HIM 600 Solved: 2-2 Journal: Coding Errors and Compliance
Cord Errors
Coding
accuracy and effectiveness positively serve care providers, especially in
improving the quality of patient care, revenue cycle management, and claims
management (Lee & Choi, 2021). This means that potential coding errors
negatively impact an organization’s quality of care, claims management, and
revenue cycle management. The inpatient face sheet provided for this case
presents notable coding errors that could ultimately impact the facility’s
revenue cycle management, claims management, timely billing, and provision of
quality care. For instance, the face sheet provides Acute Pyelonephritis
(ICD-10-CM code N39.0) as the patient’s first principal diagnosis. This
information is misleading and affects the facility’s coding quality since the
accurate billable/specific ICD-10-CM code for Acute Pyelonephritis is N10
(ICD10Data, 2022). The listed ICD-10-CM code of N39.0 is used when coding
urinary tract infection (UTI) (ICD10Data, 2022). Acute Pyelonephritis is an
organ or life-threatening bacterial infection of the kidney parenchyma and
often leads to kidney scaring (Fulop, 2021). However, it shares similar traits
with UTI since it occurs as a complication of an ascending UTI, spreading to
the kidneys and their collecting systems from the bladder. This does not mean
that Acute Pyelonephritis and urinary tract infection are the same and should
be reported as one condition.
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