Healthcare Coding Quiz

Codes

• ICD-10 Codes: Used primarily for diagnosing various medical conditions.
• CPT Codes: Essential for billing healthcare services such as therapeutic exercises and group treatment.
• Timed Codes: Require continuous therapist presence with patients, billed in 15-minute increments using Rule of 8.
• Untimed Codes: Can involve either attended or unattended services, billed at a flat rate, regardless of time spent.

FAPE (Free and Appropriate Public Education)

• Guarantees students with disabilities access to necessary educational services at no cost to families.

504 Plan (Section 504 of the Rehabilitation Act)

• Provides necessary accommodations for students with disabilities to enable academic success, such as extended testing time and preferential seating.
• Enforced to prevent discrimination against students with disabilities in federally funded educational programs.

Rehabilitation Act of 1973

• Prohibits discrimination based on perceived or actual disabilities in schools receiving federal funds.
• Forms the foundational framework for the later Americans with Disabilities Act (ADA).

IEP (Individualized Education Program)

• Developed under IDEA for students needing specialized instruction, focusing on specific educational goals and services.
• Requires documented disabilities affecting school performance, covering 1 of 13 specified disabilities.

Comparison: 504 Plan vs. IEP

• Focus: 504 Plans ensure accessibility while IEPs provide specialized instruction and services.
• Eligibility: IEPs necessitate a disability impacting educational performance; 504 Plans only require a disability affecting participation in general curriculum.
• Legal Framework: IEPs are mandated by IDEA and involve structured support, whereas 504 Plans are based on civil rights law offering accommodations without specialized instruction.
• Distinction: 504 Plans operate under the Rehabilitation Act; IEPs and early intervention strategies are governed by IDEA.

IDEA (Individuals with Disabilities Education Act)

• Established to ensure access to FAPE and special education for eligible children with disabilities.
• Covers individuals with mental or physical impairments impacting school performance, leading to tailored educational programs.

Early Intervention Services (Part C)

• Targeted for infants and toddlers (ages 0-3), potentially including therapy services to address developmental delays.

Special Education and Related Services

• Encompasses a variety of supports, including specialized instruction, therapy services (speech, occupational, physical), counseling, and psychological support.

Least Restrictive Environment (LRE)

• Requires that children with disabilities are educated alongside their non-disabled peers as much as possible.

Department of Veteran Affairs (VA)

• Provides care to veterans who served in active military, naval, or air services and were not dishonorably discharged.
• Combat veterans qualified for cost-free care for service-related conditions for five years following discharge.
• Nexus of Evidence: Essential documentation connecting current medical conditions to military service, includes medical and service records.
• Compensation and Pension Examination: Evaluates the medical nexus between a veteran's condition and their military service for benefits determination.