MCCG262 Professional Coder Practicum Documentation Presentation (Medical Billing And Coding Essay)
As part of your internship with South Padre Medical Center, you are working under the supervision of the coding supervisor, Marla Kauffman. The clinic’s CDI Director, George Bowman, wants to better educate the physicians on the importance of accurate and complete medical records. Therefore, George is planning on beginning a series of education sessions every month. He has asked Marla to prepare a presentation on proper documentation. Marla thinks that helping with this presentation would be a wonderful opportunity for you during your internship so that you can learn how to improve clinical documentation by identifying some key elements that are missing or unclear inpatient documentation. Marla’s plan for the presentation is to present some cases and examples where the coders did not have the information they needed to code. MCCG262 Professional Coder Practicum Documentation Presentation (Medical Billing And Coding Essay). Marla has asked you to assist in preparing for this presentation by identifying any missing or unclear information from four patient records and drafting a PowerPoint presentation on your findings. Because you are a new coder, Marla also thinks it would be helpful for you to research the importance of proper documentation and ways to ensure documentation is complete and accurate and then include information from your research findings into your PowerPoint presentation. MCCG262 Professional Coder Practicum Documentation Presentation Course, Program, and Institutional Outcome(s) Assessed: This assignment measures your ability to meet the follows outcome(s):- Course outcome: Demonstrate competency and proficiency required for billing and coding operations in outpatient services.
- Course outcome: Evaluate patient records for accuracy and completeness, as defined by policy, regulations, and standards, and summarize finding to share with different stakeholders in the coding process. MCCG262 Professional Coder Practicum Documentation Presentation (Medical Billing And Coding Essay).
- Program outcome: Evaluate the accuracy and completeness of the patient record as defined by policy, external regulations, and standards.
- Institutional outcome – Information Literacy and Communication: Utilize appropriate current technology and resources to locate and evaluate information needed to accomplish a goal, and then communicate findings in visual, written, and/or oral formats.
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- Make sure you find enough information to effectively explain proper documentation in your PowerPoint presentation.
- Make sure your sources are authoritative and recent.
- Locate the following patient records in the AHIMA vLab Outpatient Clinic Cases:
- 410057
- 410092
- 410198
- 410296
- Your coding supervisor has also provided you with a coding summary for each patient record. You may find these in the coding summary at the end of this document.
- Review the patient records. For each patient record, identify if there is any missing or unclear information the coder would need. MCCG262 Professional Coder Practicum Documentation Presentation (Medical Billing And Coding Essay).
- Gather the information from your sources and from your review of the four identified patient records. Create a PowerPoint presentation that achieves the following:
- Provides examples from all four patient records of pieces of the medical records that are properly documented.
- Provides examples from all four patient records of pieces of the medical records that do not have accurate or complete information.
- Explains the importance of proper medical documentation.
- Provides suggestions to ensure physician documentation is complete and accurate.
- Is the right length to thoroughly cover all necessary information MCCG262 Professional Coder Practicum Documentation Presentation (Medical Billing And Coding Essay).
| Level 3 | Level 2 | Level 1 | Level 0 | |
| 50-42.5 | 42.4-35 | 34.9-32.5 | 34.2-0 | |
| Content | Student includes accurate, thorough, and detailed explanations of all presentation requirements. | Student includes accurate, somewhat thorough, and somewhat detailed explanations of most (75%) of the presentation requirements. | Student includes accurate explanations with little to no details of half of the presentation requirements. | Student includes inaccurate explanations without details of less than half of the presentation requirements. |
| 35-29.75 | 29.74-24.5 | 24.4-22.75 | 22.74-0 | |
| Presentation | Presentation length is adequate for the material being presented. Audio commentary matches slides presented. | Presentation length is mostly adequate for the material being presented, but the presentation would have better if the length was slightly adjusted. Audio commentary matches slides presented. | Presentation length is partially adequate for the material being presented, but the presentation would have better if the length was significantly adjusted. Audio commentary does not match slides presented. | Presentation length is inadequate for the material being presented. Audio commentary does not match slides presented. |
| 10-8.5 | 8.4-7 | 6.9-6.5 | 6.4-0 | |
| Sources | Student refers to authentic and recent sources that provide abundant information for the material being presented. Student includes the sources for all information in the PowerPoint. | Student refers to authentic and recent sources that provide adequate information for the material being presented. Student includes the sources for most (at least 75% of the) information in the PowerPoint. | Student refers to authentic and recent sources that provide inadequate information for the material being presented. Or the sources are not authentic or recent. Student includes the sources for half of the information in the PowerPoint. | Student fails to refer any sources. Student fails to include the sources or only includes sources for less than half of the information in the PowerPoint. |
| 5-4.25 | 4.24-3.50 | 3.49-3.25 | 3.24-0 | |
| Institutional Outcome | Information Literacy and Communication: Work indicates that the student has exceeded expectations for this institutional outcome. | Information Literacy and Communication: Work indicates that the student has successfully met expectations for this institutional outcome. | Information Literacy and Communication: Work indicates that the student has partially met expectations for this institutional outcome. | Information Literacy and Communication: Work indicates that the student has not or scarcely met expectations for this institutional outcome. |
| Final ScorMCCG262 Professional Coder Practicum Documentation Presentation (Medical Billing And Coding Essay)e: | Comments: | |||