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Understanding Medical Coding Systems

Dr. Patterson's office is not allowed to release patient information to the patient's husband without her consent as this would be a violation of HIPAA privacy rules. Even though he is the spouse, written consent is required to discuss a patient's medical information with anyone other than the patient. The best option would be to contact the patient directly to confirm if she provided consent for her husband to receive information.

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34 views2 pages

Understanding Medical Coding Systems

Dr. Patterson's office is not allowed to release patient information to the patient's husband without her consent as this would be a violation of HIPAA privacy rules. Even though he is the spouse, written consent is required to discuss a patient's medical information with anyone other than the patient. The best option would be to contact the patient directly to confirm if she provided consent for her husband to receive information.

Uploaded by

api-428038967
Copyright
© All Rights Reserved
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Tasia Bausley

09/28/2018

AH102

Work Samples

Is it Allowed?

Dr. Patterson’s office is not allowed to release patient information this would be considered a

HIPAA violation. Even though they were speaking to the patient’s husband they are not allowed to tell

him without her consent. If she had a consent form on file, then this would be fine. The best option

would be to give Mrs. Martin a call back if they are unsure whether she gave consent to her husband.

Name: Tasia Bausley

Date: 10/1/18

Define the Coding Systems


Write a short explanation in your own words of what is the difference between ICD-CM codes, CPT
codes, and ICD-10-PCS, and HCPCS.

1. ICD-CM: A system used by doctors to classify and code diagnoses, symptoms, and procedures
2. CPT: a medical code set use to report medical, surgical, and diagnostic procedures to doctors
and insurance companies
3. ICD-10-PCS: codes for medical procedure taken by health professionals
4. HCPCS: coding system used to collect data to determine payment

Case Study 1
A patient presents at an outpatient urgent care facility with an acute illness and is seen by a provider. A
detailed history with physical examination is performed. What coding system is used in this
scenario?
ICD-CM

Case Study 2
Upon review of the symptoms, the provider orders a rapid strep test and a rapid flu test. What coding
system is used in this scenario?
CPT

Case Study 3
The results of the rapid strep test were negative, but the rapid flu test was positive for the influenza
virus, type A. What coding system is used in this scenario?

ICD-10-PCS

Case Study 4
A patient presents to the hospital for a tonsillectomy. What coding system would the hospital use to bill
for this service?

HCPCS

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