Billing 1 Week 2 DB Discuss the importance of knowing the processes and procedures used for receiving payment for services rendered under the contract provisions. It’s extremely important to understand both the process and procedures of securing payment for medical services under a managed care contract agreement. The process for receiving payment for services begins when the patient makes their initial appointment with a provider. The front office staff that registers the patient begins this process. During registration the patient provides their demographic and insurance policy information.
Different kind of medication, surgical tool, and trained healthcare provider made everything possible to do in ambulatory facilities. Quality care and protecting patient information is the major task of healthcare organization. Like in hospital, Ambulatory care
A medical assistant assists doctors in the performance of patient care, examination, and documentation. Medical Assistants perform or assist in taking vitals, front office medical administrative tasks, back office clinical procedures and ECG testing. Medical assistants are the face of medical offices and often the first people with whom patients come into contact. They may perform basic medical coding and billing, scheduling, and patient flow and triage. Other duties may include waive testing, phlebotomy and specimen collection.
A person acting as the Durable Power of Attorney can implement several important necessities for example: making medical decisions not covered by a living will. The appointed Medical Power of Attorney in a legal document is supposed to make all medical decisions. The document can specify when the acting person takes on the responsibility of Medical Power of Attorney. This document can identify if medical interventions are wanted or not needed. Two forms guide the Medical Power Of Attorney: the “Living Will” and “Advance Medical Directive” and clearly indicates what course of action the patient would want taken in medical circumstances.
When the Hospital Standardization Program established their initial set of minimum standards, one of the prescriptive measures required healthcare organizations to maintain medical records for patient treatment. The necessity of creating, and preserving a detailed account of a patient’s history, laboratory results, and treatment seems rudimentary today. The Hospital Standardization Program made significant advances in enforcing proper documentation. Building on that legacy, TJC strengthened standards involving appropriate medical documentation by including strict timelines for completion. For example, TJC mandates a patient’s History and Physical (H&P) report be completed within 24 hours of admission.
It is therefore, of great importance that the medical professional in charge of a given patient, in this case a TKA patient follow all the five models of evidence based practice. This will ensure that patients get quality care while at the same time the professionals get to improve their experiences(“EBP in Nursing,” n.d.). It is important that medical practitioners gather enough info about the patient they are dealing with especially in the “ask” model. This will enable them come up with the best care and also aid in guiding them on what information they are to research on. Furthermore, it is important that the medical practitioners prepare the patient(s) on what is to happen so that they know what to expect and also prescribe a post-operative guide which has to be followed until the patient has fully recovered.
The Joint Commission’s tracer methodology is used to ensure compliance standards are met, as well as to “trace” and document the level of care provided to patients in order to make improvements to the facility’s health care delivery system. Patients requiring services that utilize the entire continuum of care spectrum are selected in an effort to gather sufficient information needed to identify areas with potential risks and safety concerns. As the patients’ course of care progresses across the system, Joint Commission surveyors evaluate each department 's policy and procedure on data management, infection control and medication management process. Health information management is impacted by the “tracer methodology” because HIM must ensure
Week 5 Discussion thread Week 5 Discussion Question What are the reasons for establishing a personal health record? To keep a record of all healthcare that is created by a medical provider. This information is important for all providers that are involved in a patient’s care. It also helps for reimbursements and if the services that were rendered were medically necessary. A personal health record also helps a patient to keep track of his or her information to ensure that it is all accurate.
Likewise, if you enter information such clinical diagnosis, tests results, appointment notes, address and insurance information of a patient into the EHR, the information is instantly stored. The other potent database software used in health centers is the
There is survey for cancer treatments, diagnostic testing, inpatient, hospice care, cardiac care, maternity, pediatric and general survey. The object was to make sure all departments would have specific questions ask pertaining specifically for that department. This would insure problems would be addressed quickly from that specific department. This would ensure that an inpatient patient’s survey would address inpatient needs. There would be reason to send a hospice survey to a patient that was admitted for pneumonia as inpatient.