To avoid errors and mistakes it is very important to keep up with new and deleted codes. Another implication that can occur in incorrect medical coding is audits; having staff members look over claims and verify the information is correct would help a medical facility avoid audits. To ensure compliance in coding is done correctly it is important to understand the use of codes and be aware of billing and coding practices. It is important that medical staff is well trained and understand all aspects of coding and billing to guarantee that documentation and claims are filed
Compliance plans are used to find, correct, and prevent fraud and abuse in medical care facilities. Compliance plans correlate to different medical records by helping prevent mistreatment of a patient’s sensitive personal information. Compliance plans also help prevent fraud and abuse by a medical care facility’s staff. It is important for every member of the medical staff to properly follow the facility’s compliance plan to prevent civil or criminal litigation. If a facility fails to comply with the compliance plan they could face lawsuits from patient’s or fines from government agencies.
Modifiers help with duplicate billing and unbundling of codes. The coder must understand professional courtesy and discounts to uninsured or low income patients. Professional courtesy is when the doctor may not charge for services to other doctors or their family. This is not allowed because health insurance deductibles and co-pays must be paid. When giving discounts the system used to determine who gets the discount should be documented in the compliance plan.
In the room with him is a tray which contains a tourniquet, gloves, medical tape, sterile gauze, alcohol preparation pad, vacuum tube(s) with label(s), and a sterile needle with a needle holder. The phlebotomist will go through the steps of confirmation, preparation, collection, and clean-up in this life saving process. First thing the phlebotomist does when she walks in the room is make sure the patient is the correct person by either checking the chart or identification. This precaution is set in place because of prior cases of fraud. If someone has substances in his system that he cannot legally account for then he tries to have someone give blood in his place.
Negligence Kei'Shia C. Bowers HCS/478 May 21, 2012 Barbara Scheibe Negligence As a healthcare provider or patient there are certain terms that can send chills down your spine. As a healthcare provider the some words can implicate career ending actions and as a patient, those same terms can mean that something inappropriate and terrible has gone wrong. Those three words are negligence, gross-negligence and malpractice. It is the goal of every facility that provides healthcare to avoid the kind of mistakes that cause life-changing occurrences in the lives of their patients and families. The article in The Neighborhood newspaper focuses on Mr. Benson, 62-year-old male patient who underwent a below the knee amputation of his lower
Every point in the process of care-giving contains a certain degree of inherent unsafely. This fundamental includes; avoiding medical errors, providing effective and efficient care, and reducing wait times. Delivery of care is a vital part of quality management. Delivery of care is the prevention, treatment, and management of illness for a patients’ well-being provided by health care professionals. Quality of care management basically provides a set of standards when providing care for a patient.
Central Line Infections When a patient receives a service in the hospital, he expects the quality of service to be adequate for his care. Unfortunately, there are many services in healthcare that need quality improvement. CLABSI is one of the most deadly infections in the U.S. Reduction of CLABSI can happen with the cooperation of healthcare staff and systems. With CLABSI on the rise, healthcare staff needs to be effective in their care for quality improvement in patient safety and patient centeredness.
Facilities and equipment need to monitor the water for contamination. Then, any contamination found in the water leads the hospital to have a moral duty to treat the water and replace faulty pipes and water storage tanks. Finally, an experienced researcher is required to organize and conduct this question. What is the extent to which CHG wipes reduce HAIs? Quantitative data previously collected may provide the research needed for this study.
I read the patient had history of hypertension and diabetes. The patient was actually admitted for an elevated blood pressure but the cardiac markers were all negative. Approximately ten hours into the shift the patient used her call bell and another nurse was in the hallway outside and answered my patients light. The Nurse returned and stated the patient said she didn’t feel well and had taken her blood pressure and found it to be within normal values. I walked to my patient’s room and saw the patient breathing with accessory muscles and said she didn’t know what was wrong but didn’t feel well.
As health care professions, it is our duty to provide quality health care and make sure the law is being obeyed. Areas of law affecting the health care provider and receiver are tort law, criminal law, contract law, and trial procedures (Pozgar, 2010). Medical negligence has been seen as a major