Inpatient procedure coding guidelines
[DOC File]CodingCompliancePlan - Indian Health Service
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May 27, 2009 · Inpatient diagnoses and procedures shall be coded in accordance with Uniform Hospital Discharge Data Set (UHDDS) definitions for principal and additional diagnoses and procedures as specified in the American Hospital Association’s Official Guidelines for Coding …
[DOCX File]Documentation and Coding for Patient Safety Indicators
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Coders must use the documentation provided by physicians and other providers, in compliance with coding regulations, to establish the codes for each inpatient stay. To achieve accurate coding, providers need to understand the coding process and the rules that must be followed to ensure coding objectivity. Refer to the coding guidelines in the
[DOCX File]Standard Operating Procedure – Query Documentation
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This policy applies to all coding staff initiating inpatient queries and to physician’s answering the query. 3.Procedure. ... (including the physician’s documentation of the sign, symptom, condition, diagnosis, procedure or POA indicator) must be . ... Guidelines to ICD-10 Coding:
[DOCX File]SCOPE: All personnel responsible for performing ...
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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. CMS mandates the utilization of Level I (CPT) and Level II (National Medicare) HCPCS codes for Medicare patients.
[DOC File]MCHM-PAD (600)
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Inpatient Coding. The Coding Professional Should: Code diagnoses and procedures utilizing: The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) or current revision or Current Procedural Terminology following the Official Guidelines for Coding and Reporting developed by the cooperating parties and ...
[DOC File]ACMA : American Case Management Association
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Chapter specific guidelines take precedence over general coding guidelines (AHA Coding Clinic 2003, first quarter, page 15). Therefore, since the sepsis guidelines are chapter-specific guidelines, the sepsis should be sequenced as the principal diagnosis when a patient is …
[DOC File]CODING COMPLIANCE MODEL COMPLIANCE PLAN
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C. Coding Quality. 1. Coding Guidelines (See Appendix 1) 2. Essentials of Accurate Coding (See Appendix 2) Sequencing of Principal Diagnosis and Procedure (See. Appendix 3) 4. Assignment of DRG and ASC. Use of ICL-9-CM and CPT code books, computerized . coding systems (encoders) which follow coding . guidelines and are updated yearly with HCFA ...
[DOC File]Coding and Documentation of Domestic Violence
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ICD-9-CM codes (inpatient and outpatient diagnostic codes and inpatient procedure codes). 1. Current Procedural Terminology (CPT) Codes. Current Procedural Terminology (CPT) is a systematic listing of procedure codes and services performed by a health care provider primarily for outpatient services.
[DOC File]SCOPE: All personnel responsible for performing ...
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For specific guidelines related to documentation requirements to complete test and service orders, refer to the Orders for Outpatient Tests and Services Policy, GOS.GEN.004. This policy does not apply to physician office or home health services. For inpatient services, refer to the Coding Documentation for Inpatient Services Policy, HIM.COD.001.
[DOC File]Professional Services Coding Guidelines
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The following guidelines are to be followed when reporting diagnoses in ADM. The ICD-9-CM diagnostic codes are used for professional services furnished in both the inpatient and ambulatory setting. ICD-9-CM procedure codes are only used for inpatient institutional MHS coding and not professional services MHS coding. 2.2.1. Prioritized Diagnoses
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