Preview

Hcr Week8

Good Essays
Open Document
Open Document
388 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Hcr Week8
Checkpoint: Inpatient and Outpatient Hospital Services

HCR 230

Checkpoint: Inpatient and Outpatient Hospital Services

The inpatient and outpatient hospital services are two totally different processes that are used in the medical facilities or practices at different timing. The major differences between inpatient and outpatient hospital services are the type of services they provide, the coding, and billing process. With the inpatient care patients are required to be admitted in a hospital or to stay overnight. Inpatient care can be provided to patients through skilled nursing facilities, which includes care given by licensed nurses under direction of a physician, such as intravenous injections, tube feeding, and changing sterile dressings on a wound. Then you have the long-term care facilities, such as nursing home that custodial care for patients with chronic disabilities and prolonged illnesses. On the other hand you have the outpatient care, which can be provided in hospital emergency rooms or departments. Outpatient care covers all types of health services that do not require the patient to stay overnight in the hospital. Outpatient departments provide services such as same-day surgery, where surgeries are performed and the patient does not have to stay overnight or be admitted in the hospital. Then you have home health care services, such as physical therapy or skilled nursing care that could be provided at a patient home. You have care services, such as skilled nursing, physical therapy, occupational therapy, speech therapy, and care by home health aides that is considered as outpatient services. The differences affect the coding process because of the time frame they are being used. Coding is done by inpatient medical coders as soon as the patient is discharged. For outpatient care coding is being done during the patient visit, before they done with their care or discharged. The coding for inpatient and outpatient is coded

You May Also Find These Documents Helpful

  • Powerful Essays

    Cms 441 Week 1

    • 4767 Words
    • 20 Pages

    This discrepancy is between forward and reverse grouping owing to weak or missing antigens. This is a quite uncommon type of discrepancy. Some of the common causes in this group are:…

    • 4767 Words
    • 20 Pages
    Powerful Essays
  • Good Essays

    HCS 567 Week 3

    • 721 Words
    • 3 Pages

    Easterbrook, F., & Fischel, D. (1985). Limited liability and the corporation. The Inversity of Chicago Law Review, 89-117.…

    • 721 Words
    • 3 Pages
    Good Essays
  • Better Essays

    fina exam medical coding 1

    • 1191 Words
    • 4 Pages

    1. There are several differences when it comes to outpatient and inpatient coding. To begin with outpatient coding is much less complicated than inpatient coding. When outpatient the first listed diagnostic code indicates the reason for the encounter. As where with inpatient coding the coders have to be very attentive in order to correctly code the reason for the principal diagnosis, because it is crucial for the MS-DRG formula. Next the outpatient coding is limited to a stay length of less than 24 hours, where as inpatient services are longer due to the intensity of service(s).…

    • 1191 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    The inpatient/outpatient manager is responsible for ensuring patients records are coded in a timely manner. The quality manager is responsible for reviewing documentation to increase quality awareness and opportunities for continuous improvement.…

    • 58 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    1. Differentiate between the official coding guidelines for using V codes in an inpatient and outpatient setting. 2. You’ve started your first day at Venture Outpatient Surgery Center. Explain how you would code an operative report. 3. Discuss coding for obstetrics, including items covered by the global fee for antepartum and postpartum periods of normal pregnancy.…

