|Claims Preparation I: Clean Bills of Health | Copyright © 2009‚ 2007 by University of Phoenix. All rights reserved. Course Description Medical records processing revolves around insurance and reimbursement. This course focuses on the background‚ knowledge‚ and skills related to basic billing duties‚ HIPAA regulations‚ patient encounters‚ and the preparation‚ compliance‚ and transmission of claims
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“ehealth tools‚” and serve the purpose of engaging patients in their own healthcare by providing information and resources to meet their personal health goals (HealthIT.gov). Since the majority of factors that affect patient health occur outside of a medical environment‚ ehealth tools allow patients to become more accountable and aware of their health. This is an overall improvement in moving toward patient-centered care. Before ehealth tools‚ patients
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To: Manager‚ ABC HealthCare From: Mary Rehnelt Subject: Audit of Medical Records Date: 10/15/2010 Message: Recently I conducted an audit of medical records with a diagnosis of bacterial pneumonia. I was astounded to find that 65% of all the medical records researched were not supported by the proper documentation. When I questioned the staff they stated that the Medical Chief of Respiratory Medicine informed them that “there are other ways to determine bacterial pneumonia other than
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11-116 January 3‚ 2012 Massachusetts General Hospital’s Pre-Admission Testing Area (PATA) Kelsey McCarty‚ Jérémie Gallien‚ Retsef Levi Five anxious faces looked up at Dr. Jeanine Wiener-Kronish‚ chief of anesthesia at Massachusetts General Hospital (MGH)‚ as she entered the conference room. It was June 2009‚ and the group before her was the task force for the Pre-Admission Testing Area (PATA). PATA had been struggling with inefficiencies and long patient wait times for over two years. Despite the
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In healthcare‚ this means being able to collect patient data over time that can be used to help enable preventive care‚ allow prompt diagnosis of acute complications and promote understanding of how a therapy (usually pharmacological) is helping improve a patient’s parameters. • The ability of devices to gather data on their own removes the limitations of human-entered data—automatically obtaining the data doctors need‚ at the time and in the way they need it. The automation reduces the risk of
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An electronic health record has been implemented in a hospital in Brown County. The hospital is a 250 bed hospital. The electronic health record needs to be evaluated. This documents describes the evaluation methods that were used as a part of the evaluation process. The key approach followed for the evaluation is ‘comparative study’. While the evaluation parameters remains constant in most of the time period throughout the document‚ comparing the performance of the system over the period of time
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In the course of creating a Doctorate of Nursing Practice project there are many steps that must be taken. This paper covers only a portion of the total project. After the identification of a clinical problem and completing an exhaustive literature search on the topic recommendations to guide practice improvement can be made. The recommendations should be based around the PICO and should be supported by the findings of the literature search. Making sure the recommendations are specific‚ measureable
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cause of patient injury in all types of medical errors (Johnson‚ Carlson‚ Tucker‚ & Willette‚ n.d). In the nursing profession‚ medication administration errors occur 34% of the time‚ second only to physician ordering errors (Gooder‚ 2011). The introduction of information technology‚ such as the Bar Code Medication Administration (BCMA)‚ offers new opportunities for reducing medication administration errors. BCMA was developed by the Veteran’s Affairs Medical Center in 1998 to help improve the documentation
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are you have probably come across HIPPA before while in a doctor’s office in the past. HIPPA is the acronym for Health Insurance Portability and Accountability Act. This Act was passed by Congress in 1996. As far as one can remember‚ medical files containing all medical and personal information were kept in locked drawers or file cabinets which were for authorized personnel’s only before HIPPA was passed but that was not enough to guarantee the protection of patient information. It also protects the
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instructions are part of which element in a SOAP note? A. Subjective B. Objective C. Assessment D. Plan 5. In a hospital setting‚ what document is the equivalent of the assessment and plan that is collected as part of a SOAP note in an outpatient record? A. History and Physical B. Discharge Summary C. Progress note D. Procedure note 6. During the history‚ Kevin Goodell notes that the pain in his right hip is more of a dull pain than an ache. This is considered what part of the history of
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