Request for Proposal Computer Assisted Coding HIM 4411Section 700 HIS Strategies and Application March 8‚ 2013 Due to the growing inpatient/outpatient requirements‚ as well as the impending update to the ICD-10 codes; the spearfish regional hospital is in dire need of a new Computer assisted coding system (CACS) with ICD-10 code language. This technologies will assist the coding department with their day to day processes‚ as well as allow the hospital to continue with its
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Medical Billing and Coding in the Healthcare Industry Medical billing and coding is one of today’s topics. When services are billed for patients‚ they must be coded based on the documentation the physician has dictated in the patients chart to receive payment from the insurance company. As the physicians office and/or hospitals practice correct medical billing and coding‚ this will prevent audits being brought forth in their practice and/or hospital. Kenny‚ Christopher‚Correct Coding for Dialysis Billing
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Inpatient and Outpatient Hospital Services Andrea Muller HCR/230 November 16‚ 2014 Rebecca Robinson Bragg Inpatient hospital services are services that provide patients a place to stay overnight. Inpatient care facilities can also be provided for special services. A couple of examples of an inpatient care setting are a skilling nursing facility or a long-term care facility. “A skilled nursing facility (SNF) provided skilled nursing and/or rehabilitation services to help with recovery
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diabetes mellitus‚ leucopenia‚ orthostatic hypotension‚ HIV‚ and end stage renal disease. She had all toes amputated on he left foot and an index finger on her left arm. Mrs. P. V. is also a dialysis patient‚ who visits Inpatient Dialysis Unit at the SGMC. She was sent to the ED from Inpatient Dialysis Unit for altered mental status with somnolence‚ low blood pressure‚ and hypothermia. According to daughter‚ who was at the bedside‚ the patient started being somnolent‚ confused‚ and having a poor appetite
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describe the patient’s condition‚ using terminology that includes either specific diagnoses and/or symptoms‚ problems‚ or reasons for the encounter. In the instance where a discrepancy is discovered‚ determining the first-listed diagnosis per the coding conventions of ICD-9-CM‚ as well as the general and disease-specific guidelines within ICD-9-CM‚ will have precedence over the outpatient guidelines. •In the outpatient setting‚ code all documented conditions that coexist at the time of the encounter
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LOCATION: Outpatient‚ Hospital PATIENT: Stan Hope SURGEON: Mohamad Almaz‚ MD PREOPERATIVE DIAGNOSIS: Left shoulder pain and numbness‚ past shoulder injury POSTOPERATIVE DIAGNOSIS: Normal shoulder PROCEDURE PERFORMED: Diagnostic arthroscopy‚ left shoulder CLINICAL HISTORY: This is a 57-year-old with a l0-year-old rotator cuff tear injury to his left shoulder. The patient does heavy lifting for a living. For the past 6 months the patient has been experiencing pain in this shoulder with
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Inpatient and Outpatient Hospital Services Hospitals provide different services‚ for example inpatient and outpatient. Although both services are provided within the hospital and have obvious similarities there are also major differences. The codes used within each service are affected by the differences between the services. Inpatient hospital services are services that provide patients a place to stay overnight. Inpatient care facilities can also be provided for special services. A couple of
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PORTFOLIO INPATIENT EMR IMPLEMENTATION FOR BWMC AND MGH PROJECT CHARTER Central Region Business‚ Financial & Clinical Systems PORTFOLIO INPATIENT EMR PROJECT BALTIMORE WASHINGTON MEDICAL CENTER AND MARYLAND GENERAL HOSPITAL IMPLEMENTATION Project Charter Final version PORTFOLIO INPATIENT EMR IMPLEMENTATION FOR BWMC AND MGH PROJECT CHARTER DOCUMENT INFORMATION AND APPROVALS Version History Version # 1.0 2.0 3.0 to 8.0 9.0 10.0 to 11.0 Date 01/30/2010 02/22/2010 03/28/2010
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Continuum of Inpatient Care Kathleen Powers HCS/235 February 9‚ 2015 Paul Dereadt The Inpatient Continuum of Care • Since the passing of the Patient Protection and Affordable Care Act in 2010‚ there has been a great amount of efforts by healthcare providers to manage what is often referred to as the "continuum of care" for patients. Physicians and health systems are participating in a number of different structures and agreements that aim to achieve the same things‚ to manage care for patients
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What are the major differences between inpatient and outpatient hospital services? Describe how these differences affect the coding process and provide examples. There are some differences between the outpatient and inpatient services offered by the hospitals. The inpatient services deal with services provided in the form of overnight care provided to the patients. These services can be under different care units depending upon the needs of the patients. Example of some of these care units can
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