4
Assignment 2
· Assign
DSM-5-TR and ICD-10 codes to services based upon the patient case scenario.
Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.
· Explain what pertinent information, generally, is required in documentation to support
DSM-5-TR and ICD-10 coding.
· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.
·
Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.
· American Psychiatric Association. (2022).
ICD-10-CM Codes UpdateLinks to an external site.
. https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/updates-to-dsm-5-tr-criteria-text
· American Psychiatric Association. (2022).
Changes to ICD-10-CM Codes for DSM-5 DiagnosesLinks to an external site.
. https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/coding-updates
· American Psychiatric Association. (2020).
Updates to DSM–5 criteria, text and ICD-10 codes
Links to an external site.
. https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5
· American Psychiatric Association. (2013).
Insurance implications of DSM-5Links to an external site.
. https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM_Insurance-Implications-of-DSM-5
· Clicking on this link will initiate the download of the PDF.
· American Psychiatric Association. (2020).
Coding and reimbursement
Links to an external site.
.
https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement
· American Psychiatric Association. (2022). Numerical listing of DSM-5 diagnoses and codes (ICD-10-CM).
In
Diagnostic and statistical manual of mental disordersLinks to an external site.
(5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787
· Buppert, C. (2021).
Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.
· Chapter 9, “Reimbursement for Nurse Practitioner Services”
· Centers for Medicare & Medicaid Services. (2020).
Your billing responsibilities
Links to an external site.
. https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/ProviderServices/Your-Billing-Responsibilities
· Stewart, J. G., & DeNisco, S. M. (2019).
Role development for the nurse practitioner (2nd ed.)
. Jones & Bartlett Learning.
· Chapter 15, “Reimbursement for Nurse Practitioner Services”
· Walden University Academic Skills Center. (2017).
Developing SMART goals
Links to an external site.
. https://academicguides.waldenu.edu/ld.php?content_id=51901492
· Zakhari, R. (2021).
The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
· Chapter 4 “Neuroanatomy, Physiology, and Mental Illness”
Rubric
In the E/M patient case scenario provided:• Assign DSM-5 and ICD-10 codes to services based upon the patient case scenario.
This criterion is linked to a Learning Outcome In 1–2 pages, address the following: • Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.
Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.
Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.
· Assign
DSM-5-TR Diagnosis and ICD-10 codes to services based upon the E/M patient case scenario.
*** You should list 3 DSM-5 TR Diagnoses and list 3 ICD-10 Codes to Match***Place in the Template as instructed!
· Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.
FOLLOW THE RUBRIC TO ENSURE YOU HAVE ALL THE REQUIRED CONTENT!!!
·
Paragraph 1: Explain what pertinent information, generally, is required in documentation to support
DSM-5-TR Diagnosis and ICD-10 coding.***
What is the criteria/tools for the diagnosis***
·
Paragraph 2: Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options. ***
Review a comprehensive assessment to help guide you…compare and see if you have all the pertinent information for the diagnosis you chose***
·
Paragraph 3: Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.
***What is needed to obtain the max billing code for the visit*** Remember there are focused visits requirements, new patient visits, comprehensives; etc. Check with the coder if you need assistance!!!