CASE STUDY VII &VIII

| November 30, 2016

Unit VII Case Study

Using the Internet to Expedite Patient Care Shon Brown, a 35-year-old male, arrives at his primary physician with complaints of a “cough and shortness of

Breath that will not go away.” He states that he has had a bark-like cough, pain in extremities, and fever for at least four days and feels like his symptoms are worsening rather than subsiding. When asked, he states that he did not take the flu shot this year. After a routine physical examination, Dr.

Williams orders a CBC, chest X-ray, and CT of the chest, with and without contrast, and gives him a prescription for a cough suppressant and antibiotics.

Dr. Williams will be in touch with him after the lab work and diagnostic procedure findings are

in:

1. Shon’s lab and diagnostic findings are indicating pneumonia. You are to create a letter to him, per Dr. Williams, stating his findings are positive for pneumonia

(acute pathology) and he should contact the office for a flu shot when he feels better.

2. You have a consent to use E-mail communication on file for Shon. Write an

e-mail to him about his lab and diagnostic test results, requesting he contact the office by telephone or internet to arrange an appointment to receive a flu

shot. After reading the required chapter on Using the Internet to Expedite Patient Care, complete and submit the following in an APA format:

· Begin your case study with an introduction explaining the purpose of the case study.

· In no more than two paragraphs explain what a Public Health Record is, what is comprised of, and who (patient, agency, committee, etc.) regulates entry to the PHR?

· Write an e-mail to Shon about his lab and diagnostic test results, requesting

he contact the office by telephone or internet to arrange an appointment to receive a flu shot.

· Important reminder– do not forget to include a reference page, including all sources cited in your essay. Upload before the assignment deadline. Be sure

to support your work with specific citations from this week’s required reading

and any additional resources. Format your Case Study using APA style. Use your own words, and include citations and references as needed to avoid

plagiarism. Information about accessing the Blackboard Grading Rubric for this assignment is provided below.

Gartee, R. (2011). Electronic health records: Understanding and using computerized medical records (2 nd ed.). Upper Saddle River, NJ: Pearson Education.

CHAPTER 11

Unit VIII Case Study

EHR Coding and Reimbursement

A 16-year-old female who has asthma has an Emergency Department visit for angina, shortness of breath, and wheezing. The doctor performs a chest x ray, breathing treatments, and a Nuclear Medicine Stress Test utilizing a treadmill while monitoring the patient’s heart palpitations. While the patient is in the ED, the doctor evaluates her asthma and changes her prescription medication. Review the chapter and consider the following

questions:

1. How would you select the ICD-9 and CPT codes for the procedural claim (encounter) for the ED visit?

2. What diagnosis and procedure codes will result in dull reimbursement for the procedures rendered?

3. How will the claim demonstrate the medical necessity for the exams?

HTH 2305

After reading the required chapter on EHR Coding and Reimbursement complete and submit the following in an APA

format:

· Begin your case study with an introduction explaining the purpose of the case study.

· In no more than three paragraphs explain and answer the questions listed above. Be descriptive on the steps necessary to perform the above scenario. Defend your response and use terminology related to the scenario.

· Describe billing upcoding and downcoding. Describe the penalties related to

performing these tasks. Is there a chance for the scenario listed above to be upcoded or downcoded? Explain your response.

· Important reminder, do not forget to include a reference page, including all sources cited in your essay. Upload before the assignment deadline. Be sure to support your work with specific citations from this week’s required reading

and any additional resources. Format your Case Study using APA style. Use your own words, and include citations and references as needed to

avoid plagiarism

Gartee, R. (2011). Electronic health records: Understanding and using computerized medical records (2 nd ed.). Upper Saddle River, NJ: Pearson Education.

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