Diagnosis-Related Groups or MS-DRGs. This was the most drastic revision to the DRG system in 24 years.” (Schraffenberger‚ 2016‚ p. 702) MS-DRGs had a single goal to which was to improve the ability to recognize the severity of a patient’s illness for inpatient hospitals. Within this system hospitals with the sickest patients would receive higher payments‚ and those with patients with less sever illness would receive decreased payments. There are currently three levels of severity that are used
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The primary factors relate to Health Insurance Portability and Accountability Act (HIPAA)‚ Privacy‚ accurate and appropriate coding‚ billing‚ reimbursement and compliance concerns relative to Medicare / Medicaid and CMS guidelines. Internal forces include the following: Community hospital with a small number of HIM staff including two (2) Inpatient (IP) coders; Coding staff has history of distrust and lack of camaraderie; One of the IP coders‚ Brenda‚ experienced a hospitalization encounter
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have established clinical documentation improvement (CDI) programs (Breuer & Arquilla‚ 2011). Furthermore‚ there are various key players involved in the CDI team. The players include clinicians‚ (CDS) clinical documentation specialists‚ as well as inpatient coders. Other members who may get involved in the process include the nutrition department‚ care management‚ and the wound care specialists. Subsequently‚ clinicians refer to health care specialists who are qualified and certified to treat patients
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Unit 1 Assignment CMS-1500 and UB-04 HI252-04 The health care institutions that used uses the two forms are inpatient‚ outpatient care‚ and ambulatory surgical centers. Here is a great example‚ An individual presents at the local ambulatory care center anticipating neck surgery. The patient has both Medicare part A and B. Part A used form UB-04 and Medicare part B used form for CMS-1500 for the physicians billing and after care. The two form differ from each other
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nurse working at a VA Medical Center came up with the idea of bar coding medications at the bedside after renting a car using a bar code. By 2003‚ bar code medication administration (BCMA) is used throughout the VA in all inpatient settings. VA administers 600‚000 mediations daily through BCMA and over 1 billion doses since 1999 using the automated monitoring system (Carlson & Bagby). With the integrated use of BCMA all inpatient care areas use patient identifiers at the point of
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Improving Healthcare Quality Purpose The purpose of this paper is to identify aspects of quality improvement in healthcare. This research is conducted by examining and reviewing various literature regarding the definition and makeup of quality healthcare‚ need for improvements in healthcare‚ various quality measures or indicators and weighing the cost of improving healthcare quality. Defining Healthcare Quality Before any discussion can take place regarding improving healthcare
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Which of the following statements about finance‚ accounting‚ and financial management is most correct? 1 The primary role of finance is to plan for‚ acquire‚ and use resources to maximize the efficiency and value of the enterprise. Which of the following is not a finance activity? 2 Facilities management Which of the following statements about regulatory and legal issues in the health services industry is not correct? For the instructor‚ this was question 10. The costs to a health services
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safety. Patient safety has been an issue in all realms of healthcare. The use of BCMA introduced a new avenue to establish the best practice of drug administration for patient safety. “Medication Administration: The Implementation Process of Bar-Coding for Medication Administration to Enhance Medication Safety” (Foote & Coleman‚ 2008) discusses the issue of patient safety with the use of BCMA. According to (Foote & Coleman‚ 2008‚ p. 207) medication errors strike at the heart of being a nurse:
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date and properly entered into the clinical database. Thanks to the work of RHITs‚ doctors and other providers have a full range of information at their fingertips which can be used to plan and deliver high quality care. Many RHITs use universal coding systems to assign diagnostic and procedural codes to each piece of patient information. This allows
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Delivery Robots Workflow Management Systems Wireless Patient Monitoring Electronic Medication Administration with Bar Coding Electronic Clinical Documentation Interactive Patient Technologies IV. Summary Appendices: A: Interviewees B: Vendors Endnotes 24 25 28  I. Introduction new teCHnologies Have tHe potential to Create a better work environment for inpatient nurses by improving the efficiency‚ safety‚ and quality of care. Advances include wireless communications‚ real-time location
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