Hm Quality Coordinator

They should be hold accountable for any breach in protocols. • Present format for electronic documentation does not allow for comprehensive clinical documentation during follow-up visit. Efforts should be made to upgrade the electronic medical record system to the standard of that expected for a medical center and research institute. This is to allow for proper documentation according to the industrial standard, and easy retrieval of patient’s information for clinical research. There is a need to employ a clinical documentation improvement specialist (CDIS) in this

Initially, facilities voluntarily used HCPCS codes, but with the implementation of HIPAA in 1996, facilities began to report HCPCS for transaction codes (Webb, 2012). CPT (Current Procedural Terminology) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations (Rouse, 2015). The HCPCS level II coding system has a selected standard coding system with a wide acceptance among both public and private insurers. The HCPCS level II codes set are alphanumeric code set and primarily include non-physician products, supplies, and procedures not included in CPT. For HCPCS to bill the and identify the service that are been used such as.

There are two Associations for Medical Coders, one is the American Health Information Management Association (AHIMA) and the other is the American Academy of Professional Coders (AAPC). AHIMA is the leading association of health information management for professionals all over the world (www.ahima.org 2015). In 1928, AHIMA was known for refining the quality of health records. “AHIMA is working to advance the implementation of electronic health records by leading key industry initiatives and advocating high and consistent standards” (www.ahima.org 2015). AHIMA 's credentials includes Certified Coding Associate (CCA)

This rule adopts standards for eight electronic transactions and for code sets to be used in those transactions. It also contains requirements concerning the use of these standards by health plans, health care clearinghouses, and certain health care providers. The use of these standard transactions and code sets will improve the Medicare and Medicaid programs and other Federal health programs and private health programs, and the effectiveness and efficiency of the health care industry in general, by simplifying the administration of the system and enabling the efficient electronic transmission of certain health information. It implements some of the requirements of the Administrative Simplification subtitle of the Health Insurance.

The CEO at VHC must know all the stakeholders involved or influenced with the organization. The leader must keep everyone engaged with the organization’s mission which must include all top executives such as Board of Directors, owner, VP, CFO, MD CIO, CO, Health Services Administrator, Medical Director, Site manager, Office managers, and the staff such as Registrars, Admissions, Scheduling, Billing, Physicians and nurses. It is important to remain sensitive to the impact of the decisions made at the organization on all stakeholders. CEO needs to be honest and forthright with information and have open, transparent communications keeping each patient and each employee, including all stakeholders, fully informed about everything that affects them. It is the responsibility of the hospital health system leaders to embrace higher quality and lower costs as institutional aims, to foster a culture that prioritizes high-value care, to determine a path forward, and to steward and sustain the

DATE: December 19, 2016 TO: New Employee FROM: Jessica Cionca SUBJECT: What to Avoid When Facing a Consistent Issue in the Healthcare Setting Summary: Given below is what to except as a new employee in the healthcare system as a Registration Representative. There are many positive benefits when working in the hospital, but there are several issues that could potentially terminate any employee.

Interestingly, the findings from the review of literature shed light to the challenges nurses encounter with the implementation of electronic health records and identify areas for improvement that could be made in an effort to achieve the goals of the HITECH act. Based on the review of literature, overall, the electronic health record is seen as a positive aspect to assisting nurses in providing positive outcomes for patients. However, challenges still exist with the daily utilization of the EHR, with communication among healthcare providers and interdisciplinary teams. These challenges present nurses with great difficulty as they attempt to provide care to their patients. Because some nurses continue to struggle with utilizing the electronic

The Healthcare Effectiveness Data and Information Set (HEDIS) and The Joint Commission grew out of a movement, which recognized the need to identify and measure quality health care in the United States. The origins of HEDIS and the Joint Commission may be traced to the establishment of “a minimum standards for hospital care” adopted by the American College of Surgeons as a part of the Hospitalization Standardization Program. The ACS directly linked quality medical care with a quality patient record. The concept of quality measurement came to light when statistician Walter A. Shewhart identifies good processes equal a good product.

“Coding accuracy is highly important to healthcare organization, and has an impact on revenues and describing health outcome.” In today’s medical world, medical practices can’t risk

When Jill presents her suggestions to the hospital administrator, she will be sure her implementations include the entire healthcare team, consider patients and their values, and will not be bias toward any additional suggestions someone else may have. Jill will take safe and proper legal steps in implementing changes within the hospital, and make sure it is focused on patient centered

Professional developments through training programs are very important to HIM professionals. The programs will ensure the HIM professionals’ capabilities to keep up with the updated laws, regulations, and coding systems. They help the HIM professionals to maintain and enhance their skills and knowledge to deliver the highest quality of services and make significant contributions to HIM departments and the organizations. Based on the education levels, experiences, roles and responsibilities of HIM professionals, and the current specific requirements of the healthcare industry and organizations, the HIM training programs can be developed to meet the needs.

When a patient is registered within an HCA hospital, or a client of HCA hospital, a system called Meditech is used. Meditech is a registration and data entry system which houses patient information and communicates with an organization’s patient accounting systems (“About Meditech,” n.d.). Input fields of Meditech include patient name, address, marital status, social security number, living will information, language, paperwork affirmations, and insurance information (“Meditech Outpatient Registration,” n.d.). Internal tools used by HCA and their clients for financial information include Host and Patient Accounting. Meditech will relay registration information to Host and Patient Accounting, which will then begin categorization and account

Quality assurance of medical records following sure all rules and regulations were followed for Joint Commission Accreditation of Healthcare Organization (JCAHO) review. Processed, logged, copied, and properly mailed records and correspondence to patients and outside agencies. Organized administrative activities for 297-person organization. Independently performed assigned duties in accordance with regulatory guidance and accreditation guidelines, using discretion and judgment to make appropriate methodology. Provided advice and regulatory guidance, verbally and written to staff.

Vital healthcare fraud and abuse guidelines and measures include defining access and authorization controls, as well as separating duties to reduce opportunities for fraud to occur (Colling, T 2011). • Employ honest people: make sure background checks are performed on all staff members. It’s always a plus to verify information provided such as education, employment, and criminal

Electronic Medical Records in hospitals and offices are a great way to have information systems for the data collection. Hospital and medical staff can use the information to report and collect any of the following registration as well as the admissions data. The data was never intended for qualify improvement but to also allow the survey to ensure the compliance with provisions. Even though hospitals play an important role to the health care system and represent the healthcare outlay. They are also the element for collecting reporting to the data language.