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Assignment: A 90-year-old white female with a known history of hypertensive kidney disease is referred by her regular internal medicine physician for a cystoscopy. She was treated for urinary tract infection but microscopic hematuria is persistent. A cystourethroscopy was performed under general anesthesia. The urologist removed a small 0.6 cm tumor from the lateral wall of the bladder. The specimen was sent to pathology. A squamous cell carcinoma was diagnosed.
The reported diagnosis codes were: R31.21, C67.2, I12.9, N18.9
The reported procedure codes were: 52000, 52234
• Identify the error in the claim and explain why it might be improperly paid or denied.
• Describe how this error could be remedied.
• Explain in a few sentences the impact of reporting the code(s) incorrectly. Think about reimbursement, compliance, coder performance, reporting, and any other processes that are affected by coding and claim submission.
Summarise the current internal organisational context in terms of key influences on business strategy, and measures of organisational performance.
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When a neurotransmitter is released, but it does not fit into a suitable receptor channel on the postsynaptic neuron the firing potential of the postsynaptic neuron will be inactivated
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