This chapter provides an opportunity to demonstrate the ability to complete correct primary claims. Twenty patient encounters with the Valley Associates, P.C., practice require the preparation of claims.
For the first ten encounters (claim case studies 1 – 10), completed patient information forms and encounter forms are supplied. Completion of a correct claim for each encounter based on abstracting information from these forms is required.
For the second ten encounters (claim case studies 11 – 20), patient information, a diagnostic statement, and a procedural statement are provided. To prepare correct claims requires selecting the correct ICD-9-CM and CPT codes for the encounter, abstracting the patient information, and completing a claim.
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