Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning. Chapter      15, œReimbursement for Nurs



Evaluation and Management (E/M)

Learning Resources

Buppert, C. (2021). Nurse practitioner's business practice and legal guide (7th ed.). Jones & Bartlett Learning.

  • Chapter      9, “Reimbursement for Nurse Practitioner Services”

Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning.

  • Chapter      15, “Reimbursement for Nurse Practitioner Services”

Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.  

  • Chapter      4 “Neuroanatomy, Physiology, and Mental Illness”

Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding.

For this Assignment, you will review evaluation and management (E/M) documentation for a patient and perform a crosswalk of codes from DSM-5-TR to ICD-10. 

To Prepare
  • Review this      week’s Learning Resources on coding, billing, reimbursement.
  • Review the      E/M patient case scenario provided.
The Assignment
  • Assign DSM-5-TR and      ICD-10 codes to services based upon the patient case scenario. 

Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.

  • Explain      what pertinent information, generally, is required in documentation to      support DSM-5-TR and ICD-10 coding.
  • Explain      what pertinent documentation is missing from the case scenario, and what      other information would be helpful to narrow your coding and billing      options.
  • Finally,      explain how to improve documentation to support coding and billing for      maximum reimbursement.   

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