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?
Handwritten reports or notes, manual order entry, non-standard abbreviation and poor legibility lead to errors and injuries to patients, according to a 1999 Institute of Medicine Report. CPOE significantly improved timely discontinuation of antibacterial from 38.8 percent of surgeries to 55.7 percent in the intervention hospital. CPOE/e-prescribing systems can provide automatic dosing alerts (for example, letting the user know that the dose is too high and thus dangerous and interaction checking. In this way, specialist in pharmacy informatics work with the medical and nursing staff at hospitals to improve the safety and effectiveness of medication use by utilizing CPOE systems. In using CPOE for medications, orders are incorporated with patient information, such as other prescriptions and lab results, which can be automatically checked for potential errors or problems.
The results of the effectiveness of a new drug involved in a clinical research trial are reported to the study coordinator? Communicate with other health care providers and/or provide data for public health and health policy c. Penicillin is not prescribed for a patient because the allergy list indicates the patient will have a reaction to it? Provide
This model identifies health as the ‘absence of disease’ with specific focus on diagnosing and curing individuals with illnesses such as cancer. The different views which are associated with health results in many policies and practices of the National Health Service (NHS) being put in place. The biomedical model suggests that during times of illness, intervention from health care professionals is necessary. Not only this, but the biomedical model also suggests health is the reason for the absence of many life threatening diseases. It is argued by many sociologists the main purpose of health care is to cure disease through the use of scientifically tested methods purposely created to address diagnosed illnesses.
Root Cause Analysis of a Case Study Alice Holliday Western Governors University Organizational Systems and Quality Leadership RTT1 Root Cause Analysis of a Case Study Healthcare presents numerous opportunities for patients to be helped by healthcare personnel. Unfortunately, there are also numerous opportunities for patients to be failed by healthcare personnel. When patients are failed by healthcare personnel, it is required by the Joint Commission for hospitals to carry out a Root Cause Analysis in order to understand the systems within the organization that failed so that improvements can be made and the failures can be prevented from happening in the future. (Cherry & Jacob, 2011) This paper will describe how a Root Cause Analysis (RCA) can be used following the death of a patient, and how Change Theory and Failure Mode and Effects Analysis (FMEA) can be utilized to come up with ways to prevent the failure from being repeated. A. Root Cause Analysis A Root Cause Analysis is an organized process used to determine the processes that lead to sentinel events.
Indeed, I believe that these alternative solutions can help reduce the overprescribing of ADHD medications in our country. With the implementation on standardized procedure, physicians can effectively diagnose ADHD patients. By setting limitation on the medication can make a tremendous impact on medication abuser. Additionally, the board exams (I think they already had board exam) or an extra education on child behavioral class as requirements to a teaching field can ultimately resolve the
Question 1.interface sketch that is being evaluated: [pic] i) The system allows you to prescribe more than one drug to a single patient Justification: Relates to helpfulness - Doctors need to use their time effectively and the system requires tasks to be repeated then it will become a hindrance rather than a help. Question: Can you prescribe multiple drugs to a patient using this interface? ii) The system shows the user who the patient is that they are prescribing medication for. Justification: Relates to safety - If the wrong medication is prescribed to a patient then this could cause an adverse reaction. Question: iii) The system prevents dosage errors being made Justification: Relates to safety - too much or too little of a drug would prevent the medication from being effective or be potentially dangerous.
Genetic Counseling A child is born and one of the first things that happen to the newborn is that he or she gets their heel pricked and a small amount of blood is drawn for testing. One may think that testing must be done for a few conditions, but in reality that tiny blood sample is used to screen over thirty types of genetic and metabolic disorders (myoptumhealth.com). Through this type of screening medical personnel can foresee if there are any disorders the child could have in the future and assess a plan of action. Genetic counseling comes into play with this process at the time of diagnosis of a disorder through the screening. “Genetic counseling: An educational counseling process for individuals and families who have a genetic disease or who are at risk for such a disease.
The United States Food and Drug Administration (FDA), issued recommendations to researcher for planning and designing studies for the development of drugs that treat the side effects associated with smallpox vaccines. “The forty page guidance document from the FDA makes recommendations for nonclinical early drug development studies with section on chemistry, manufacturing and controls, toxicology, microbiology and clinical pharmacology. The guidance focuses on the need for accruing in vivo investigation data from animal models because of the low occurrence of serious vaccine complication in the vaccinated population. It also includes sections on obtaining data regarding human efficacy and safety, designing clinical trials, and data collection requirements and recommendations” (Tolchin 25). It tells that our government is planning to teach people about this deadly disease.
Safe Medication Administration Common causes of Medication Error’s Nurses are routinely asked to calculate dosage information and provide data entry services for medications and intravenous infusions. Assuming the physician's order and patient information are correct, there are three general possibilities for mistakes when administering IV medications via a pump: dosage miscalculation; transcription data entry error; and titration of the wrong medication. • Miscalculation Error: A miscalculation error can occur for any number of reasons, including the use of inaccurate parameters such as dose, weight, height, drug units, or solution volume. A misplaced decimal or missing number in this complex calculation can result in a calculation error