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Imagine you are the head office clerk at a medical practice and have been asked to create a memo to explain the purpose of the Alphabetic Index and Tabular List.

Write a 150- to 350-word memo that addresses:
• The appropriate use and purpose of the Alphabetic Index and Tabular List
• Examples of what problems might occur if proper coding procedures are not used

Cite at least 2 sources other than your textbook. For additional information on how to properly cite your sources, utilize the Reference and Citation Generator resource.

Diagnostic Coding Worksheet
Complete Parts A through D of this worksheet.
Resources: Ch. 4 and Ch. 18 of Medical Insurance: A Revenue Cycle Process Approach (7th ed.), CMS.gov, and internet coding resources
Part A: Diagnosis Code Category
Complete the tables below.
Determine a diagnosis code for the following case studies and include your reference.
Case Study Diagnosis Code or Resource
EXAMPLE: A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event. Patient is diagnosed with atypical chest pain.
Atypical chest pain: ICD10 code: R07.89

Source: CMS.gov
1. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). Patient is diagnosed with a TIA.
2. A 72-year-old diabetic female exhibits an open wound on her left foot. Initial encounter.
3. A 45-year-old male patient presents to the office complaining of headaches for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible brain tumor. The MRI was negative. The patient was diagnosed with a migraine.

Part B: More Coding
Highlight the correct code that would be used when billing using the table of drugs and chemicals.
Diagnosis Code
1. Unintentional Poisoning Antifreeze (Alcohol).
Initial encounter.
A. T44.0X1A
B. T51.1X1A
C. T45.8X3S
D. T51.1X4D
2. Patient has a diagnosis of poisoning with intent to self-harm with Nadolol.
Initial encounter.
A. T45.8X1AD
B. T50.8X6S
C. T48.203A
D. T44.7X2A
3. Patient has diagnosis of poisoning undetermined furniture polish.
Subsequent encounter.
A. T65.892S
B. T65.894D
C. T52.8X3S
D. T50.6X6A
4. Patient has diagnosis under dosing Furosemide.
Initial encounter.
A. T50.1X6A
B. T50.1X5A
C. T45.8X1S
D. T62.1X1D
5. Patient has diagnosis poisoning assault hair dye.
Initial encounter. A. T458X1A
B. T50.901D
C. T573X3D
D. T49.4X3A

Part C
Highlight the correct code that would be used when referencing the Neoplasm table.
Diagnosis Code
1. Patient has malignant primary neoplasm of the tonsil, unspecified
A. C11.0
B. C09.9
C. C11.8
D. C09.0
2. Patient has secondary neoplasm of the stomach (body)
A. C16.1
B. C24.0
C. D13.1
D. C78.89
3. Patient had benign neoplasm of the liver A. D13.4
B. C22.8
C. D01.5
D. D49.0
4. Patient has malignant neoplasm of the duodenum ca in situ
A. D01.49
B. D13.2
C. C17.0
D. C17.2
5. Patient has unspecified neoplasm of the pancreas duct, unspecified A. C78.89
B. C25.0
C. D49.0
D. D37.0

Part D
Define each external code. An example has been provided for you.
Code Meaning
EXAMPLE: W00.0XXA Fall due to ice and snow on same level, initial encounter.
1. V01.00XD
2. V95.01XA
3. X10.1XXA
4. V50.6XXA

 

 

Sample Solution

The American conception of privacy is predicated on ensuring the individual’s freedom from government intrusion and pushing back the growth of the administrative state. The framers’ distaste for excessive government power to invade the privacy of the people was forged into the Bill of Rights in the Third, Fourth, and Fifth Amendments. These amendments responded to the egregious British abuses of personal privacy; including the quartering of soldiers in private homes, the search and seizure of colonists’ property, and forcing colonists to divulge information. Some of the first laws in the new republic constrained the government’s use of the census and its ability to compel information in court. The 1966 Freedom of Information Act (FOIA) ensured that people could access records held by the government. Given this history of pushing back against government intrusion, it is reasonable to be skeptical that increasing government power is now the key to privacy in the U.S.

B. GDPR-type Policy in the EU Has Failed to Increase Consumer Trust

The argument for adopting GDPR-like legislation in the U.S. would be made stronger if Europe’s laws to date successfully increased trust among consumers in the digital ecosystem. Unfortunately, reports and surveys indicate no such evidence. The biannual Eurobarometer survey, which interviews 100 individuals from each EU country on a variety of topics, has been tracking European trust in the Internet since 2009. Interestingly, European trust in the Internet remained flat from 2009 through 2017, despite the European Union strengthening its regulations in 2009 (implementation of which occurred over the subsequent few years) and significantly changing its privacy rules, such as the court decision that established the right to be forgotten in 2014. The evidence suggests that Europe’s data protection regulations to date have little to no pos

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