Case Studies In Health Information Management
Case Studies In Health Information Management
3rd Edition
ISBN: 9781337676908
Author: SCHNERING
Publisher: Cengage
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With the use of Electronic Health Records most healthcare facilities and offices no longer submit a paper claim form instead of the fields in the EHR translate in the background to an electronic format of the CMS 1500 (physician claim) or a UB04 (hospital claim) form. However, it is still essential that you understand how to complete a claim form properly. In reviewing the different Blocks on the CMS 1500 form, choose a section of Blocks (as discussed in the unit) and in your own words: List the Block Numbers (i.e., Blocks 1-8), Describe what information goes into the Blocks Discuss any formatting requirements for the Blocks and what happens to a claim if the formatting is incorrect. In the second document above, CMS discusses Incomplete or Invalid Submissions. Explain how the Part A/Part B Medicare Administrative Contractors (MAC) handles these types of claims. CMS also discusses the difference between a “clean claim” and “other-than-clean claims.” Explain in your own words the…
Do you think NANDA-I, NOC & NIC are applicable to Nursing Documentation (conventional written or electronic) here in the Philippine Setting? Why or why not? If it needs improvements or changes to be more effective and applicable to Nursing Documentation, what would it be?
Carmen worked as an education coordinator for a nation-wide health care consulting organization. She had a horribly busy schedule, started work before 8:00 a.m. every day, and rarely finished working until at least 7:00 p.m. every evening. Her husband, Alan, worked at a local factory, and it was difficult for him to get time away as well. Their son was five years old and starting kindergarten the next month. One of the requirements for kindergarten was documentation of immunization records. Carmen, who provided education on PHIPA-related issues and assisted facilities with form design as part of her job, called Dr. Stallone, her son’s paediatrician’s office. Carmen asked Jessica, who answered the phone at Dr. Stallone’s office, if she would be able to fax a release of information form to the paediatrician’s office and have the office fax the information to her because she was unable to get there during office hours. Jessica responded by saying, “I’m sorry, honey, but medical records…
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