Develop a process to ensure that NCCI arthroscopy guidelines are followed

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Develop a process to ensure that NCCI arthroscopy guidelines are followed

Instructions: NCCI Guidelines:

An internal audit of knee arthroscopy procedures has identified the following:

29880 and 29876 are being coded together for the same knee

1. Based on NCCI edits, elaborate on the appropriateness of this coding practice.

2. Develop a process to ensure that NCCI arthroscopy guidelines are followed.

References: Castro, A.B. and E. Forrestal. 2015. Principles of Healthcare Reimbursement, 5th edition. Chicago,:AHIMA

Centers for Medicare and Medicaid Services (2015). NCCI Policy Manual for Medicare Services. Link:

https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/NCCI-Coding-Edits.html

Hazelwood, A. and C. Venable. 2016. Reimbursement Methodologies. Chapter 7 in Health Information Management: Concepts, Principles, and Practice, 5th ed. Oachs, P. and A. Watters, eds. Chicago: AHIMA

GRADING CRITERIA

Appropriate elaboration of coding practice, double-spaced.

9 points

Explain in each paragraph using analysis and scholarly thought with assertions supported by evidence.

9 points

Use proper quotation and APA citation rules

2 points

Provide URL with use of APA format

2points

Use proper spelling and grammar

3 points

TOTAL

25 points

This assignment comes from 2016 AHIMA Health Information Management Cases Studies.

CAHIIM Subdomain V.B.1

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