Diagnostic coding and reporting guidelines
Diagnostic Coding and Reporting Guidelines | Outpatient Services …
DIAGNOSTIC CODING. ALL CODING MUST BE SUPPORTED BY THE DOCUMENTATION IN THE MEDICAL RECORD. This section provides ICD-9-CM coding guidelines for data collection in the DoD. The following guidelines pertain to professional services coding, which includes outpatient clinic, observation, APVs (same-day surgeries), and inpatient professional ...
[DOCX File]SCOPE: All personnel responsible for performing ...
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Diagnostic Coding Guidelines. OBJECTIVES. At the conclusion of this chapter, the learner will be able to: List the Cooperating Parties for ICD-10-CM. Explain the purpose of the ICD-10-CM Official Guidelines for Coding and Reporting. Identify the four sections of the ICD-10-CM Official Guidelines for Coding and Reporting.
[DOC File]Professional Services Coding Guidelines
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Diagnostic Coding and Reporting Guidelines for Outpatient Services . The appropriate code or codes must be used to identify diagnoses, symptoms, conditions, problems, complaints or other reason(s) for the encounter. Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting when an established diagnosis has ...
[DOC File]CODING COMPLIANCE MODEL COMPLIANCE PLAN
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Diagnostic coding is examined through explanation of medical necessity, coding guidelines and how-to steps, coding conventions, coding tips along with use and understanding of ICD-10-CM Index and Tabular List. ICD-10-CM diagnostic coding is an ongoing discussion through …
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4. Exercise discretion in coding diagnostic conditions not identified on the face sheet or discharge summary. 4.1 Query physician on the deficiency report if the coding question influences DRG assignment. 4.2 Review all alcohol/drug abuse cases to confirm prior to coding. 5. Process special diagnostic coding situations as follows:
[DOC File]SCOPE: All personnel responsible for performing ...
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The Official Guidelines for Coding and Reporting regarding two or more diagnoses that equally meet the definition for principal diagnosis state, "In the unusual instance when two or more diagnoses equally meet the criteria for principal diagnosis as determined by the circumstances of admission, diagnostic workup and/or therapy provided, and the ...
[DOC File]CODES UNLIMITED HEALTHCARE(CUH) , ACADEMY
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May 27, 2009 · Coders will be oriented about and aware of individual payer contracts that contain specific coding and reporting requirements. 1. Per advice received from the AHA, we will obtain unique payer requirements in writing before deviating from official coding guidelines. 2.
[DOC File]CodingCompliancePlan - Indian Health Service
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The Company will apply the Current Procedural Terminology (CPT) coding conventions and general guidelines as published by the AMA for surgical and diagnostic procedure coding. Insurance carrier and state reporting requirements should be followed when reporting procedure codes from the ICD-9-CM Volume 3 for diagnostic and surgical procedures.
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