Sample Study Plan

Reflection
Name
Professor
Institution
date
Reflection
Domains
My performance in this mock examination was impressive. The performance indicates that I have fewer areas to focus on in preparation for the actual examination. I scored 76.2%, which is above the average score by 26.2% points. There were 109 questions, and I scored 83 correctly. The exercise was an opportunity for me to evaluate my knowledge and ability to think creatively. Moreover, the exercise required me to apply concepts from one area to another. The challenges were informative; nevertheless, the exercise was objective and targeted at revealing areas of strength and weaknesses.
I failed to complete the LCD and NCD acronyms, which are fundamental procedures in reimbursement. The Medicare and other health coverage programs are reimbursed through accurate service determination and codification. Understanding what the acronyms mean and the role of the procedures is critical. Therefore, failing to understand what the acronyms meant was an indication that I have not considered the procedures in detail. The local coverage determinations (LCD) and the national coverage determination (NCD) determine whether the services by providers are reasonable and match reimbursement standards (American Association of Clinical Endocrinology, 2021). I need to consider the processes and mandate as it is part of service delivery during data entry and discharge.
I performed poorly in several coding questions. A clear coding ID is required for a quick claim clearance (Medical Billing and Coding Certification, 2021). Some bills are rejected or denied due to wrong coding. Rejected or denied claims impact the facility’s revenue collection and could cause poor service delivery due to lack of capital to support the supply chain. My poor performance in this area is a concern as I might be responsible for some future mistakes or errors resulting in wrong codification. For instance, I could not determine the coding process if there is no late effect code applicable to a situation. Other instances include coding a patient presenting with chest pain, in which myocardial infarction has been ruled out, and coding for a patient presenting with severe pain in the right arm, neck, and shoulder. I could not determine the correct order or elements in coding. Also, I was unable to determine the coding system used in the APC payment system. Therefore, my main weakness was in using the ICD-10-CM code.
The International Classification of Diseases code (ICD-10-CM) is the accepted standard for classifying or coding medical conditions in a mortality morbidity setting (National Center for Health Statistics, 2021a; National Center for Health Statistics, 2021b). The code is used to identity injuries, disease classification, healthcare utilization, inpatient procedures, and associated adverse effects. Moreover, these rules are also adopted internationally under the World Health Organization. One has to understand how the codes are assigned to ensure accurate data entry in agreement with the HIPAA act. New changes to the codes have been instituted and made effect...