Other
HI 253 Unit 4 Assignment Worksheet
- Course
- HI 253-255
- Institution
- Purdue University
Unit 4 Assignment Worksheet for HI 253. An Essential Study Resource just for YOU!!
[Show more]
Content preview
School of Health SciencesHI253 Medical Coding I
Unit 4 Assignment Worksheet
Unit outcomes addressed in this Assignment:
AHIMA’s Professional Coding Approved Program
⮚ Analyze a medical record for errors or omissions
(PCAP) Mapping:
that require the creation of a physician query. Domain I. Data Structure, Content and Information
Governance
⮚ Develop appropriate physician queries to I.4. Determine compliance of health record content
resolve data and coding discrepancies. within the health organization
Course outcome addressed in this Assignment: Domain IV. Revenue Cycle Management
HI253-3: Recognize the information documented within IV.1. Determine diagnosis and procedure codes and
a health record that leads to quality coding practices. groupings according to official guidelines.
IV.3. Evaluate compliance with regulatory
requirements and reimbursement methodologies.
ASSIGNMENT DETAILS
Your coding manager asks you to review the case (#ED322223) for any coding
discrepancies. You notice that additional information from the provider would allow you
to code the diagnosis to a higher level of specificity. Your manager requests that you
generate a physician query to resolve the issue.
1. Describe the deficiency that was present in the health record that would require a
physician query to resolve. Record your response in the box below.
2. Refer to the Unit 4 Supplemental Readings “Guidelines for achieving a
compliant query practice” and compose a written query to the physician to clarify the
deficiency in the health record. Create and record your completed query in the box
below.
Submit the completed assignment worksheet to the Unit 4 Assignment Dropbox.
CASE #ED322223
ED/ PROVIDER NOTE
PCP: Medical Center
Date of Arrival: 4/12/2014
Diagnosis: Right Acute Otitis Media. Patient is very well-appearing and well-hydrated with no
evidence of meningitis,
mastoiditis, pneumonia, or other SBI.
Disposition and Plan of Care:
Discharge home
Amoxicillin 620 mg PO BID x 10 days
Follow-up and return precautions as per ACI
History of Present Illness: Source: Mother and Negative for chronic childhood conditions
sister Social History:
CC: RN, congestion, and left ear pain Lives with parents and siblings
History of Present Illness: is a previously healthy Medications:
23 month old with tactile fever x 2 days with right Allergies: No Known Allergies
ear pain since 0300 this morning. +RN and Immunizations Status: up to date
congestion for the past two days. Taking less PO
than usual, but urinating normally. No vomiting or ROS:
diarrhea. No other concerns. Constitutional: fever
Past Medical History: HEENT: RN, congestion, right ear pain
No prior hospitalizations Respiratory: negative
No prior surgeries Cardiovascular: negative
No ongoing medical conditions Gastrointestinal: negative
Family History: Genitourinary: negative
Unit 4 Assignment worksheet 1
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
65040 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 15 years now
Recently viewed by you
Summary ·
samenvatting sociale factoren UCLL
Exam (elaborations) ·
2018 OCR A Level Chemistry paper 2
Exam (elaborations) ·
OTD 433 Exam 1 (100% Correct Answers)
Exam (elaborations) ·
govt. 200 exam 3&4 with answers
Exam (elaborations) ·
A-Level AQA 2024 Economics Paper 2
Summary ·
Samenvatting Marketing de essentie
Summary ·
Summary Unit 3.3.3 - Halogenoalkanes
Summary ·
Huisvestingsmanagement samenvatting
