Assignment 1: Evaluation and Management (E/M) Insurance coding and billing is co

Assignment 1:
Evaluation and Management (E/M)
Insurance coding and billing
is complex, but it boils down to how to accurately apply a code, or CPT
(current procedural terminology), to the service that you provided. The payer
then reimburses the service at a certain rate. As a provider, you will have to
understand what codes to use and what documentation is necessary to support
coding.
For this Assignment, you
will review evaluation and management (E/M) documentation for a patient and
perform a crosswalk of codes from DSM-5-TR to ICD-10.
To Prepare
·
Review this week’s Learning Resources on coding, billing,
reimbursement.
·
Review the E/M patient case scenario provided.
The Assignment
·
Assign DSM-5-TR and ICD-10 codes to services
based upon the patient case scenario.
Then, in 1–2 pages
address the following. You may add your narrative answers to these questions to
the bottom of the case scenario document and submit altogether as one document.
·
Explain what pertinent information, generally, is required in
documentation to support DSM-5-TR and ICD-10 coding.
·
Explain what pertinent documentation is missing from the case
scenario, and what other information would be helpful to narrow your coding and
billing options.
·
Finally, explain how to improve documentation to support coding
and billing for maximum reimbursement.