Instructions
Part 1
As a coding supervisor, you would like to see CAC implemented in your organization. You recognize that you will need to convince the administration of the merit of investing in this technology that goes beyond one-on-one coding.
Knowing that compliance has been a major focus of the organization, in 3-sentences, create a short argument to the Chief Financial Officer, Ms. Hamilton, about how CAC could assist accurately coding, increased reimbursement, and fraud detection and prevention.
Part 2
Your organization is in the final stages of selecting a vendor for CAC. You have narrowed the choices to two vendors and will be conducting conference calls with a current client for each vendor.
Formulate a list of at least 2-questions to ask the vendors to help with your CAC product assessment.
Part 3
Read the following excerpt from a patient record that has been processed with CAC software.
Mr. Reynolds is a 57-year-old, white male, admitted to the hospital, with chest pain. He developed this pain while shoveling snow outside his home. He ranks it an 8 out of 10 on the pain scale. He has arm and jaw pain. He has hyperlipidemia and hypertension, on medication for both conditions. Last year, he suffered an acute myocardial infarction and was treated with stents.
An EKG was performed and cardiac enzymes are drawn. All results were normal. The patient exhibited pain upon movement and palpation at the chondrosternal joint. And a final diagnosis of sprain was determined.
Codes assigned by CAC: R07.9, I21.3, R68.84, S23.421A, I10, E78.5
Determine any inaccuracy(ies) in the CAC identification for conditions underlined.
Recommend corrections to the code assignment by identifying any of the following (note this case is not coded correctly):
Identifying what code(s) are incorrect
Recode
Change the order of
Instructions Part 1 As a coding supervisor, you would like to see CAC implemented in your organization. You recognize th
-
- Site Admin
- Posts: 899603
- Joined: Mon Aug 02, 2021 8:13 am