The Importance of Clinical DocumentationWhat is the outcome when a.docx

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The Importance of Clinical Documentation What is the outcome when a clinical auditor is reviewing E&M code calculations and the unethical and illegal pitfalls of up-coding by means that contradict regulatory guidelines? In 250-300 words, discuss how and why a physician and medical coder should adhere to the coding conventions, official coding guidelines, rules and assigned codes that are clearly supported by clinical documentation in the health record. Include examples of where this can occur so a physician or entity, maximize their payments and the ramifications if discovered in a clinical documentation audit? Advantages and Disadvantages of Data Entry into the Electronic Health Record In 250-300 words discuss how you ensure that the medical staff enters the entire data in the Electronic Health Record and ensure they understand the effect the EHR has on the patient and the provider. Is it more advantageous to have the patient enter their own symptoms and history into the EHR since they are the only one with the information about the symptoms that were present at the outset of the illness, or is it more advantageous for a licensed clinician to enter the patient information data? What would be the advantages and disadvantages of the patient entering vs. a health care professional in just the history portion of the EHR? Text for the assignement is as follows: Gartee, R. (2011). Electronic Health Records (2nd ed.). Upper Saddle River, NJ: Pearson Prentice Hall. Only use references that exist between 2010 thru 2014. .

Education

The Importance of Clinical DocumentationWhat is the outcome when a.docx

The document discusses creating a compliance culture in healthcare organizations by focusing on clinical documentation and medical coding. It emphasizes establishing a culture where stakeholders view compliance as an opportunity rather than a threat. This involves using HIPAA, CMS, and AHIMA standards to drive improved patient outcomes, team effectiveness, and reimbursements. Key areas of focus are medical necessity of care, risks of electronic health record documentation, and need for complete clinical documentation to justify codes and payments. The first steps outlined are aligning goals, identifying opportunities, and securing executive support for a multidisciplinary team to implement changes.

Moving To electronic health record Cooper

Alicia Cooper

This paper discusses DeVry Hospital's transition to an electronic health record system from paper records. It explains that the electronic health record is a digital version of a patient's charts that contains their medical history, diagnoses, treatments, and test results. The paper outlines some security measures like access controls and encryption that are needed to protect patient privacy and comply with HIPAA regulations. It also examines pros and cons of the electronic system, noting benefits like improved quality of care and reduced errors, but potential disadvantages such as high implementation costs. Overall, the paper concludes the benefits of accuracy and accessibility outweigh the challenges of adopting an electronic health record.

Leveraging Your EHR for Compliance

ManageMyPractice

Recent changes to the Health Information Portability and Accountability Act (HIPAA) have brought stiffer penalties for fraud prevention, with new levels of enforcement among smaller and independent medical practices. Electronic medical record users should be aware of issues that pertain to electronic documentation compliance, including patient identification and demographic accuracy; and documentation, auditing and authorship integrity. This webinar reviews these and other concepts, including: Are you “gaming” the EMR? Locking the record before billing Cut and paste rules Macro/template rules Using a scribe Choosing the E/M Code Closing the order to bill Rules for split/shared visits Rules for documentation by medical students and residents Providing a well visit and a sick visit at the same time

How to Make a boring slide Interesting WITHOUT using images

Syed Ashraf Ali

The vital significance of ecm in healthcare

Benevolence Technologies

Building a consensus for the electronic health record

Nursing353

This document discusses building consensus for electronic health records (EHRs). It begins by defining EHRs and distinguishing them from electronic medical records (EMRs). The document outlines the benefits of EHRs, such as reducing medical errors, improving patient outcomes, and empowering patients. It also discusses meaningful use standards and key aspects of EHR implementation like computerized physician order entry. Overall, the document emphasizes that successful EHR adoption requires thorough preparation, customized training, and comprehensive security planning.

Building a consensus for the electronic health record

tschenf

Building a consensus for the electronic health record

tschenf

Medical facilities can reduce errors in medical billing by implementing internal audits, ongoing training, and electronic health records. Internal audits help identify problems in billing procedures so corrections can be made. Continuous training for medical coders and staff ensures compliance with changing regulations and prevents common coding mistakes. Electronic health records improve access to patient information and billing accuracy when all departments can view complete records. Reducing errors improves revenue by preventing denied claims and satisfies customers.

