NU-668: Week 4 Assignment 1: Coding

NU-668: Week 4 Assignment 1: Coding

Value: Complete at 100 points/Incomplete at 0 points—This assignment is worth 4% of the total grade.

Due: Day 7

Grading Category: Assignments

Instructions

The purpose of this assignment is to practice evaluating patient encounter notes to identify appropriate Current Procedural Terminology (CPT) codes to submit for billing. This is an important skill to master as an NP.

In this assignment, you are provided with three patient SOAP notes from an encounter with an NP. Using the Required Readings and Required Resources, identify the appropriate code (i.e., 99211, 99212, 99213, etc.) that should have been billed for the visit. In addition, provide detailed rationale on how you came to this decision. Please use the Patient Billing Template (Word). NU-668: Week 4 Assignment 1: Coding

• Patient 1 SOAP note (Word)
• Patient 2 SOAP note (Word)
• Patient 3 SOAP note (Word)

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Submit the completed Patient Billing Template to this assignment.

Please refer to the Grading Rubric for details on how this activity will be graded.

In order for this assignment to be considered complete, you will need to complete the coding for each of the three patients and cite rationales for your decision using the most current APA format by Day 7.

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Week 4: Learning Materials

Readings

Required

• Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones and Bartlett Publishers.
  • Chapter 4: Federal Regulation of the Nurse Practitioner Profession including Appendix 4-A
•  Joel, L. A. (2018). Advanced practice nursing: Essentials for role development (4th ed.). F. A. Davis Company.
  • Chapter 9: Participation of the Advanced Practice Nurse in Health Plans and Quality Initiatives

Required Resources

• CMS Evaluation and Management Services (PDF) Documentation Guideline.
• Medicare Benefits Policy Manual (PDF)
• Centers for Medicare & Medicaid Services (CMS). ICD-10-CM Official Guidelines for Coding and Reporting FY 2021. (PDF)
• American Medical Association (AMA). CPT® Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99417) Code and Guideline Changes (PDF).
• Medical Billing & Coding. 2.09: CPT Modifiers NU-668: Week 4 Assignment 1: Coding