3-2-1 Code It! , Second Edition by Michelle A. Green

By Michelle A. Green

3-2-1 CODE IT! is your finished studying source for coding. This ebook combines ICD-9-CM, CPT, and HCPCS point II coding innovations into one handy package deal and provides a degree of element compatible for starting and more matured coders alike. while you are able to earn a coding credential, this booklet will proceed that can assist you organize and perform. The booklet comprises an outline of coding structures, occupation possibilities for coders, the significance of becoming a member of expert agencies and acquiring credentials, the impression of operating with different coding pros, and the way to advance possibilities for profession development.

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Patient record number). A unique feature is that documents for the same patient do not have to be scanned at the same time. Because each scanned page is indexed, the complete patient record can be retrieved even when a patient’s reports are scanned at a later time. , gigabytes of data). Optical disk imaging systems can also be networked, or connected, to other computer equipment in the facility, such as transcription systems and diagnostic imaging systems, which allows other data and documents to be added to the optical disk imaging system, thus creating a complete patient record.

Complete signature of the professional documenting the note as Mary Smith, RRT, registered respiratory therapist). Automated Record Formats The electronic health record (EHR) is a collection of patient information documented by a number of providers at different facilities regarding one patient. It is a multidisciplinary (many specialties) and multienterprise (many facilities) approach to record keeping because it has the ability to link patient information created at different locations according to a unique patient identifier (or identification number).

25) was submitted to the third-party payer, reimbursement would be $5,000. 05) is submitted, reimbursement is just $3,000. 16 Part I Coding Overview When coders have questions about documented diagnoses or procedures/services, they should use a physician query process to contact the responsible physician to request clarification about documentation and the code(s) to be assigned. , an incomplete diagnostic statement when clinical documentation indicates that a more specific ICD-9-CM code should be assigned).

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