Intro to c&b (u3ip&db) - Essay Example

Intro to C & B (U3IP & DB) Part According to Zuber and Henley (1992, pg As physicians struggle to keep up with the explosion of new medical information and technology, they are also faced with constant changes in the medical reimbursement system. Now, the reporting of medical services has also been altered as a result of physician payment reform. The new evaluation and management codes will have an economic impact on the practice of medicine for most physicians.” Evaluation and management codes are among the most popular used in the clinical setting, and there are eight comprehensive steps to evaluating and coding a procedure correctly.

There are certain factors that are imperative to correctly evaluating and choosing the correct evaluation and management code when a patient comes into a medical facility. These include where services are carried out (whether the patient is an inpatient or outpatient), the type of service that is performed (such as a consult or problem-oriented examination), the type of patient history that is taken down, the extent to which the physical examination is carried, and how complex the medical decision-making is (Chiang, 2005).

According to Mitchell (2003, pg. 1), there are eight elements. These are, “location, quality, severity, duration, timing context, modifying factors, and associated signs and symptoms.” The types of visits include initial impatient consults, nursing facility visits, subsequent nursing facility care, domiciliary care, follow-up inpatient consult, home services, and prolonged services (Mitchell, 2003). ReferencesChiang, S. (2005). Coding and documentation part 3: Evaluation and management codes.

University of Alabama at Birmingham. Retrieved August 6, 2008, from http://74.125.45.104/search?q=cache:koHmR7QEXzUJ:www.obgyn.uab.edu/medicalstudents/obgyn/uasom/documents/CodingPart3E%26M.pdf+%22evaluation+and+management+codes%22&hl=en&ct=clnk&cd=11&gl=usMitchell, R. (2003). Evaluation and management coding and Medicare Part B. Applied Medical Systems, Inc. Retrieved August 6, 2008, from http://74.125.45.104/search?q=cache:pkVtzGq-Md4J:www.appliedmedicalservices.com/sb_sections/sectionmain_aboutams/newsroom/articles/em_presentation.

ppt+%22evaluation+and+management+codes%22+eight+steps&hl=en&ct=clnk&cd=12&gl=usZuber, T.J. and D.E. Henley (1992). A guide to the new office evaluation and management codes for 1992. American Family Physician.Part 2 According to Outsource Strategies International (2008, pg. 1), “Medical diagnostic coding is a procedure used to help health care professionals digitize medical information and thereby make their record keeping and practice management more reliable and simple. Medical codes are organized into 17 chapters and are listed in numerical order.

Each disease or associated condition is represented by a three digit code and any other clinical details are shown by four or five digit codes. The various coding procedures used in medical practices in the US include the ICD-9, ICD-9-CM, ICD-10-PCS coding.” “Medical diagnostic coding is the same as medical classification and it is the process of converting various medical diagnoses etc into universal medical code numbers” (Mathew, 2008, pg. 1). Medical professionals take the aforementioned information from the patient’s medical records.

There are various different applications that these medical classifications are used for and they include disease analysis, therapeutic action analysis, medical bill reimbursement, epidemic breakout observation, and decision support systems. Diagnostic coding uses ICD-10 or ICD-9 (Mathew, 2008, pg. 1). According to Cook Medical (2008, pg. 1), “Select the name of the procedure or service that accurately identifies the service performed. Do no select a CPT code that merely approximates the service provided.

If no such procedure or service exists, then report the service using the appropriate unlisted procedure or service code.” Procedural coding, thus, is based on specific procedures that are performed on a patient rather than initial visits. Procedural coding uses OPCS-4 or CPT systems (Cook Medical, 2008).References2008 coding and reimbursement guide. (2008). Cook Medical. Retrieved August 6, 2008, from http://www.cookmedical.com/sur/content/mmedia/2008_CR_DopplerFlowProbe.pdfMathew, R. (2008).

Medical diagnostic coding. Ezine. Retrieved August 6, 2008, from http://ezinearticles.com/?Medical-Diagnostic-Coding&id=1230967Medical diagnostic coding. (2008). Outsource Strategies International. Retrieved August 6, 2008, from http://www.outsourcestrategies.com/medical_transcription/medical_diagnostic_coding.htm