Current Procedural Terminology Case Essay
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Current Procedural Terminology Case Essay
In this unit, you were introduced to procedural coding of the Current Procedural Terminology (CPT) coding system as well as the diagnosis coding system known as the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). You also reviewed how encoders and computer-assisted coding is used in healthcare facilities. Additionally, you analyzed what code sets are and their importance of meeting Health Insurance Portability and Accountability Act (HIPAA) code standards for insurance payers during the claim submission process.
For this essay, review the reading assignments, and utilize the CSU Online Library to discuss the information below.
- Explain the differences between encoders and computer-assisted coding applications.
- Describe the steps for developing an effective coding compliance program, and explain who is responsible for maintaining this program.
- Explain what code edits are and how they are used by insurance companies.
- Select one code set reviewed in this unit, and articulate how that system is used.
Your essay must be at least two pages in length, not counting the title page or references page. You must use at least two sources for this essay. One resource must be found in the CSU Online Library, and the other may be your textbook. All sources used must have proper citations. Your essay, including all references, will be formatted in APA style.
Resources
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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