Importance of Addressing Gaps in EHR Documentation and Data Capture

Medical Transcription Service Company

Telehealth and Medical Tourism platform that transforms healthcare

Arun Kumar

Health care sector is undergoing a critical transition from a delivery system aimed at providing occasional institutional care for the treatment of illnesses to an importance on information systems that support community-based care, with greater consumer involvement in the prevention and management of illness across the life span. Telemed is a Mobile Application Platform using advanced communications technologies to support long-distance Video Visits, Second opinions, Patient health education, Push Alerts, Health Analytics, Electronic health Records, and SOAP Notes

Critical Success Factors For Physician Adoption Of Emr & Ehr August 2010

Joseph Mack & Associates

The document discusses critical success factors for physician adoption of electronic medical records (EMRs) and electronic health records (EHRs). It argues that EMR/EHR initiatives often focus too much on external compliance demands rather than empowering physicians with meaningful internal information. For physicians to fully embrace EMR/EHRs, the technology needs to provide data that helps improve clinical outcomes, mitigate malpractice risks, and enhance the revenue cycle, rather than just meeting regulatory requirements. Successful adoption depends on using information to continuously improve operations from within the practice.

Are Electronic Medical Records a Cure for Health CareCASE STU.docx

rossskuddershamus

Are Electronic Medical Records a Cure for Health Care? CASE STUDY #1 During a typical trip to the doctor, you’ll often see shelves full of folders and papers devoted to the storage of medical records. Every time you visit, your records are created or modified, and often duplicate copies are generated throughout the course of a visit to the doctor or a hospital. The majority of medical records are currently paper-based, making these records very difficult to access and share. It has been said that the U.S. health care industry is the world’s most inefficient information enterprise. Inefficiencies in medical record keeping are one reason why health care costs in the United States are the highest in the world. In 2012, health care costs reached $2.8 trillion, representing 18 percent of the U.S. gross domestic product (GDP). Left unchecked, by 2037, health care costs will rise to 25 percent of GDP and consume approximately 40 percent of total federal spending. Since administrative costs and medical recordkeeping account for nearly 13 percent of U.S health care spending, improving medical record keeping systems has been targeted as a major path to cost savings and even higher quality health care. Enter electronic medical record (EMR) systems. An electronic medical record system contains all of a person’s vital medical data, including personal information, a full medical history, test results, diagnoses, treatments, prescription medications, and the effect of those treatments. A physician would be able to immediately and directly access needed information from the EMR without having to pore through paper files. If the record holder went to the hospital, the records and results of any tests performed at that point would be immediately available online. Having a complete set of patient information at their finger-tips would help physicians prevent prescription drug interactions and avoid redundant tests. By analyzing data extracted from electronic patient records, Southeast Texas Medical Associates in Beaumont, Texas, improved patient care, reduced complications, and slashed its hospital readmission rate by 22 percent in 2010. Many experts believe that electronic records will reduce medical errors and improve care, create less paperwork, and provide quicker service, all of which will lead to dramatic savings in the future, as much as $80 billion per year. The U.S. government’s short-term goal is for all health care providers in the United States to have EMR systems in place that meet a set of basic functional criteria by the year 2015. Its long-term goal is to have a fully functional nationwide electronic medical recordkeeping network. The consulting firm Accenture estimated that approximately 50 percent of U.S. hospitals are at risk of incurring penalties by 2015 for failing to meet federal requirements. Evidence of EMR systems in use today suggests that these benefits are legitimate. But the challenges of setting up individual systems, let alo.

Medical Coding

AliciaEvans25

Medical Coding

AliciaEvans25

How EHR Billing and Coding Can Improve Revenue Cycle

EyeCareLeaders1

Billing is a vital part of medical practices, providing the funding that helps keep them operating. Because billing is so critical, it’s useful to have help. Electronic health record (EHR) tools could provide such assistance. EHR billing helps medical offices manage revenue, handle coding, and perform other operations in several ways. https://eyecareleaders.com/ehr-billing-coding-to-improve-revenue-cycle/

