Summarize the health care facility revenue cycle and the role of diagnosis and procedure coding in reimbursement and pricing strategies.

Instructions:

  1. Using the Hospital Chargemaster Table, calculate the total charges (hospital and professional) for a patient who received the following services related to the removal of an appendix:
    1. One instance of professional CPT code 99283, PR EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY
    2. Anesthesia professional CPT code 00840, PR ANESTH,SURG LOWER ABDOMEN
    3. 10 doses of Anesthesia drug J1885, KETOROLAC 30 MG/ML (1 ML) INJECTION SOLUTION
    4. Six doses of J7120, LACTATED RINGERS IV SOLP
    5. Four doses of drug J2001, LIDOCAINE-EPINEPHRINE 1 %-1:100,000 INJECTION SOLUTION
    6. One dose of drug J1170, HYDROMORPHONE (PF) 1 MG/ML INJECTION SYRG
    7. General Surgeon professional CPT code 44970, PR LAPAROSCOPIC APPENDECTOMY
    8. Advanced post-op recovery code 200030, ADVANCED RECOVERY PER CASE
    9. One instance of Operating Room code 200015, OR, 1ST 15 MINUTES
    10. Five instances of Operating Room code 200017, OR, EACH ADDT 15 MIN, LEVEL 2
    11. One instance of Anesthesia code 200007, ANESTHESIA 1ST 15 MIN SUPPORT, ADVAN
    12. Five instances of Anesthesia code 200002, ANESTHESIA SUPPORT, EACH ADDT 15 MIN
    13. One instance of code 200058, CT ABDOMEN & PELIVS, W/ CONTRAST
    14. One instance of professional CPT code 74177, PR CT ABDOMEN & PELIVS, W/ CONTRAST

Details:

Use Excel or a table in Word to organize your answers. Your table should show codes, description of the code, unit price of one instance/dose quantity of instances or doses received, total charge for that service, and a sum of all service charges into a total charge for the encounter.

Name your file LastName_FirstName_Module2_Assignment

  • This assessment should be a Microsoft Excel or Word document.
  • Your table should show codes, description of the code, unit price of one instance/dose quantity of instances or doses received, total charge for that service, and a sum of all service charges into a total charge for the encounter.
  • Name your file LastName_FirstName_Unit 2 Assignment
  • Your submission must be written in Standard English and demonstrate exceptional content, organization, style, and grammar and mechanics.


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