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Procedure Coding

Procedure codes are a very important part of medical billing. They are used to describe the level of service provided to the patient. The level of service must agree with the diagnostic code that was discussed in the prior videos. Payers link the two together to determine if they agree before proceeding with payment decisions. A lack of connection between the diagnostic code and the procedure code will result in a denial of payment or a slowdown in payment. Both are bad for a practices cashflow. Watch this video before completing your discussion.

Procedure codes are found in the “Current Procedural Terminology” [CPT] manual publish annually by the American Medical Association.

Apply basic procedure coding methods.

Include the following aspects in the discussion:

List 3 important topics you learned about the methods of Procedure Coding.

Find a secondary source that discusses this topic and share with peer

Discuss how you will address a denial of payment due to improper diagnostic and procedure coding

Sample Solution

Without using the word family or relationship specifics like mom, dad, parent or grandparent this book shows adult/child relationships using a variety of cultures, ages and genders. Using a range of small family dynamics like a father and son, father and daughter, grandmother and grandson and mother and daughter, it shows them doing everyday things together and things like playing in the snow, rainy-day rides, double scoop treats and playing in leaves. Two is Enough shows thriving one-parent families and lots of attention for the child. Two is perfect in the winter for riding bikes on a rainy day, shopping at the market and having a fun birthday celebration. Two is perfect in spring too when planting seeds or picking bouquets. In the summer, two is just right for ice cream treats and building sand castles. When fall arrives, two is right for crashing in leaves, carving pumpkins and roasting marshmallows. Two is just right the whole year long. Two is definitely enough for a warm family, full of love, support and comfort that every child needs. There is nothing that a loving family of two cannot do! My Ol’ Man Picture Book/Nonfiction Polacco, P. (1999). My Ol’ Man. Puffin Books. My Ol’ Man is a book about the authors father and the stories he used to tell her and her brother. He was always telling stories and the best one is about the magic rock. Along with her father, brother and Gramma they are going through a tough time but together as a family they believe something magical will happen to help their family. They believe the magic is in a rock and at the end of the story they realize the magic was deep within themselves. Her father is a traveling salesman from Michigan. She goes to visit him in the summer because her parents are newly divorced, and Trisha and her older brother Richie look forward to their ol’ man’s many stories after his return from work each day. One day he tells them about a very special, magical rock that he found on his travels and takes them to see it. Both Trisha and Richie are convinced of its powers of enchantment, but when their ol’ man loses his job, will the magic from the rock be enough to help their family? They believed the rock was the solution to everything and after their ol’ man got fired and was going to have to sell his car they all went out to the magic rock and waited for good things to happen. The car never did sell but he was offered a position on the radio and didn’t have to sell the car!
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