How to Answer Determine Accuracy Computer Questions (Complete Guide)

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Original Question

Determine accuracy of computer assisted coding assignment and recommend corrective action Overview: A computer assisted coding system (CACS) is software that analyzes healthcare documents and produces appropriate medical codes for specific phrases and terms within the document. According the American Health Information Management Association (AHIMA), “a CACS offers several advantages over manual coding, including increased productivity and efficiency in coding and the consistent application of coding rules. However, the cost of the computer assisted coding software and the increased chance for errors are potentially detrimental. An AHIMA study found that coders that used a CACS spent 22% less time coding a record than coders that didn’t consult a CACS. The study showed that a CACS that was unchecked by a coder was less accurate than a combination of the medical coding software and a manual coder”. HIM Professionals will participate by validating (confirming) the accuracy of codes assigned by the CACS. The validation process involves reviewing documentation in the health record and correcting ICD code assignment prior to submission of the claim to third-party payers. Objectives: At the conclusion of this assignment, you should be able to: Determine accuracy of computer assisted coding assignment and recommend corrective action Explain the importance of a coder in an organization that utilizes computer-assisted coding (CAC) in terms of accuracy of code assignment Discuss how coders will assist in corrective action regarding the CAC process Remember to use all available resources/references Part I. Read the following excerpt from a patient health record that has been processed with computerized assisted coding (CAC) software* Determine any areas of inaccuracy in the CAC identification Recommend corrections to the code assignment Mrs. Smith is a 59-year-old white female presents to the Emergency Department with chest pain. She described this pain while shoveling snow outside her home while her husband was in the house watching football. She states the pain is 7 out of 10 on the pain scale. She complains of no arm or jaw pain. She has hyperlipidemia and hypertension, on medications for both conditions. Two years ago she suffered an acute inferior ST elevation myocardial infarction. All test results were normal. She did admit to eating spicy Mexican food earlier in the day. Diagnosis was indigestion, acute myocardial infarction ruled out. Patient was discharged from the Emergency Department in good condition. Codes assigned by CAC (Please see Page 3) *Highlighted verbiage is the CACS designated terms for code assignment. Picture 1, Picture RFV Codes: R07.9, R52, M79.603 Primary: R07.9 Secondary: R52, M79.603, E78.5, I10, I21.19, K30, I21.3, R68.84 Part I (continued) Determine accuracy of computer-assisted coding assignment and recommend corrective action by assigning codes for the above medical scenario. After your review, write your codes here. Codes assigned after coder review: RFV: ________________________ Primary: _____________________ Secondary: ______________________________________________________________________________________ Part II. Explain the importance of a coder in an organization that utilizes computer-assisted coding (CAC) in terms of accuracy of code assignment Part III. Discuss how coders will assist in corrective action regarding the CAC process

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