Connecting Patient Monitoring Devices to EHRsAn electronic health .pdf

eyebolloptics

Connecting Patient Monitoring Devices to EHRs An electronic health record (EHR) is a computer-readable record of health-related information on an individual. The compiled data in an EHR can include information about patient demographics, medical history, family history, immunization records, labotary data, ongoing health problems, progress notes, medications, vital signs, and radiology reports. Ideally, EHRs incorporate data from all healthcare facilities a patient uses, making the data easily accessible to healthcare professionals. EHRs hold out the promise of improving health care and reducing costs, but for now, many hospitals are struggling to automate the capture of raw data from the various patient monitoring devices - such as vital sign monitors, ventilators, and electrocardiagram machines - and pass the data directly into each patient\'s EHR. This task is made more difficult because different devices and/or vendors often use different standards for communicating over the network. As a result, specialized software is required to receive the data and translate it into a form suitable for updating the EHR. Until communications standards implemented across the healthcare industry, each new piece of monitoring equipment that outputs a nonstandard signal requires a new interface with the EHR. So if a promising new vital sign monitoring device is developed, some hospitals looking to use the device may be required to create a new software middleware layer to connect the new device to the EHR. Connecting monitoring devices and EHRs is expected to become a major business growth area over the next decade. Many software vendors and device manufacturers are moving quickly to capitalize on the opportunities involved with automating the many clinical-support activities that involve minotoring devices. THe center for Medical Interoperability has enlisted many of the nation\'s largest healthcare systems as part of its effort to strongly encourage device vendors to adopt communications standards that will ease the problems with interoperablity. The FDA is working to encourage the development of interoperable devices by defining some 25 device standards. Solving the interoperability problem will require an agreement on standards through the cooperation of multiple shareholders. 1. What benefits can be achieved through the successful implementation of EHRs? What additional benefits will be gained by feeding data directly from patient monitoring devices directly into EHRs? 2. Can you identify any legal, ethical, or social concerns with the use of EHRs? What additional concerns arise from connecting patient monitoring devices to the IoT? 3. What actions need to be taken by EHR software vendors, patient monitoring device vendors, government agencies, and hospital administrators to enable patient monitoring devices to be safely and reliably connected to EHRs? Solution Question 1 What benefits can be achieved through the successful implementation of EHRs? Wha.

Computer based record

Mahmoud Shaqria

The document discusses computer-based patient records (CPRs). It defines CPRs and compares them to electronic medical records (EMRs). CPRs contain complete patient data across providers and are designed to support users. EMRs focus on a single provider and usually stay within a practice. The document also outlines characteristics of CPRs like accountability, flexibility, interoperability and comprehensiveness. Benefits include coordinated care, reduced errors and costs. Legal issues involve privacy and patients' rights to access their health records.

Current Procedural Terminology

Carolina Lewis

Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docx

randymartin91030

Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR. Note: EHR The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book. Institute of Medicine (IOM) The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing: Health information and data This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it. Result management Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed. · Reduced lag time allows for quicker recognition and treatment of medical problems. · The automated display of previous test results makes it possible to reduce redundant and additional testing. · Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up. · Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient Order management Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders. · CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions. · The use of CPOE, in conjunction with an EHR, also improves clinician productivity. Decision Support Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks. · Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction. Electronic communication and connectivity Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans. · Electronic co.

ICD-10 Documentation for Palliative Care

Medical Transcription Service Company

The document discusses ICD-10 documentation requirements for palliative care. With ICD-10, palliative care documentation requires a more comprehensive and specific level of detail. This includes specifying disease type and status, etiology, manifestations, complications, and other relevant medical information. Electronic health records can help by providing templates, access to past patient visits, and integrated test result ordering, but errors from copy-pasting and limitations of narratives remain challenges. EHR transcription is presented as an effective way to address these issues.

Medical Record Documentation Guidelines to Avoid Legal Risks

mosmedicalreview

1.Medical Billing Strategies For Success.pdf

Vitgenix

Importance of Written HIPAA Compliance Document in a Medical Billing Company ...

Outsource Strategies International

The Electronic Health Records

Amy Moore

The document discusses the benefits of electronic health records (EHRs). EHRs are defined as electronic versions of patients' medical histories maintained by healthcare providers over time, including key clinical data. EHRs automate access to information and streamline clinicians' workflows. They eliminate physically transporting paper records and rewriting records. EHRs also allow physicians to easily record notes for other providers to access. While some have mixed views, the benefits of EHRs generally outweigh the disadvantages.

The material for this moduleweek has led us from Europe, through fi.docx

SUBHI7

The material for this module/week has led us from Europe, through first contacts, to the establishment of a solid English presence in the Americas. After reading and thinking about the Reading & Study materials for this module/week, what strikes you most about the founding of the American colonies? Did anything surprise you? Did your reading challenge your ideas or visions about colonial America? .

