HCPCS Codes Analysis

Obtaining certification in a specialty area is one way a nurse confirms she has achieved the necessary knowledge and skill within that practice area to be considered above average (Rauen, Shumate, & Gendron-Trainer, 2016). In order to realize my goal of board certification as a master’s prepared informatics nurse, I must first gain the required education, expertise, and competence through classes and practice experiences. This paper will discuss how each MSN core course, each MSN specialty course, and each potential practice experience will improve upon the competencies needed to obtain board certification in informatics after obtaining my MSN from American Sentinel University.

Health information exchange or HIE allows doctors, nurses, pharmacists, and other health care providers and patients to access vital medical information. It also allows them to share medical information securely and electronically. HIE improves the speed, quality, safety, and the cost of patient care.For many years patient's files were stored using paper methods, transferring them by mail, fax or transferred it by hand to every appointment. Changing to electronic file improves the completeness of patient's medical records. It makes decision making of healthcare providers avoid readmissions, avoid medication errors, improve diagnosis, and decreases the amount of times test are reordered. There are other benefits to health information exchange

Health information technology can advance the health of individuals and aid with the performance of providers to produce and improve quality and cost savings in patients’ health. In 2009, Congress passed, and former President Obama signed into law the Health Information Technology for Economic and Clinical Health (HITECH) Act, as part of the American Recovery and Reinvestment Act (Buntin, Burke, Hoaglin and Blumenthal, 2011). Authorized by the HITECH Act, the Office of the National Coordinator for Health Information Technology’s (ONC) has worked on health IT. The Health IT created legislation and regulations to provide requirements and certification criteria that the EHRs must meet to ensure health care

The Center for Medicare and Medicaid Services (CMS) oversees multiple government programs. As part of the Health and Human Services (HHS), CMS finances healthcare for more Americans than any other single entity. CMS's influences come from both regulatory and legislative decisions made by congress. This can cause problems when Medical decisions are influenced by whatever government parties in charge.CMS is also in charge of the program transmittals to communicate new or changed policies and producing the quarterly provider updates. CMS oversees the CHIP program, HIPPA, and the Clinical Laboratory Improvement Amendments (CLIA), among others. They are also responsible for implementing the electronic health records incentive programs. It is important

NCCI code pairs must match on member, provider, and date of service. CMS maintains tables of code pair edits and updates these tables on a quarterly

“The form was developed by the Centers for Medicare and Medicaid Services (CMS) to facilitate the process of billing by easily arranging diagnoses and services provided that were necessary to treat patients”.

E/M codes tell what was done in the office. Everything that the doctor or physician has done is documented, and coded. If a certain thing was not done then it should not be coded, and charged for that is considered fraud. Also everything that is done in the office must be documented, and coded using the E/M codes. If the E/M coding was done incorrectly the person would get in trouble for fraud, and not only that the office would have a bad reputation, and other insurance companies wouldn 't probably want to go through that office anymore. It is important that the E/M codes are done correctly, because if not it could cause a lot of trouble.

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 CMS - 1500 form is to facilitate the process of billing by easily arrange in diagnoses and services provided that were necessary to treat patients. The form is divided into two major sections, patient and insured information and physician or supplier information. The upper portion of the form has 13 "Form Locators" ( boxes to be completed on the form) that contain 11 data elements and two signature form locators. The lower portion of the form consists of 20 form locators numbered 14 through 33 that contain 19 data elements, and one signature form locator.

Other than HIPAA, Health Information Technology for Economic and Clinical Health (HITECH) Act is a major federal policy initiative that affects the healthcare information technology (HIT) in the past years. However, its policy is used to protect the EHR system from a security breach that can cause multi-million dollar fines to the company (Campus Safety Magazine, 2010). In 2009, President Obama signed HITECH Act as part of the American Recovery and Reinvestment Act to support the Department of Health and Human Services (HHS) with authority, so it can establish programs that will improve healthcare quality, safety, and efficiency using HIT (Hebda & Czar, 2013).

Providers across the U.S. are turning to the Health Information Exchange also known as HIE. HIE provides secure online access to patients charts among a network of providers, hospitals, clinics, doctor’s offices, and pharmacies who join in the exchange, so they can have timely electronic access to records their patients will allow them to share. For patients this means having their medical records available no matter where they go and for providers it means having instant access to life saving information when seconds count

This paper will illustrate how Hennepin County (HC) utilize monitor and maintain EHR records for the following business lines hospital, outpatient clinics, health, social and human service. Data sharing of EHR has allowed the organization to successfully provide care coordination for the population we serve. As healthcare evolves and service delivery continues to influence healthcare, it is essential that each business lines work together and collaborate to effectively access EHR within the Epic system. EHR systems, data bases, web portals are critical for a healthcare provider remain compliant with federal regulations. I am an HC employee, and my organization is unique, because we own and operate Hennepin County Medical Center (HCMC) and

The CMS-1500 form is divided into two major sections, the top portion of the CMS-1500 has 13 form locators 11 data elements and two signature locators. The bottom portion has 20 locators with 19 data elements and on signature locator.

Infection Prevention and Control (IPC) is one of the most important agents in the prevention of hospital acquired infections or what we termed nosocomial infections. IPC channels every member of the hospital, which includes, healthcare providers (HCP), patients and the hospitals perse. It is important to practice IPC commandment to every hospital as well as community. The Palestinian Ministry of Health (MOH) adopted the national IPC protocol. Employees working in pediatrics hospital are supposed to take precautions to protect their patients and staff from exposure to potentially infectious materials. A fundamental component of standard infection prevention measures are a system of barrier precautions to be used by all personnel

Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or