Exam 38176000 Med Billing & Coding Essay

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Pages: 15

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Ashley Kailian
1800 N.Hills Rd Apt 406
York, Pa, 17406
Student Number: 21648849

Examination: 38176000

1.List the three goals of Physician Payment Reform.
1. Decrease Medicare expenditures, Re-Distribute physicians payments more equitibly, Ensure quality health care at a reasonable rate.

2. Mr. Jones is admitted to the hospital by the orthopedic surgeon for severe hip pain. The ortho surgeon provides an initial hospital visit during which it’s determined that Mr.
Jones has a fractured hip that will require surgical intervention.
Mr. Jones is taken later that day to the OR, where the doctor performs the surgical procedure to repair Mr. Jones’ hip. Which modifier would you use for the hospital
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She was sleeping when I saw her so I did not wake her. Her toes are pink and warm. Calves are soft. IMPRESSION: Seizure, status post left hip bipolar hemiarthroplasty.
PLAN: I will continue to follow. From my standpoint, she can mobilize and weight bear as tolerated on the left side. We will change her dressings and place TED hose on the left. We will continue to follow her INR and hemoglobin. Of note, she has been made code status II.
CPT Code:
15. CPT Code: 99231

16. If a patient were discharged from the hospital with a diagnosis of probable myocardial infarction without a history of MI in the past, what ICD-9 code would the coder document for this stay?
16. 410.9

17. Provide the CPT and ICD-9 diagnosis codes for the following scenario.
INDICATIONS: The patient had a YV advancement flap and advancement of the hamstring muscles about 3 weeks ago, but the wound separated and the muscles retracted over the area of the bone. She has had moderate separation of the wound but not complete separation, and we plan to minimally debride this area and resuture the wound with tension sutures.
DIAGNOSIS: Wound dehiscence, left ischial area, partial.
SURGICAL FINDINGS: A 6 cm long by about 4 cm deep wound dehiscence.
PROCEDURE PERFORMED: Debridement of ischial wound by curettage with secondary wound closure.
PROCEDURE: The patient was intubated and turned in the prone position. The area was prepped