OK, a little feedback for you.
When coding diagnoses for any OP encounter, most data entry systems want the "admitting dx" and the "primary dx". Most of the time they are the same (so you would code it twice), but not always. For example in an ER, if a pt presents with a cough (cheif complaint), but the final dx is pneumonia. Cough would be the admitting dx and pneumonia the final dx.
As for the facility E/M, did they tell you which guidelines to use? There are many different ways to determine the facility E/M. It is based on the facility resources used to treat the patient. There is a set developed by ACEP and several others. Facilities can also make their own. So they need to tell you which guidelines to use.
Hope this is helpful.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join