Documenting the final code assignment for the scenario you would submit to insurance
Following the same process as in the document for question #3, enter the following coding scenario into the APCFinder. Review the edit(s) and provide how you would fix/clear the edit(s) with the information provided/documented by 1) documenting the final code assignment for the scenario you would submit to insurance (this should include the diagnosis code(s) along with the final procedure code(s), 2) a brief explanation on how you applied the edits to determine these codes, and 3) the final APC(s) associated with the final procedure code(s).
Gender: Female
Age: 45
Content X 3M Coding and Reimbursement Syst X Course Hero * + X C & https://bb.northwoodtech.edu/ultra/courses/_31064_1/cl/outline … Question Completion Status: X 16 20 31 4 5 6 QUESTION 3 10 points Saved 18 Follow the instructions in the attached document to determine the APCs (there are 3), associated procedure code, total estimated reimbursement, CMS portion, and co-pay for the scenario. Document – APC Exercise APC Associated CPT Procedure Code Total Reimb CMS Portion Co-Pay (Tot) (H) (C) For the toolbar, press ALT+F10 (PC) or ALT+FN+F10 (Mac). B I Y S Paragraph Arial 10pt X2 X2 … + ABC V apc 1) 05051 97597 Tot $203.47 H$162.11 C$41.36 X apc 2) 19936 11721 Tot$ 0.00 HS0.00 C$0.00 apc 3) 05012 G0463 Tot$ 134.63 H$ 107.27 C$27.36 P 39 WORDS POWERED BY TINY QUESTION 4 7 points Save Answer Following the same process as in the document for question #3, review the following coding scenario and enter the codes into the APCFinder. Review the edit(s) and provide how you would fix/clear the edit(s) with the information provided/documented by 1) documenting the final code assignment for the scenario you would submit to insurance (this should include the diagnosis code(s) along with the final procedure code(s), 2) a brief explanation on how you applied the edits to determine these codes, and 3) the final APC(s) associated with the final procedure code(s). 16-year-old male presented with two 1.0 cm ring finger lacerations when using a steak knife to cut his sandwich for which the provider repaired with sutures. Primary Diagnosis: $61.214A Secondary Diagnosis: W26.0XXA Primary Procedure: 12001 Secondary Procedure: 12001 For the toolbar, press ALT+F10 (PC) or ALT+FN+F10 (Mac). D I IS TVGANG Priva Click Save and Submit to save and submit. Click Save All Answers to save all answers. Save All Answers Save and Submit Tern 8:59 PM 11/28/2022 4
Primary Diagnosis: K80.10
Secondary Diagnosis: K66.0
Primary Procedure: 47563
Secondary Procedure: 44180 & 47562
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