PART 1
Instructions Today is your day! Your boss has chosen you to do some investigative work for him to further your knowledge base within your new position in the company. He has asked you to do a little research on the Federal Register and its use, content, and purpose. In a minimum of one page, please report back on the following information: ◾ What is the Federal Register? ◾Why is it important for billers and coders to be aware of what is in the Federal Register? ◾Why is it necessary to follow the guidelines set by the government? ◾What editions of the Federal Register are of interest to hospital facilities and outpatient facilities? ◾Access the Federal Register at http://www.gpo.gov/fdsys/ and locate the following: Federal Register / Vol. 80, No. 49 / Friday, March 13, 2015 / Rules and Regulations-Department of Health and Human Services. To access the article, follow the following directions: ◦Click on Federal Register on the right-hand side of the screen. ◦Choose the year 2015. ◦Next, choose March. ◦Next, choose Friday, March 13. ◦Scroll down and select, “Health and Human Service Department.” ◦Access the Rules and Regulations article that is the first option presented under this category. Once you have located the article from above in the Federal Register, identify the following: ◾ the regulation’s issuing office, ◾the subject of the notice, ◾the agency, ◾the action, ◾a summary, ◾dates, ◾contacts for further information, and ◾supplementary information. Be sure to cite all sources in APA format, including the textbook.
PART TWO QUESTIONS 1-7 look at the word lenght on each question because it change
QUESTION 1.
Explain the technique that medical coders utilize to choose the correct procedure code to describe the service or procedure provided to the patient. Your response should be at least 75 words in length.
QUESTION 2.
Compare and contrast the HCPCS Level I, Level II, and Level III codes. Your response should be at least 75 words in length.
QUESTION 3.
Select two of the CPT sections and describe how the services and procedures are categorized within each section. Your response should be at least 75 words in length.
QUESTION 4.
Using EncoderPro, determine the following unlisted CPT code (Pathology and Laboratory): Reproductive medicine laboratory procedure. (Your response will be a 5 digit code.) Using EncoderPro, determine the following unlisted CPT code (Medicine): Endocrine procedure, diagnostic nuclear medicine. (Your response will be a 5 digit code.) Using EncoderPro, determine the following unlisted CPT code (Radiology): Casting or strapping. (Your response will be a 5 digit code.)
QUESTION 5.
Using EncoderPro, determine the following unlisted CPT code (Pathology and Laboratory): Molecular pathology procedure. (Your response will be a 5 digit code.) Using EncoderPro, determine the following unlisted CPT code (Medicine): Preventive medicine service. (Your response will be a 5 digit code.) Using EncoderPro, determine the following unlisted CPT code (Radiology): Radiopharmaceutical therapy. (Your response will be a 5 digit code.)
QUESTION 6.
Describe Medicare A, B, C, and D. Discuss the benefits of each section for a patient in your response. Your response should be at least 200 words in length.
QUESTION 7.
What is a code set? List the code sets approved by HIPAA standards. Your response should be at least 200 words in length.
