Question

When dealing with coding patient accounts, there are many things to consider. Write a summary detailing the basic principles of coding, determine what level of detail is needed to assign a code, understand how to use combination codes and multiple codes, and finally explain the different between rule-out and ruled out. You may also list any other pertinent information as it relates to the purpose of coding. Start with what the guidelines are for coding first and then move forward.

Answer 1

The guidlines for coding can be seen as asort of general best pratices for the coding professionals, the state and federal government's have laid out a number of specific rules to govern medical coding these rules make sure that patients are treated correctly and insurance comapines only bill for serves rendered and doctors paid correctly and in timely manner because the system is very complex and many insurance companies follow set of guidelines put for by the cms as this is national agency that put forth many regulations on the medical industry, some guidlines are the specficity of the diagnosis code, the correct replrting of procedure codes,reasonable and customary charges and procedure code modifiers etc b) basic principles of coding: list the principle diagnosis , condition or other region for the medical services or procedure etc, be specific, distingusih between chronic and acute conditions, identify acute conditions as emeegency and chronic as secondary diagnosis, assign diagnosis codes to the highest document level of specificity , for office or outpatient never use rule out statement etc. C) level of detail in coding: assign diagnosi to highest levwl of specificity and do not use 3 digit code if ther is fourth and do not use 4 digit code if there us 5th , if not specific claims bounce etc , d) combination codes these are used in place of single codes and multiple codes it is more than one code required to describe diagnosis, combination codes describes single code that shows the eithology and manifestations of a particular conditions and is used to classify one of the following they are 2 diagnosis, a diagnosos with an associate secondary process and a diagnosis with an assoicated complication. Multiple codesit is the use of more than one code to fully describe the components of a particular disease process or complex diagnostic statement.e)rule out vs ruled out: ruleout is used for establishment for inpatient episodes of care, and ruled out is never coded - code the established alternative diagnosis or presenting symptoms or other precursor condition.