MCCG240 EVALUATION AND MANAGEMENT SERVICES Coding Scenarios

E/M Patient Coding Scenarios

Course, Program, and Institutional Outcome(s) Assessed:

This assignment measures your ability to meet the follows outcome(s):

· Course outcome: Abstract and code basic information from patient health records using the E/M classification system.

· Program outcome: Abstract information from medical charts to assign the correct diagnosis (ICD-10), procedure (CPT), and supply (HCPCS Level II) codes in a variety or medical situations

Relevant Background Information:

Coders review patient records, identify what information they need to abstract from the documentation, and then assign the correct code(s) to that information.  This is a critical skill that you need to develop before you begin working as a medical coder.

Assignment Purpose:

This assignment asks you to analyze patient medical records, identify what to code, and assign appropriate ICD-10-CM, CPT, and E/M codes, following the Official ICD-10 Coding Guidelines and CPT Coding Guidelines.

Assignment Directions:

Imagine that you are a coding supervisor at a physician’s office and are requiring all of your coders to possess a coding credential, so you are asking all your coders to earn the American Health Information Association Certified Coding Specialist – Physician-based (AHIMA CCS-P) certification. To help your coders prepare for the certification exam, you decide to create a mock coding test to emulate what they might see on the exam.

You have identified the patient records that your coders will work with on this mock test. Now, you need to create an answer key.

Follow the steps below to complete this assignment:

1. Review the following cases from your You Code It! textbook.

a. Chapter 2: Lea Wright

b. Chapter 3: Jacob Craine

c. Chapter 5: Melissa Reingold

d. Chapter 6: Jill Cappelli

e. Chapter 7: Imogene Stanton

f. Chapter 8: Basil Trenton

g. Chapter 9: Judith Miller

h. Chapter 10: Phyllis Salieri

i. Chapter 11: Britta Thornson

j. Chapter 12: Kelvin Johnson

2. For each case, identify which diagnoses, procedures, and E/M services, if any, are to be coded. Use your ICD-10 and CPT code books or one of the digital encoders to identify the appropriate codes for each case.

3. Type your answers into the provided template.

4. Review the attached rubric to determine how your work will be graded.

5. Submit your work by the designated due date.

MCCG240 EVALUATION AND MANAGEMENT SERVICES

E/M Patient Coding Scenarios

Rubric