    • 438 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Hcr/220 Week 9

    • 288 Words
    • 2 Pages

    The submittal of claims to insurance companies requesting payment for medical services provided by a doctor to a patient is called the medical billing process. Ten steps make up the process: preregistration of patients; establishment of financial responsibility for the visit; checking patients in; checking patients out; the review of coding compliance; verifying billing compliance; the preparation and transmittal of claims; the monitoring of payer adjudication; generation of patient statements; and the follow-up of payments by the patients and the handling of collections. HCPCS, HIPAA, CPT, and ICD have an influence on every step of the process. The 9th Revision-Clinical Modification (ICD-9-CM) is a global categorization of disease and contains sets of codes. These codes give information for evenly measures and diagnoses. The ICD-9 code has three digits, and these three may be followed by a decimal point and then two more digits. The Healthcare Common procedure coding system (HCPCS) does not give diagnosis information, only information about the procedure area. The purpose of HCPCS codes is to process hospital treatments for outpatient services. Physicians also use these codes. ICD-9 procedure codes are required by HIPAA for their porting procedures of hospital inpatients. The numerical codes for CPT and the diagnoses areas signed by the coding team. They make these assignments based on information given by the provider. A charge is then created, following the billing rules that pertain to certain locations and carriers. People who work on the process of medical billing have to maintain patient information confidentiality based on HIPPA rules. Employees must also be truthful and conduct themselves with integrity. Every procedure and diagnosis has to be correctly documented and then coded accurately to avoid any delays in…

    • 288 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Hcs/465 Week 3

    • 1088 Words
    • 5 Pages

    Alzheimer’s disease? , Which is a case study, was very helpful for anyone whom may be researching such a case? The article basically provided explanations as to how the research for the article at hand. Research requires a lot of time and discipline. It is a vital process that contains specific stages, which we like leads to valid conclusions. The stages that are involved consist of selection of an issue to conduct the research on form a hypothesis, review the information that is backing up the hypothesis and also providing an explanation and formulating a useful conclusion. Case control study which was conducted within this article, consisted of participants and informants who provided consent written/verbal to have these studies done on their self’s. The research design that was used to identify and provide factors which were thought to play a role within certain medical conditions. When research is conducted there usually follows a hypothesis to be formulated. In this particular case study there were a total of 217 participants which all were diagnosed to have onset Alzheimer’s disease. The gender break down of the case study consisted of 57 males and 160 females. The control groups were composed of 76 siblings who do not have the same condition which was Alzheimer’s. The control group consisted of 32 males and 44 females and ages ranged between 61-68 years…

    • 1088 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    The medical coding process can be very difficult to understand. Today, I will do my best to try and explain it as simply as possible. It is my goal to make you, the employees, understand this process better so that your job becomes easier to complete.…

    • 337 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Hcr Week 5

    • 383 Words
    • 2 Pages

    CPT (Current Procedural Terminology) codes are broke down into three different categories. Even though each category is easy to remember the names it can be difficult to remember what codes are included with each of those categories. The names of categories are Category I¸ Category II and Category III. Each category is related to different types of codes.…

    • 383 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    1. Differentiate between the official coding guidelines for using V codes in an inpatient and outpatient setting.…

    • 1126 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    Practice - form the backbone of ambulatory care. b. Hospital outpatient clinics - function as the community safe net. c. freestanding facilities - walk in clinics b. Mobile facilities - provide certain types of health service d. Telephone triage- expert opinion and advice. f. Home care - service bought to people at home. g. hospice care -a cluster of comprehensive services. H. outpatient long term care -provide coordination and complements informal care. I. Public services -care of patients. j. Community health - provide family orientation and preventive care. Alternative clinics - including wide range of treatments.…

    • 286 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    The patients that receives service at this setting is patients that has to be hospitalized due to illness or injuries that has occurred. Some of the illnesses are; stroke, amputation, heart attack, pulmonary, and pediatric conditions. Some of the injuries are; spinal cord injury, brain injury, major multiple trauma, post lower extremity joint replacement, and post fractured lower extremity. They also see patients who just need general rehab.…

    • 563 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Codeing Scenarios

    • 848 Words
    • 4 Pages

    6. An initial inpatient consultation with a detailed history, detailed exam, and MDM of low complexity would be coded to what E/M code?…

    • 848 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Out patient care is care that is provided to individuals that can come and go (no over night stays). Out patient care is for people that need assistance with things such as physical therapy, speech therapy, as well as occupational therapy. Other types of outpatient care are chemotherapy centers, pain management centers and dialysis.…

    • 554 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Hsm Week 2

    • 438 Words
    • 2 Pages

    Summarize, in 200 to 300 words, the four external environmental factors and six internal environmental factors that help organizations achieve optimal function.…

    • 438 Words
    • 2 Pages
    Good Essays