Identify the error in the claim

Assignment Help Other Subject

Reference no: EM132835390

Assignment: A 90-year-old white female with a known history of hypertensive kidney disease is referred by her regular internal medicine physician for a cystoscopy. She was treated for urinary tract infection but microscopic hematuria is persistent. A cystourethroscopy was performed under general anesthesia. The urologist removed a small 0.6 cm tumor from the lateral wall of the bladder. The specimen was sent to pathology. A squamous cell carcinoma was diagnosed.

The reported diagnosis codes were: R31.21, C67.2, I12.9, N18.9

The reported procedure codes were: 52000, 52234

• Identify the error in the claim and explain why it might be improperly paid or denied.

• Describe how this error could be remedied.

• Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission.

Reference no: EM132835390

Questions Cloud

Why standard setters to refer to faithful representation : In your discussion you should critically evaluate why standard setters choose to refer to 'faithful representation' and 'neutrality' within conceptual framework

Decide on a teaching-learning situation : Decide on a teaching-learning situation which will be valuable for your future ESL/EFL/LOTE teaching career. Aim to make your choice the basis for your final

Prioritise the introduction of cloud computing : What are some potential risks you might recognise associated with introducing cloud computing?

Explain three fundamental ethical principles at risk : Alan being asked to undertake similar engagements in Future. Explain three (3) Fundamental ethical principles at risk

Identify the error in the claim : A 90-year-old white female with a known history of hypertensive kidney disease is referred by her regular internal medicine physician for a cystoscopy.

Conducting business on specific cultures-countries : You are looking for some investors for your new project and there is a very good chance to present your ideas. You heard that world-renowned businessman

Case study-rameses international : Read the case study and answer each question related to the case drawing on facts from the case:

Create an efficiently coded solution : Create an efficiently coded solution that performs the aging determination and the accumulation in a single loop

Write three sophisticated tax issues for client : Write three sophisticated tax issues for client, the most important issue from each paragraph of the problem. Each issue must include relevant

User Account

All Pages