MN502 Indiana University East Reimbursement for Nurse Practitioner Services Case 2 Discussion 2pages, peer reviewed articles. Reference page. case study qu

MN502 Indiana University East Reimbursement for Nurse Practitioner Services Case 2 Discussion 2pages, peer reviewed articles. Reference page. case study questions 1-5, and schedule ii and iii mediations. See the attach 366
Chapter 15 Reimbursement for Nurse Practitioner Services
O CASE STUDY TWO
(continued)
Review of Systems:
General: Denies fever, weight loss, actually gained 10 lbs, night sweats
Respiratory: Denies difficulties
Cardiac: No CP or palpitations
Gastrointestinal: Appetite good, denies problems
GU: Denies urinary frequency, no nocturia
Musculoskeletal: Denies numbness, weakness, or sensation of pain in the upper extremities.
Physical Examination:
General: NAD. HT 5’9″, WT 285 lb, BP 130/80, P-76, R-18.
Cardiac RRR, S1,S2 no S3,S4, 3/6 SEM throughout precordium (new finding), Lungs CTA,
Abd: soft, +BS no HSM, extremities no edema noted
1. What are the potential ICD-10 codes in this case?
2. How can the NP determine if this patient is a new patient versus an established
patient at the clinic?
3. What components of care will be used for reimbursement decisions for Mr. Jones?
4. What type of physical examination best fits what was performed on Mr. Jones?
5. If you were coding the visit for Mr. Jones, how would you determine what
decision-making level you would choose? Provide your rationale, and be specific.
References
Aalseth, P. (2006). Medical coding: What it is and how it works. Sudbury, MA: Jones & Bartlett.
American Association of Professional Coders. (2017). What is HCPCS? Retrieved from http://www
.aapc.com/resources/medical-coding/hcpcs.aspx
Centers for Medicare and Medicaid. (2015). Quality payment program. Retrieved from https://app.cms.gov
contexo Media. (2015). Procedural coding expert ultimate guide to CPT coding. Contexo Media, 1-3
epartment of Health and Human Services. (2007). Direct billing and payment for non-physicic
practitioner services. Baltimore, MD: Centers for Medicare & Medicaid Service. Retrieved fro
https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMatte
Articles/downloads/MM5221.pdf
deral Register. (2015). Public Law 114-10: Medicare Access and CHIP Reauthorization Act. Retriev
from https://www.congress.gov/114/plaws/publ10/PLAW-114publ10.pdf
odson, J. (2007). Unintended consequences of resource-based relative value scale reimburseme
nciation 298(19) 2308-2310
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