The media informs many viewers of deviance and crime, victims of cri.docx

SUBHI7

The media informs many viewers of deviance and crime, victims of crime, and justice in society. Consider and describe the following: Where do you get your information about: Deviant behavior Crime Victims of crime Justice for victims Describe your perception of Deviant behavior What behavior is deviant according to your values? Crime What do you believe is the root or cause of crime? What types of crimes do you believe happen most? Who do you believe commits crime? Victims of crime Who do you believe is likely to be a victim? Have you ever been fearful of a crime occurring to you or your family? What do you believe about victims that you hear about? Justice for victims How do you see justice handled in our society? What form of punishment do you see as being effective or ineffective? Did you learn anything specific from the textbook that has changed your perception? What did you learn and which perception did it change? Write a 500 or more word paper that addresses the above questions. .

the main discussion will be Schwarzenegger and fitness，talk about ho.docx

SUBHI7

the main discussion will be Schwarzenegger and fitness，talk about how does he affect the fitness area. Why is he so famous, add some person views and create you own title. Mainly discuss about fitness topic the main discussion will be Schwarzenegger and fitness，talk about how does he affect the fitness area. Why is he so famous, add some person views and create you own title. Mainly discuss about fitness Formal Essay #3: Reporting Information/The Expository Essay Expository writing is a staple of academic writing. Throughout your academic and professional career, you will be called on to write hundreds of expository articles, reports and essays. A thorough knowledge of this writing form will hold you in good stead all through your career. What is Expository Writing? ‘Expository’ is a synonym of ‘explanatory’. An expository essay is a piece of writing that explains or informs. It should be based on fact and free of the writer’s prejudices. Opinion is often expressed, but only if it is backed by fact. For example, if someone asked you to write an essay on the causes of World War II, you would write about Germany’s losses in World War I, the Treaty of Versailles, the fall of the Weimar Republic, and the rise of Hitler led Nazism. In other words, everything would be based on verifiable fact. The expository writing process centers on four activities: Generate a rough idea or hypothesis. Find evidence to back up this idea. Expound on the idea. Present an argument to back up the idea. Thus, if you were to say that the Treaty of Versailles was the chief cause of World War II, you would first talk about the conditions of the Treaty of Versailles, the financial condition of Germany after WWI, the ineffectiveness of the Weimar Republic, and how they all led to the rise of Nazism. Structurally, a piece of expository writing has the following components: An introduction that introduces the central idea you will discuss in the essay. The main body that presents evidence to back up the idea. This is the meat of the essay. A conclusion that presents your idea again in the light of the evidence. Thus, the central thrust of expository writing should be to build towards proving an argument, fact by fact, piece of evidence by piece of evidence. You will use expository writing a lot throughout your academic life. Most essays that you write in college will be expository in nature. Most writing that you will do in your professional life will involve a lot of expository content as well. In other words, sharpening up this skill will serve you well throughout your life. Required Essay Format: All response papers must be typed, double-spaced, and stapled. Font size should be 12 point Times New Roman font. ***AT MINIMUM, YOUR WORKS CITED PAGE WILL CONTAIN 3-4 SOURCES!!!! Essays should demonstrate the following kinds of understanding. Essays should meet assignment requirements of page length and number of sources, quotes, and summaries/paraphrases. The w.

The minimum length for this assignment is 1,500 words. Cellular .docx

SUBHI7

The minimum length for this assignment is 1,500 words. Cellular respiration and photosynthesis form a critical cycle of energy and matter that supports the continued existence of life on earth. Describe the stages of cellular respiration and photosynthesis and their interaction and interdependence including raw materials, products, and amount of ATP or glucose produced during each phase. How is each linked to specific organelles within the eukaryotic cell. What has been the importance and significance of these processes and their cyclic interaction to the evolution and diversity of life? .

