SNHU Highest Level of Specificity Essential Processes in Healthcare Analysis

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To ensure accuracy in documentation and receive fair compensation, health care providers should code to the highest level of specificity.

Create a training document illustrating examples of how to code to the highest level of specificity.

  • Your role: Practice administrator
  • Audience: Physicians and Coders in your practice
  • Objective: Training/reference guide for assigning codes
  • Content:
    • One paragraph explaining why coding should be to the highest level of specificity.
    • Bullet point format: Six (6) examples of appropriate codes that align with specificity best practices. Format should include the code itself, followed by the code’s description. Examples:
             *   E10.65 Type 1 diabetes with hyperglycemia
             *   S06.0x1A Concussion with loss of consciousness of 30 minutes or less, initial encounter
    • One paragraph explaining the process for correcting codes internally if they are not coded to the highest level of specificity – before they are sent to the payer. This will be specific to your practice’s workflow and staffing (fictional information, you create based on your research and knowledge).

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