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HIMS 655 UMDC Accessing Your Coding Skills Discussion Responses

HIMS 655 UMDC Accessing Your Coding Skills Discussion Responses

 read and contribute/comment to peer discussion in 75 words or more with at least 2 or more credible references in APA st Peer 1:  Coding The Main Reason For The Visit Chronic Pain treatment (code G89.4) which is causing depression (code F33) Keyword Treatment and psychiatrist Other Problems Include Headaches (R51) and high blood pressure (code R03.0) Indexes For Determining Code Selection Alphabetical index. The alphabetical index was used to locate the Chronic Pain Syndrome diagnosis, which was further delimited with “chronic” to get the final code for G89.4. F33 for recurrent Major Depressive Disorder is suitable since it is a chronic disorder associated with Chronic Pain Syndrome. I selected R03.0 since the patient is not diagnosed, and this is the code for an undiagnosed discovery of increased blood pressure. R51 is utilized for headaches because it is a generic code that may be used for all sorts of recurrent headaches. There is insufficient information to elaborate on the code based on the information supplied. The Reimbursement Cycle The reimbursement cycle for healthcare is divided into three phases: the front-end, the middle, and the back-end. The front-end consists of patient access functions like appointment scheduling, registration, prior authorization, insurance verification, and money management. The middle section includes case management, documenting costs for an insurance review, and the coding methods detailed in this activity(Oachs & Watters, 2020). The back-end portion of the revenue cycle is responsible for processing claims by analyzing the coding documentation and may also include follow-up, customer support, and collection of delinquent invoices or rejection management. Medical coding for services and patient visits includes examining medical records and applying precise codes to all billable activities and diagnoses. These codes are used by the patient’s insurance company or payor to compensate the provider/clinic/hospital for healthcare services rendered to the patient as documented in the billing documents (Martins et al., 2017. A skilled medical biller checks and analyzes the data to ensure that the right payment is coordinated depending on the patient’s health plan. References Martins, L., Nicholson, R., & Kohn, R. (2017). Issues in Medicare billing, documentation, and coding. Oxford Medicine Online. https://doi.org/10.1093/med/9780199374656.003.0036 Oachs, P., & Watters. (2020). Health information management: Concepts, principles, and practice (6th ed.).  Peer 2:  A patient visits the clinic where he is treated by his psychiatrist for chronic pain syndrome that is causing his depression. During the work- up his blood pressure is elevated and he has complaints of frequent headaches. 1. What was the primary reason for the visit? Chronic Pain and Depression were the primary reasons for the visit. 2. What is the keyword you will use to look up the primary reason? Chronic Pain is the keyword used to look up the primary reason for the visit. The code is G89.4 for Chronic pain syndrome.  3. What other problems need to be coded. Depression was coded: F33 for Major Depressive disorder, recurrent. Elevated Blood Pressure: R03.0 and Headache: R51. 4. What indexes do you need to use to determine code selection? The alphabetical index was used to find the Chronic Pain Syndrome diagnosis with Pain in the R52 index and further coincided with chronic to have the final code for G89.4. F33 for Major Depressive Disorder was used for recurrent diagnosis is appropriate because it is a chronic condition of Chronic Pain Syndrome.  R03.0 was used because the patient did not have a diagnosis of hypertension and this code was used to find the code for elevated blood pressure without a diagnosis. 5. How are the questions answered used in the reimbursement cycle: a step of the cycle, the purpose of the code, who generates to code, and how the monetary value is decided? The healthcare reimbursement cycle follows three phases: front-end, middle, and the back-end. Revenue cycle management (RCM) is the implementation of clinical functions to capture, monitor and collecting patient service revenue. Health Information and Management Systems Systems (HIMSS) define RCM as’ a healthcare organization’s financial circulatory system and basic process of the organization securing reimbursement for products or services rendered to patients’ (Oachs &Watters, 2020). Revenue Management Cycle According to (Oachs &Watters, 2020): The front-end includes patient access such as scheduling visits or services, patient registration, prior authorization processes, insurance verifications, point-of-service, and financial counseling. The middle involves case management, documentation of charges to be reviewed by the patient’s insurance, and the coding procedures. The back-end phase is the revenue cycle process that involves claims processing by reviewing the coding documentation and may involve follow-up, customer service, and collections of unpaid bills, payments, or denial management. Medical coding for services and patient visits involves the review of medical documentation and the use of specific codes for all billable activities and diagnoses. These codes are used by the patient’s insurance/the payment reimbursement to the provider/clinic/hospital for healthcare services provided to the patient based on the billing documentation. As professional medical billers/coders, we are to review the documentation and analyze the codes used in the documentation to coordinate the appropriate reimbursement based on the patient’s health plan (Oachs & Watters, 2020). References Oachs, P.K. & Watters, A.L. (2020), Health Information Management: Concepts, principles, and practice (6th Ed.). pp. 244-266. Chicago, IL: AHIMA. The Web’s Free 2021 ICD-10-CM/PCS Medical Coding Reference. (n.d.). http://www.icd10data.com/.

