Wk2 nrnp 6675

by | Aug 30, 2023 | Uncategorized | 0 comments

USE 5 REFERENCES FOR THIS ASSIGNMENT.

Pathways Mental Health

Psychiatric Patient Evaluation

Instructions

Use the following case template to complete Week 2 Assignment 1. On page 5, assign DSM-5 and ICD-10 codes to the services documented. You will add your narrative answers to the assignment questions to the bottom of this template and submit altogether as one document.

Identifying Information

Identification was verified by stating of their name and date of birth.
Time spent for evaluation: 0900am-0957am

Chief Complaint

“My other provider retired. I don’t think I’m doing so well.”

HPI

25 yo Russian female evaluated for psychiatric evaluation referred from her retiring practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.

Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent. There is no evidence of psychosis or delusional thinking. Client denied past episodes of hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities, self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily frustrated, loses things easily, makes mistakes, hard time focusing and concentrating, affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of previous rape, isolates, fearful to go outside, has missed several days of work, appetite decreased. She has somatic concerns with GI upset and headaches. Client denied any current binging/purging behaviors, denied withholding food from self or engaging in anorexic behaviors. No self-mutilation behaviors.

Diagnostic Screening Results

Screen of symptoms in the past 2 weeks: 

PHQ 9 = 0 with symptoms rated as no difficulty in functioning 
Interpretation of Total Score 
Total Score Depression Severity 1-4 Minimal depression 5-9 Mild depression 10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe depression 

GAD 7 = 2 with symptoms rated as no difficulty in functioning 
Interpreting the Total Score: 
Total Score Interpretation ≥10 Possible diagnosis of GAD; confirm by further evaluation 5 Mild Anxiety 10 Moderate anxiety 15 Severe anxiety 

MDQ screen negative

PCL-5 Screen 32

Past Psychiatric and Substance Use Treatment

WK2 ASSIGNMENT

Assignment 1: Evaluation and Management (E/M)

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. 

Photo Credit: Getty Images/Tetra images RF

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.   

By Day 7 of Week 2

Submit your Assignment. 

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Page | 2

Walden University, LLC

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NRNP_6675_Week2_Assignment1_Rubric

  Excellent

90%–100%

Good

80%–89%

Fair

70%–79%

Poor

0%–69%

In the E/M patient case scenario provided:

• Assign DSM-5 and ICD-10 codes to services based upon the patient case scenario.

Points:

Points Range:
18 (18%) – 20 (20%)

DSM-5 and ICD-10 codes assigned to the scenario are correct, with no more than a minor error.

Feedback:

Points:

Points Range:
16 (16%) – 17 (17%)

DSM-5 and ICD-10 codes assigned to the scenario are mostly correct, with a few minor errors.

Feedback:

Points:

Points Range:
14 (14%) – 15 (15%)

DSM-5 and ICD-10 codes assigned to the scenario contain several errors.

Feedback:

Points:

Points Range:
0 (0%) – 13 (13%)

DSM-5 and ICD-10 codes assigned to the scenario contain significant errors, or response is missing.

Feedback:
In 1–2 pages, address the following:

• Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.

Points:

Points Range:
23 (23%) – 25 (25%)

The response accurately and concisely explains what pertinent documentation information is required to support DSM-5 and ICD-10 coding.

Feedback:

Points:

Points Range:
20 (20%) – 22 (22%)

The response accurately explains what pertinent documentation information is required to support DSM-5 and ICD-10 coding.

Feedback:

Points:

Points Range:
18 (18%) – 19 (19%)

The response somewhat vaguely or inaccuratel

Walden University

Walden University Walden University

NRNP 6675: PMHNP Care Across the Lifespan II

NRNP 6675: PMHNP Care Across the Lifespan II | Week 2

☰Menu

Walden University

Walden University Walden University

NRNP 6675: PMHNP Care Across the Lifespan II

  • Week 2

    • WALDEN UNIVERSITY, LLC

    Student Name
    College of Nursing-PMHNP, Walden University
    NRNP 6675: PMHNP Care Across the Lifespan II

    Faculty Name
    Assignment Due Date

    This study source was downloaded by 100000844245495 from CourseHero.com on 06-08-2022 18:15:20 GMT -05:00

    https://www.coursehero.com/file/147811515/6675-E-M-Patient-Case-Studydocx/

    Pathways Mental Health
    PSYCHIATRIC PATIENT EVALUATION

    INSTRUCTIONS Use the following case template to complete Week 2 Assignment 1. On page 5, assign DSM-

    5 and ICD-10 codes to the services documented. You will add your narrative answers to the

    assignment questions to the bottom of this template and submit altogether as one

    document.

    IDENTIFYING

    INFORMATION

    Identification was verified by stating of their name and date of birth.

    Time spent for evaluation: 0900am-0957am

    CHIEF

    COMPLAINT

    “My other provider retired. I don’t think I’m doing so well.”

    HPI 25 yo Russian female evaluated for psychiatric evaluation referred from her retiring

    practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed

    fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.

    Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no

    anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no

    reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent.

    There is no evidence of psychosis or delusional thinking. Client denied past episodes of

    hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities,

    self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily

    frustrated, loses things easily, makes mistakes, hard time focusing and concentrating,

    affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of

    previous rape, isolates, fearful to go outside, has missed several days of work, appetite

    decreased. She has somatic concerns with GI upset and headaches. Client denied any current

    binging/purging behaviors, denied withholding food from self or engaging in anorexic

    behaviors. No self-mutilation behaviors.

    DIAGNOSTIC

    SCREENING

    RESULTS

    Screen of symptoms in the past 2 weeks:

    PHQ 9 = 0 with symptoms rated as no difficulty in functioning

    Interpretation of Total Score

    Total Score Depression Severity 1-4 M

    Why work with us?

    Authenticity:

    All of our papers are authentic, as each paper of ours is composed according to your unique requirements. Confidentiality: We value you data. Our company is extremely efficient in guarding the privacy of our clients. 100% Money Back Guarantee: In the event you cancel your order, you get your money back as soon as possible, we give a 100% refund. 24/7 Support: Our team members are available via email, live chat, and phone. Revision Policy: You can apply for a revision if you think your paper could be better. In this case, your paper will be revised either by the specialist assigned to you or by another writer.

    How the Platform Works

    • Click on 'Place Your Order' tab on the menu or click on 'Order Now' tab at the bottom and a new order page will appear
    • Fill in your requirements depending on your needs under the 'PAPER DETAILS' area
    • In the next section, fill in the academic level, required number of pages, paper deadline as provided in the drop-down menus.
    • To enter your registration details, click on 'CREATE ACCOUNT & SIGN IN'. This step allows you to create an account with us for purposes of record-keeping. Click on 'PROCEED TO CHECK OUT' at the bottom of the page
    • The next section requires you to fill in the payment details. Follow the guided process and soon your order will be available for our team to work on.