Knee Arthroscopy Procedure Audit

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:

https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/NCCI-Coding-Edits.html

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

Knee Arthroscopy Procedure Audit

5 Ethical Considerations Suicidal ideation or behavior is only one reason for which close monitoring is important for children started on antidepressant therapy (Mitchell et al., 2014). Therefore, providers who are considering the use of antidepressants in children, adolescents, and young adults must first balance the risk of suicidality with the clinical need for an antidepressant (Mitchell et al., 2014). 1 The ethic consideration can be classified as an accumulation of reasoning and principle of treatment of depression.The suicidal tendency in the used of antidepressant medication has led the FDA to require that all antidepressant medicine should be labeled by pharmaceutical companies with the caution of suicidal on the label (Sondheimer, 2010).

Any child that is below the age of 18years old cannot take decision on depression treatment without the parent approval according to FDA regulation (Sondheimer,2010). Therefore, it is paramount to educate the parent of the treatment given to the child as well the consent of the parent.In case of danger, the consent advice of the parent may be ignored (Sondheimer, 2010).The Zoloft is “off-label” so a greater precaution and parent approval needs to be obtain before dispensing.

6 This lack of knowledge leads many to believe that a mental health condition is a personal weakness or some sort of punishment from God. Many African Americans also have trouble recognizing the signs and symptoms of mental health conditions, leading to underestimating the effects and impact of mental health conditions. 3 Faith and spirituality can help in the recovery process but should not be the only option you pursue. If spirituality is an important part of your life, your spiritual practices can be a strong part of your treatment plan. Your spiritual leaders and faith community can provide support and reduce isolation.

7 Conclusion The FDA advises that doctors prescribe the smallest quantity of pills possible to help reduce the risk of deliberate or accidental overdose. A careful monitoring by parents, caregivers and health care professionals is important for any child or teenager taking an antidepressant for depression or any other condition. 1 Food and Drug Administration (FDA or USFDA) has a rule and regulation set for the treatment of behavioral disorder in children, the guideline which must be follow to the letter (National Alliance on Mental Illness, 2017). Supervising and safe monitoring of the child is very important during therapy (National Alliance on Mental Illness, 2017). 1

The legality guiding the treatment of a child with psychiatric problem has increase because of increase national awareness. As a psychiatric nurse, I strive to increase my knowledge of the legal and ethical implications of prescribing psychotropic medications for children.and adolescents with major depression and anxiety disorders. 3 African Americans are no different when its comes to prevalence of mental health conditions when compared to the rest of the population, depression one of the mental health issues in African American community.