Reference no: EM133407132

MEDICAL BILLING PRACTICES -

ASSIGNMENT - Billing practice

The following billings have to be billed in order of the way they appear on this billing sheet.

• Determine what type of visit or service is being indicated (in- office visit, complete physical, counselling, home visit, hospital visit, minor procedures etc.)
• Indicate and bill the appropriate ICD-9 diagnostic code(s) that verify diagnosis and nature of the visit.
• Identify if this visit should be booked on the schedule or use "New Bill" from the billing screen if the visit happens off site.
• Include yourself as a patient for the assignment to indicate the assignment is your work.
• Complete the assignment on the billing date assigned to your group indicated on power point.
• Deductions will be given if the above criteria is not met.

1. The day starts off with a patient (age group 7 - 49) coming in office with gastritis complaints.

2. Next patient, in the age group of 50 - 59, is having a complete physical exam. Your physician is using a disposable speculum.

3. Your patient, who is between 50 and 59, is being seen in office for chronic sinusitis.

4. Another patient, (age group 7 - 49), is being counselled by your physician in connection with his/her methamphetamine misuse.

5. Your elderly patient, (over 80 years old), slipped outside the supermarket and has sprained her/his shoulder. Your physician is advising physiotherapy.

6. Your female patient, (age group 20 - 49), comes in office with complaints in connection with severe menstrual pains, and excessive bleeding while menstruating. Your physician is unsure if this is because of possible endometriosis, or whether she may have an ovarian cyst and sends her for further investigation at the lab and radiology facilities.

7. A small baby (under 2 years old), is seen in office suffers from severe diaper rash.

8. Your next patient (age 2 - 7 years old), comes in office for a quick allergy injection only that takes five minutes. The diagnosis is allergic rhinitis.

9. Your physician is called away to do a home visit on your patient (age group 50 - 59) as he/she is suffering from severe edema. MD arrives at patient home at 12:15 pm, and leaves there at 12:50 pm.

10. When your doctor comes back, he is doing an in office visit requiring an injection for a patient with bursitis/tendonitis in the left shoulder. The patient is 50 - 59 years old.

11. Your baby (under 2 years old from question 7), who was seen earlier this morning, is being brought back in office by mom who states that the baby has now had diarrhea symptoms as well.

12. Another patient is being seen in the office. This person (60 - 69 years old) slipped and fell on rocks. He/she presents with a small laceration on their right leg, your physician takes out a tiny piece of rock, requiring no anesthesia and sutures the laceration which is 3.6cm long. Please bill the appropriate tray fee as well.

13. Patient (age 50 - 59 years old) comes in office to talk about their chronic vertigo. The medication is being changed and patient needs to be seen again in 2 weeks to see if the change of medication is improving their symptoms.

14. A small baby, (under 2 years old), presents to the office with chief complaints of an insect bite.

15. The next in office visit is someone (age 7 - 49) who is complaining of a left rotator cuff injury that occurred during a sports activity.

Your physician is now going to the hospital, to do surgical assisting. Before the surgery starts, he/she decides to do a couple of hospital visits as well.

16. A child, (age 2 - 7 years old), is in hospital as they are suffering of severe croup. Today is day 2 of its hospitalization as your physician is doing a hospital visit.

17. Your patient (age 7-29 years old) is day 4 after his/her surgery for personal history of colonic polyps, which was removed by the gastroenterologist. Your physician is doing a hospital visit, checking in with the patient to find out how they are and when they might be discharged.

18. Another patient is on day 2 after being admitted to hospital for their Congestive Heart Failure. The patient is under care of the cardiologist, but your physician stops by to see their progress.

19. Today is also visiting day for a patient,(age 7 - 49 years old), who is terminally ill with pancreatic cancer (malignant neoplasm of pancreatic duct )

20. While at the hospital, your physician is also doing a point of admission for a patient (age 7 - 49 years old) who is being admitted for possible hepatitis.

21. Surgery is being done on a patient who is (age 60 - 69 years old) and having a benign bone tumour removed. Your physician is doing the surgical assist on this patient. You call the orthopedic surgeon's office to find out that the surgeon is billing a service fee code 52370, which amounts to $398.30. The surgery time was from 17:20 hours - 20:30 hours as this was a very difficult procedure.