1answer.
Ask question
Login Signup
Ask question
All categories
  • English
  • Mathematics
  • Social Studies
  • Business
  • History
  • Health
  • Geography
  • Biology
  • Physics
  • Chemistry
  • Computers and Technology
  • Arts
  • World Languages
  • Spanish
  • French
  • German
  • Advanced Placement (AP)
  • SAT
  • Medicine
  • Law
  • Engineering
Nutka1998 [239]
2 years ago
5

ICD-10-CM code for a male patient age 69 with type 2 diabetes and progressive diabetic retinopathy resulting in retinal hemorrha

ge. the physician provides 3 sessions of photocoagulation to his right eye over the course of 2 weeks
Medicine
1 answer:
levacccp [35]2 years ago
3 0

Answer:

I believe the code is E11.31.

Explanation:

Type 2 diabetes mellitus with unsp diabetic retinopathy. Code for that is E11.31.

You might be interested in
How are outpatient pharmacies reimbursed?
Svetach [21]
A Drug Trend report published in 2009 had predicted continued price increase among traditional branded and biotech drugs that lack generic competition. Now, further, CMS has reduced its Average Sales price (ASP) margin from 6 percent to 4 percent for non-pass-thorough. This has affected pharmacy reimbursement. However, there are certain other aspects of Pharmacy Billing that can affect reimbursement and thereby the Revenue Cycle Management (RCM) process if not well implemented.

1. Data Workflow:

Recognizing how the revenue cycle works in pharmacy is very essential. Procurement to Inventory, billing and reimbursement involves purchase of medications, their storage, and method of dispensing, how they are administered, way they are coded & billed, and finally reimbursed. If the drug is covered as a pharmacy benefit, or the payer needs that to be obtained via a specialty pharmacy as identified through patient-specific benefit verification, then here both the provider and the pharmacy are part of the reimbursement process. The physician writes a prescription and orders the drug. This is followed by the pharmacy that fills the order and issues the drug to the physician, CMHC, or hospital outpatient department. Here the pharmacy bills the insurance company for the drug. If any information is entered incorrectly into the pharmacy system in the initial phase of the cycle, errors can prove to be costly, impacting aspects of clinical and revenue cycle.

2. Procurement:

During this phase information is converted from purchased quantities and pricing to storage units of measure (UOM) and inventory costs. Manually entering the data is followed in most cases. UOM conversions, when data is uploaded from the wholesale distributor to the pharmacy system, are also checked and verified manually. Here too mistakes can lead to breakdown in the revenue cycle management (RCM) process.

3. The Charge master:

Critical & substantial revenue leakage can occur when separately reimbursable medications are either missing from or miscoded in the charge master. Conversion of pharmaceutical quantities is a must from purchased amounts to patient-administered amounts, and only then made billable. There is often a difference between dosage amounts required for patient use as from that purchased. Besides inventory, the clinician and pharmacist should convert dosage, strength, and delivery mechanism for each drug. Drug data must be correctly converted from the quantities residing in clinical systems into the payer-billable quantities appropriate for the financial system or charge master. The UOMs must be reconciled to avoid any under- or over-payments. More than often, missing or incorrect data in the charge master can result in negative financial consequences – denied claims, partial reimbursement, and compliance risks.

4. Linkages between Purchases & Billing:

Most hospitals have separate processes to order drugs, administer them, and process reimbursement. Without linkage between pharmacy expenditures for medications (i.e., spend data) and the charge master, ensuring proper charge capture and optimal reimbursement is a challenge. Besides hospitals should have automated tools to identify charge capture errors precisely, so as to pinpoint when and where their occurrence to decreasing revenue loss.
6 0
3 years ago
Help to solve this question.
adell [148]

Because she had a collapsed lung
6 0
2 years ago
Difference between family medicine and internal medicine
UkoKoshka [18]
Family medicine: Patient differences. One primary difference between internal medicine and family medicine can be found within their patient demographics. ... “Internal medicine focuses exclusively on adult medicine, while family medicine typically sees all the members of a family—children as well as adults,”
3 0
2 years ago
Read 2 more answers
Animal research is a recent scientific invention.
makvit [3.9K]

Answer:

(F) The answer is false.

Explanation:

3 0
3 years ago
The kidneys do not
tankabanditka [31]
B. Regulate the Ph of the body fluids
3 0
3 years ago
Other questions:
  • Dan has been lost in the desert for 2 days with very little water. As a result of this exposure, you would expect to observe whi
    9·1 answer
  • Beginning at the seminiferous tubule of a testis, describe the path of sperm to the outside.
    11·1 answer
  • The patient report commonly includes all of the following except
    12·2 answers
  • when employees use their resources wisely and exceed their daily and weekly goals, they are being : budgeted, productive, confid
    11·1 answer
  • Prefixes, Roots, and Suffixes
    14·2 answers
  • How is life when u die
    7·2 answers
  • What type of study is described in the following excerpt?
    5·2 answers
  • Given the coordinates (5;1) and (-3;8)<br>determine the gradient between the given coordinates ​
    6·1 answer
  • What happened in states that adopted laws encouraging drug testing?.
    11·1 answer
  • the nurse is ambulating a client. the client experiences chest pain after ambulating 50 feet. what is the nurse’s priority inter
    9·1 answer
Add answer
Login
Not registered? Fast signup
Signup
Login Signup
Ask question!