The Main Post needs to be 3-5 Paragraphs At a minimum, each stud.docx

SUBHI7

The Main Post needs to be 3-5 Paragraphs At a minimum, each student will be expected to post an original and thoughtful response to the DB question and contribute to the weekly dialogue by responding to at least two other posts from students. The first contribution must be posted before midnight (Central Time) on Wednesday of each week. Two additional responses are required after Wednesday of each week. Students are highly encouraged to engage on the Discussion Board early and often, as that is the primary way the university tracks class attendance and participation. The purpose of the Discussion Board is to allow students to learn through sharing ideas and experiences as they relate to course content and the DB question. Because it is not possible to engage in two-way dialogue after a conversation has ended, no posts to the DB will be accepted after the end of each unit. Many organizations have established policies to remedy discrimination when hiring women and minorities. Discuss whether you feel that affirmative action programs, reverse discrimination, and criteria of comparable worth are appropriate forms of remedy. You should conduct research on this topic before making your posts. Using the textbook, course materials, and Web resources, research affirmative action, reverse discrimination, and comparable worth and answer the following questions: Do you feel that these concepts are appropriate forms of remedy in the workplace? Explain. What else do you think could be done to eliminate discrimination in the workplace? You must use at least one credible source from either the Library's full-text database or the Web. Include your reference(s) that you used in APA format with your Discussion Board post. Post a new topic to the Discussion Board that contains your answers to the questions, and respond to 2 other students' posts on the Discussion Board. Be sure to explain to them why you agree or disagree with their arguments. Your submitted assignment ( 60 points ) should include the following: 40 Points Your Discussion Board topic containing your responses to the questions and your listed reference(s) in APA format 20 Points Your responses to two other students' Discussion Board posts In your own words, please post a response to the Discussion Board and comment on other postings. You will be graded on the quality of your postings. Response to Classmates posts: Classmate #1 post: Attempt at Eliminating Discrimination After the civil war, the African American, Hispanics and minorities suffered great discrimination in the workplace in particular and life generally. Precisely during the 1960s these groups went through denial of employment or appropriate wages irrespective of their standard of education being higher than that of their majority counterparts. There was a great debate about discrimination on the basis of color, race, gender or religion. Over the years, some programs have been developed in order to handle or to try and e.

The main characters in Tay Garnetts film The Postman Always Rings.docx

SUBHI7

The main characters in Tay Garnett's film The Postman Always Rings Twice and the Coen Brothers' The Man Who Wasn't There follow a pattern of behavior that is inane and ultimately self-destructive, as can be seen in how they end up -- either dead, wrongly accused and imprisoned for a crime they didn't commit, or ironically not convicted for a crime they did commit. What do you think these films are saying about the pattern of behavior they followed to get them where they wound up in the end, as well as why they followed these patterns of behavior in the first place? In other words, what is the way of thinking or belief system that lead to these characters' behaviors, and what does the film tell us about this way of thinking or belief system? And finally, does the film propose an alternative way of thinking or life narrative that might have proven more salutory for these characters in the end? .

The minimum length for this assignment is 2,000 words and MUST inclu.docx

SUBHI7

The minimum length for this assignment is 2,000 words and MUST include in-text citation and references. Discoveries in DNA, cell biology, evolution, biotechnology have been among the major achievements in biology over the past 200 years with accelerated discoveries and insights over the last 50 years. Consider the progress we have made in these areas of human knowledge. Present at least three of the discoveries you find to be most important and describe their significance to society, health, and the culture of modern life. .

The mafia is a well organized enterprise that deals with drugs, pros.docx

SUBHI7

The minimum length for this assignment is 1,500 words. Be sure to ch.docx

SUBHI7

The minimum length for this assignment is 1,500 words. Be sure to check your Turnitin report for your post and to make corrections before the deadline of 11:59 pm Mountain Time of the due date to avoid lack of originality problems in your work. Describe the historical pattern of growth of the worldwide human population since our origin. Include in this historic overview the changes that have happened technologically, medically, culturally and nutritionally to result in major population changes over time. Relate the growth of the human population to our ecological footprint and explain the idea of limits to population growth known as the carrying capacity. Relative to carrying capacity, what may result from unbridled continued growth of our population? How does the size of the human population contribute to environmental degradation? Why must we take the human population size into account when we attempt to develop environmental restoration projects? Assignment 2 Grading Criteria Maximum Points Quality of initial posting: Initial posting should reveal a solid understanding of all aspects of the task; use factual and relevant information; and demonstratefull development of concepts. 80 Connections and higher order thinking: Multiple connections should be demonstrated showing a clear understanding of the material with clear and correct examples. 40 Reference to supporting readings: Refer to and properly cite (i.e., APA) either course and/or outside readings. 40 Language and Grammar: There should be no spelling, structure, or grammatical errors in any posting. Writing should be clear and organized. 40 Total: 200 .

The madrigal was a very popular musical genre in the Renaissance. Ex.docx

SUBHI7

The madrigal was a very popular musical genre in the Renaissance. Explain in detail the madrigal, and include the instrumentation, (the number and type of voices used), and the musical elements that the composers used to make the text in the pieces come alive. Choose one of the musical examples of the madrigal in this unit: Arcadelt�s II bianco e dolce cigno , or John Farmer�s Fair Phyllis , and explain how the composer unites the poetry and music. Your response should be at least 200 words in length. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations. .

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