We could bring up the case as a sample to demonstrate what we are discussing about. However, adding a question to prove our point is not recommended in academic writing. The subject line information to identify the situation has to be included on the head of the memo. In addition, clarity, correctness, and courtesy are very important and they represent for our efforts. The memo should be clearly written and organized in direct order, beginning with the objective and then systematically and covering the vital bits of information (Rentz, 2008).
Evaluating Compliance Strategies HCR/220 February 24, 2013 Angela Colbert Evaluating Compliance Strategies This essay will evaluate the medical billing and coding compliance strategies. There are many mistakes that are made during the medical billing and coding process that could possibly be minimized with the proper strategies. In this paper the following questions will be addressed: What is the importance of correctly linking procedures and diagnoses? What are the implications of incorrect medical coding? How are medical coding, physician, and payer fees related to the compliance process?
Your supervisor will ask you about the problem and any steps you have taken to deal with the situation. Your supervisor should listen with an open mind, gather all relevant facts and act promptly and fairly. Your supervisor should follow up to ensure that the corrective action has been taken and the cause of the grievance properly addressed. Should you be unwilling to approach your direct supervisor because the grievance concerns them, you can speak with someone else – either their manager or a Contact Officer. Step 3 If the problem is not resolved you may be required to notify senior management or the employer (usually in writing) as to the nature of the grievance, with a request for a meeting to further discuss the problem.
You should not end your shift before you have completed all necessary paperwork. All reports should be written on the correct paperwork in the correct format. Make sure that reports only contain facts, opinions should be left out. Date and sign all records and make sure what you write is legible to others. Bii: Describe how to ensure records are stored securely.
There are many ways in which prescription fraud can occur. Because of the plethora of ways, pharmacists must be alert and responsible in their actions. Many seem to believe that electronic prescribing has been found to reduce the number of errors and statistics and data reflects that. America cannot be ignorant in this matter. The new electronic system not being implemented is like going through life with a contagious deadly disease, you have the money for the cure, but yet you complain, sulk, and feel sorry for yourself instead of going to get the cure.
ICD-9-CM Coding MIBC-236 Advanced Billing Abstract The medical field is one that is always changing however there are key elements that come in play when coding records from the hospital, and/or physician’s office. In order to for a practice to thrive and be successful, the physician biller must be sure that all records are billed properly to include the actual coding. One of the most important aspects of billing is the actual coding of the record and the ICD-9-CM code attached to the record. Let us take a look at a few things regarding ICD-9-CM coding such as the historical perspective, policies and procedures associated, patient impact, and employment outlook/challenges associated with the field of coding. History Sir George Knibbs, the Australian statistician has credited Francois Bossier de LaCroix with being the first person to attempt classification of diseases and this was published under the title “Nosologia Methodical”.
Jessica knows somebody that had a cystectomy and is getting this procedure confused with a cystoscopy. Ectomy is a suffix, which means surgical removal, excision, and resection. Why would it be important for a Biller and Coder to know the difference between the two suffixes? Not only is it important for a Biller and Coder to know the differences between suffixes so the clinic is able to get reimbursed properly for services and avoid legal issues, but there are also ethical standards that have been put into place by the American Medical Association. If you fail to comply with proper documenting practices you could cause inappropriate payment increases or false insurance coverage or be skewing information to not comply with state or federal statutes and guidelines.
Next will be the discussion regarding the responsibilities of administrators and how to address employee problems. Finally, the essay will end on possible resolutions to confidentiality problems to limit future issues. Affected Population While exploring the concept of patient confidentiality, there are many individuals who are affected all across the country, particularly anyone in the health care field. The most notable are patients but physicians and health care employees run a close second mainly because they are handling patient files. Patient confidentiality includes any information such as test results, treatments, diagnoses, and personal information like name, age, and SS#s.
Medical Billing and Coding Each time a patient receives medical care, the physician or other health professional must document the services that are provided. Since each of these encounters is unique, the medical coder assigns alpha-numeric codes that are specific to the patient’s symptoms and diagnosis and identify each procedure and other service performed. This series of codes provides the insurance carrier with a detailed account of the encounter and ensures that providers are correctly compensated for their services. These codes are also important for making critical clinical decisions and for statistical research and health planning analysis. There are several different career opportunities available to choose from and these
Case Study: JIT at Arnold Palmer Hospital Managing Operations across the Supply Chain – GSCM 206 1. What do you recommend be done when an error is found in a pack as it is opened for an operation? The most basic and immediate solution is to get another pack and order a replacement as soon as possible. Even though the Arnold Palmer Hospital uses the JIT system, they do have spare surgical packs for emergencies but they are bulky, must remain sterile and take up a lot of space. By adopting the JIT system, these types of errors are known instantly and the delivery company can be notified within a day so they can ascertain the reason for the error and take appropriate action to correct the error and ensure that the spare surgical pack is replaced.