NRNP 6675 Week 2 Evaluation and Management (E/M)
Walden University NRNP 6675 Week 2 Evaluation and Management (E/M)-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NRNP 6675 Week 2 Evaluation and Management (E/M) assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRNP 6675 Week 2 Evaluation and Management (E/M)
Whether one passes or fails an academic assignment such as the Walden University NRNP 6675 Week 2 Evaluation and Management (E/M) depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRNP 6675 Week 2 Evaluation and Management (E/M)
The introduction for the Walden University NRNP 6675 Week 2 Evaluation and Management (E/M) is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NRNP 6675 Week 2 Evaluation and Management (E/M)
After the introduction, move into the main part of the NRNP 6675 Week 2 Evaluation and Management (E/M) assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRNP 6675 Week 2 Evaluation and Management (E/M)
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRNP 6675 Week 2 Evaluation and Management (E/M)
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NRNP 6675 Week 2 Evaluation and Management (E/M)
Healthcare reimbursement billing codes are assigned by various healthcare providers to facilitate billing of disease conditions, especially when insurance schemes, such as Medicaid. The billing codes are based on the International Classification of Diseases-10 (ICD-10) developed by the World Health Organization. The purpose of this paper is to describe reimbursement codes, pertinent documentation, and billing legal and ethical dilemmas.
Pertinent Information Required in Documentation
The initial billing code for this patient is 90791. This billing code is used by licensed mental health professionals such as psychiatrists and psychologists. The billing code is used for an initial diagnostic interview examination in psychiatry and utilized at the onset of an illness or when there is a marked mental status change, a need for a second opinion, or a diagnostic clarification (Zhu et al., 2023). For one to use the code, one must complete a medical and psychiatric history, perform a mental status examination, and evaluate the patient’s ability to respond to treatment and the initial treatment plan. For this case, the billing code for this patient is appropriate as there was a significant mental status change and a need for diagnostic clarification. The ICD-10 F41 and F33.1 would be appropriate for this patient’s diagnosis of panic and major depressive disorders (CDC, 2024). My two ICD-10 codes and DSM-V diagnosis would need to be supported by a clear description of the patient’s symptoms and their severity, and the physical and mental status findings should be clearly described.
Pertinent Documentation Missing from the Case Scenario
The first missing information is the patient’s demographic information, which includes her name, date of birth, and residence. The description of the patient’s chief complaint is also redundant, as the provider would have needed to inquire why the patient required more help to establish a clear chief complaint. Another missing information about her diagnosis is the number of recurrent episodes of depression and anxiety the patient has had since the diagnosis was made (Albagmi et al., 2023). In addition, information regarding the duration of time she has been on escitalopram and alprazolam is also missing. Despite a description of the current symptoms, their severity is not well defined, which limits the use of a clear ICD-10 code. The patient’s past psychiatric history is also poorly described, with information about whether there have been any previous treatments and admissions, when drugs were stopped, and the duration of alcohol use is also missing. The patient’s past medical-surgical and defined family and psychosocial history are also scanty, and differential diagnoses, DSM-V primary diagnosis, and ICD 10 codes for the differential and primary diagnoses were also not provided in this case scenario.
Legal and Ethical Dilemmas Related to Overbilling, Upcoding, and Fraudulent Practices
The federal False Claims Act protects patients from billing mistakes resulting from overbilling, upcoding, and misrepresentation. The three billing mistakes contribute to criminal and civil law violations. They are also considered forms of health insurance fraud where guilty persons may face imprisonment, lose their medical license, and get fined (Hamid et al., 2024). However, it is crucial to note that all healthcare providers should be honest, disclose the cost of healthcare services to patients, and maintain integrity while in their line of work. The mistakes may result from technical issues due to network or computer errors, physician mistakes due to typing errors, or when patients have similar demographic information (Burks et al., 2022). To overcome such challenges, healthcare facilities can implement well-equipped technology systems that easily detect such errors. In addition, healthcare providers should be continuously educated on legal and ethical standards that are in place to protect them and their patients from billing mistakes. I would encourage technology use and utilize electronic health record (EHR) systems to ensure patient’s medical information and procedures are well documented (Lee et al., 2021). The EHR systems can also provide backup data that can be used for reference when an audit is required.
Conclusion
Medical billing and coding are crucial in healthcare service provision. As a result, accurate patient information and procedural costs are required before filing for reimbursement to reduce the incidence of billing errors. Technology and regular training in billing processes can help reduce billing errors in healthcare facilities.
References
Albagmi, S., Shawaheen, M., Asiri, E. M., & Alqadeer, T. A. (2023). Assessment of clinical miscoding errors and potential financial their implications on healthcare management – A case of local hospital in Najran, Saudi Arabia. Saudi Pharmaceutical Journal: SPJ, 32(1). https://doi.org/10.1016/j.jsps.2023.101894
Burks, K., Shields, J., Evans, J., Plumley, J., Gerlach, J., & Flesher, S. (2022). A systematic review of outpatient billing practices. SAGE Open Medicine, 10. https://doi.org/10.1177/20503121221099021
CDC. (2024). ICD-10. Classification of Diseases, Functioning, and Disability. https://www.cdc.gov/nchs/icd/icd-10/index.html
Hamid, Z., Khalique, F., Mahmood, S., Daud, A., Bukhari, A., & Bader Alshemaimri. (2024). Healthcare insurance fraud detection using data mining. BMC Medical Informatics and Decision Making, 24(1). https://doi.org/10.1186/s12911-024-02512-4
Lee, J., & Choi, Y. (2021). Improved efficiency of coding systems with health information technology. Scientific Reports, 11. https://doi.org/10.1038/s41598-021-89869-y
Zhu, J. M., Renfro, S., Watson, K., Deshmukh, A., & McConnell, K. J. (2023). Medicaid Reimbursement for Psychiatric Services: Comparisons Across States and with Medicare. Health Affairs (Project Hope), 42(4), 556. https://doi.org/10.1377/hlthaff.2022.00805