Mastering the Art of Online Learning: Your Guide to Acing Online Courses

Mastering the Art of Online Learning: Your Guide to Acing Online Courses

Introduction

In recent years, the popularity of online courses has skyrocketed, offering learners the flexibility to acquire new skills and knowledge from the comfort of their homes. However, succeeding in online courses requires a different approach compared to traditional classroom settings. To help you make the most of your online learning experience, this article presents essential strategies and tips to ace your online courses.

1. Set Clear Goals and Plan Ahead

Before embarking on an online course, establish clear goals and objectives. Determine what you hope to achieve by the end of the course and break down your goals into manageable milestones. Create a study schedule that aligns with your other commitments, ensuring you allocate dedicated time for coursework, assignments, and revision.

2. Create a Productive Study Environment

Establishing a conducive study environment is crucial for online learning success. Find a quiet, well-lit space where you can concentrate without distractions. Remove any potential interruptions, such as notifications from social media or email. Organize your study materials and have a reliable internet connection to ensure seamless access to course materials.

3. Actively Engage in the Course

Active participation is key to mastering online courses. Engage with course materials, including videos, readings, and interactive components. Take comprehensive notes, highlighting key concepts and ideas. Participate in discussion boards, forums, and virtual meetings to interact with instructors and peers, fostering a sense of community and enhancing your understanding of the subject matter.

4. Manage Your Time Effectively

Online courses offer flexibility, but it’s essential to manage your time wisely to avoid falling behind. Create a detailed schedule, allocating specific time slots for coursework, assignments, and studying. Break down larger tasks into smaller, manageable segments to prevent procrastination. Prioritize tasks based on deadlines and dedicate focused time to each one, ensuring consistent progress throughout the course.

5. Develop Effective Communication Skills

Online courses often rely on written communication, making it crucial to hone your skills in this area. Be concise and clear in your written responses, paying attention to grammar and spelling. Actively participate in discussions, asking thoughtful questions and providing constructive feedback to your peers. Regularly check your course emails and notifications, ensuring you stay updated with any important announcements or changes.

6. Utilize Available Resources

Take full advantage of the resources provided by your online course platform and instructors. Familiarize yourself with the learning management system (LMS) and explore its features. Access supplementary materials, such as textbooks, lecture slides, and external resources recommended by instructors. Utilize online libraries, research databases, and tutorial services to deepen your understanding of the subject matter.

7. Stay Motivated and Engaged

Maintaining motivation throughout an online course can be challenging, particularly when faced with competing priorities or a lack of face-to-face interaction. Set short-term goals and reward yourself upon their completion. Connect with fellow learners through virtual study groups or online forums to foster a sense of camaraderie. Regularly remind yourself of the benefits and personal growth associated with completing the course successfully.

8. Seek Support and Clarification

Don’t hesitate to seek support or clarification when needed. Reach out to your instructors for guidance or clarification on course material. Utilize online discussion forums to ask questions or engage in collaborative problem-solving. Leverage the support services provided by your course platform or institution, such as technical support or academic advising.

Conclusion

Online courses present unique opportunities for self-paced learning and personal growth. By setting clear goals, creating a productive study environment, actively engaging with course materials, and managing your time effectively, you can maximize your chances of acing online courses. Remember to stay motivated, seek support when needed, and make the most of the available resources. Embrace the flexibility and adaptability of online learning to achieve your educational goals.


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