has $600,000 in fixed assets.
Part A
Construct two alternative financing plans for Medical Equipment of Orlando. One of the plans should be , with 75 percent of assets financed by long-term sources and the rest financed by short-term sources. The other plan should be with only 40 percent of assets financed by long-term sources and the remaining assets financed by short-term sources. The current interest rate is 12 percent on long-term funds and 6 percent on short-term financing.
Compute the annual interest payments under each plan. (Show your work)
Part B
Given that Medical Equipment of Orlando’s earnings before interest and taxes are $440,000, calculate earnings after taxes for each of your alternatives. Assume a tax rate of 30 percent.
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