DirectionsImagine that you are a coding supervisor at a physician’s office and are requiring all of

DirectionsImagine 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. Using your ICD-10 and CPT code books, identify which diagnoses, and E/M services, if any, are to be coded for each case.Utilize the provided Coding Scenario Template for your answers.For detailed grading information review the attached rubric to determine how your work will be graded and submit your work into Blackboard.MCOGNO – Coding Scenarios – Mock Exam Training ? Coding Soomarion Template Criteria & HeatherAshley Wendell Kanon Margaret Patients Morris Harper Polansky Thomas Denny First Listed DiagnosisSecondary Diagnosis Diagnoses EM… Show more         10/12/21, 9:33 AM OPOV38 HarperAshleyOutpatient Office VisitPatient Case Number: OPOV38-Harper, Ashley (established pt)Patient Name: Ashley Harper DOB: 08-09-78 Sex: FDate of Service: 09-16-XX Physician: Mark Shifter, MDChief Complaint: Discharge and pus from eyeHistory of Present Illness:Mrs. Harper presents for evaluation of discharge, pus. in the right eye and left eye. It occurs in themorning. The condition is stable. Pt states symptoms come and go every couple of months. Ptstates vison seems fine today in both eyes and denies any pain. Pt complains of tired eyes and watery eyes. She has had DMII for about 4 years with an Alc of 7.3last month. Does not check sugar. Past Ocular History: Patient notes no ocular history at this visit. Medical History: DM IISurgical History: Carpal tunnel releaseSocial History: NoncontributoryMedications: Metformin 500mg twice dailyReview of SystemsEar, Nose, Mouth, Throat: Dry mouthRespiratory: CoughnegativeIntegumentary: negativeGI: negativeMusculoskeletal: negativeCardio: negativeHema/Lymph: negativeGU: negativePsych: negativePhysical Examination: Patients mood/affects is normal. Patient is oriented to person, place, and time External ExaminationPupils: OD pupils equal, round, reactive, no APO & OS pupils equal, round, reactive, no APDConfrontational Visual Fields: OD confrontation fields full to finger counting OS confrontation fields full to finger countingMotility: OD EOM is full OS EOM is fullAdnexa: OD Adnexa is normal OS Adnexa is normalEye Lids: OD lids and lashes are normal OS lids and lashes are normalSlit Lamp Examination Conjunctiva: OD white and quiet  &  OS white and quietCornea: OD normal endothelial, epithelial, stroma and tear film & OS normal endothelial, epithelial, stroma and tear filmIris: OD iris is normal OS iris is normalAnterior Chamber: OD anterior chamber is deep and quiet OS anterior chamber is deep and quietLens: OS Clear lens capsule, cortex, and nucleus Assessment/Plan1. Keratoconjunctivitis sicca of both eyes- Discussed diagnosis in detail with patient. Discussed treatment plan with patient. Educational materials provided for dry eye syndrome. Lotemax prescription provided.2. DM II-continue Metformin Electronically Signed By: Mark Shifter, MDCopyright © 2020 by The American Health Information Management Association. All Rights Reserved. Health Science Science Nursing MCCG 240 Share QuestionEmailCopy link Comments (0)

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