ACCIVILY The patient, Glen Cairns, is in the process of having bariatric surgery at General Hospital, role as a Prior Authorization Specialist is to review the patient’s chart, identify the ICD-10diagnosis and CPT codes for the upcoming procedure, verify whether or not the patient’s insurance will cover the procedure, and complete the process for prior authorization for hi upcoming surgery. Students will complete all Activity Parts (1-3). Part 1: Review the documentation of the pre-operative consultation, found in Glen Cairn’ chart. What procedure is the patient planning on having done? Who is the surgeon performing the surgery? Where is the surgery being performed? What diagnoses does the patient have? Utilizing coding materials, identify the diagnosis codes for this visit. What is the CPT code for this planned surgical procedure? Part 2: Review the payer “Obesity Surgery Policy” resource document from Step 1. Utilizing the insurance policy information, answer the following question; 7. Does this payer cover surgical treatment of obesty? 8. In reviewing the Obesty Surgery Policy, identify whether. or not the patient’s upcoming procedure is consdered covered based on the documentation in the patient record:
ACCIVILY The patient, Glen Cairns, is in the process of having bariatric surgery at…
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