An internal audit of knee arthroscopy procedures has identified the following:
29880 and 29876 are being coded together for the same knee
1. Based on NCCI edits, elaborate on the appropriateness of this coding practice.
2. Develop a process to ensure that NCCI arthroscopy guidelines are followed.
References: Castro, A.B. and E. Forrestal. 2015. Principles of Healthcare Reimbursement, 5th edition. Chicago,:AHIMA
Centers for Medicare and Medicaid Services (2015). NCCI Policy Manual for Medicare Services. Link:
Hazelwood, A. and C. Venable. 2016. Reimbursement Methodologies. Chapter 7 in Health Information Management: Concepts, Principles, and Practice, 5th ed. Oachs, P. and A. Watters, eds. Chicago: AHIMA
GRADING CRITERIA
Appropriate elaboration of coding practice, double-spaced.
9 points
Explain in each paragraph using analysis and scholarly thought with assertions supported by evidence.
9 points
Use proper quotation and APA citation rules
2 points
Provide URL with use of APA format
2points
Use proper spelling and grammar
3 points
TOTAL
25 points
This assignment comes from 2016 AHIMA Health Information Management Cases Studies.
CAHIIM Subdomain V.B.1
Number of Pages: 2 Pages
