Preventative vs diagnostic colonoscopy coding
[DOC File]Anthem Blue Cross Blue Shield: Health Insurance, Medicare ...
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Preventive Colonoscopy – correct coding. Anthem allows for preventive colonoscopy in accordance with state mandates. Colonoscopies which are undertaken as a SCREENING colonoscopy, during which a polyp/tumor or other procedure due to an abnormality are discovered, should be covered under benefits for Preventive Services.
[DOCX File]Instructor’s Guide for ICD-9-CM Diagnostic Coding and ...
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Unbundling is the practice of coding services separately that should be coded together as a package because all parts are included within one code and, therefore, one price. ... 45378-53 Colonoscopy, flexible diagnostic. Chapter 5 Answer Key. Chapter 5: Radiology. Exercise 5.1 Diagnostic Radiology 1.74182MRI, see.
Answer Key - Introduction to Clinical Coding
For all coding exercises, review the documentation and underline key term(s). ... Indications: Patient is a 67-year-old man who presented with anemia. Colonoscopy demonstrated bleeding cecal carcinoma. ... note that the diagnostic information contributes to the coding in this case (excessive skin weighting down lid). Important to note that that ...
[DOC File]BILLING FACILITY FEES
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622 Supplies incident to other diagnostic services. 624 FDA investigational devices. 630 General drugs requiring specific identification. 631 Single source drug. 632 Multiple source drug. 633 Restrictive prescription. 637 Self-administrable drugs. 710 General recovery room Surgical Coding Crosswalk
[DOC File]The skills learned in this Medical Insurance Billing ...
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I. Career Opportunities. The skills learned in this Medical Insurance Billing Specialist class can apply to various career job descriptions, including:
[DOC File]Gastroenterologist Fredericksburg, VA - Reflux, Stomach ...
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SCREENING COLONOSCOPY vs. DIAGNOSTIC COLONOSCOPY. ... Under the Affordable Care Act (ACA), the “Preventative Screening” initiative passed in January, 2011 requires commercial and government payors to cover certain preventative services, including colon cancer screening, at no cost to the patient. ... The correct coding of a procedure is ...
[DOC File]Course notes: Part I MFPHM revision
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Retrospective vs prospective studies: ‘Five a day’ Interventional vs observational studies: beta carotene and lung cancer, HRT and CHD . Expressing the main result. Intention to treat analysis. Concepts and measures of risk. Relative risk. Absolute risk. Deaths per 100,000 male doctors per year from lung cancer: smokers (>25 per day): 327 ...
[DOC File]Instructor’s Guide for ICD-9-CM Diagnostic Coding and ...
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3. Although the National Correct Coding Initiative (CCI) is discussed in Chapter 4, faculty should briefly introduce the concept during the discussion on modifiers. CPT has changed their guidance for coding for an incomplete colonoscopy, see the reference to using modifier 53 in the Coding Tip before code 45355. Chapter 3 Test Bank Items
[DOC File]COLORECTAL CANCER
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Colonoscopy: The colonoscopy has become the most popular diagnostic tool for detecting colorectal cancers and polyps. The patient must take a bowel prep to clean the colon and must be NPO for a period of time before the test. The procedure is done under sedation and takes approximately 45 minutes.
[DOC File]Department of Health and Human Services Policy and …
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Variable Parameters Assigned score Maximum score Patient age group 30–39 vs 18–29 1 6 40–49 vs 18–29 2 50–59 vs 18–29 3 60–69 vs 18–29 5 70–79 vs 18–29 6 80+ vs 18–29 6 Number of unplanned admission in the last 6 months 1 vs 0 3 11 2 vs 0 5 3 vs 0 8 4+ vs 0 11 Admitted to ED – last 3 months 1+ vs 0 2 2 Selected condition ...
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