Case Studies in Health Information Management
3rd Edition
ISBN: 9781305955332
Author: Patricia Schnering, Nanette B. Sayles, Charlotte McCuen
Publisher: Cengage Learning
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The purpose of obtaining a health history in today's medical office is to:
a. have a basis for all treatment given by the provider and a guide for all future treatment.
b. have information for the patient's personal use.
c. have something to document in the patient's medical record.
O d. have information for the insurance company.
A nurse answers a patient’s call light and finds the patient
on the floor by the bathroom door. After calling for assis-tance and examining the patient for injury, the nurse helps
the patient back to bed and then fills out an incident report.
Which statements accurately describe aspects of this proce-dure? Select all that apply.
a. An incident report is used as disciplinary action againststaff members.b. An incident report is used as a means of identifyingrisks.c. An incident report is used for quality control.d. The facility manager completes the incident report.e. An incident report makes facts available in case litigationoccurs.f. Filing of an incident report should be documented in thepatient record.
Physical locations where health care is provided to patiemts (eg office or other outpatiets settings, hospitals, nursing facilities, home health care or emergency departments the two digit location code is required by medicare
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- A patient received $800 medical procedure . The patient has an insurance plan with a 70/30 coinsurance agreement and a $200 deductible which they have not met . The insurance allows $550 on the procedure and the provider will write off the difference in cost . How much will the insurance be responsible for? How much will the patient be responsible for?arrow_forwardWhen a patient is being admitted from home, the social worker should arrange for the medical records on the patient's last hospitalization. the facility should begin recording the patient's past history and background. prior medical records are generally not available. the social worker should obtain medical records from the admitting physician's office.arrow_forwardDrag the missing term into each sentence/paragraph text related to completion of the 837 P claim. The HIPAA 837P uses the term for the insurance diagnosis account or guarantor, meaning the same as on the CMS-1500 clalm. The name and address of any than the subscriber or patient who has is reported if applicable. party, the entity or person other responsibility for the bill, submission line filing indicator code is an administrative code used to identify data health the type of plan, such as a PPO. and the subscriber are not the same person, an code is required to specify the patient's relationship When the claim attachment individual to the subscriber. Although sometimes called the patient number, the claim number should not be the same as the practice's account insured electronic number for the patient. The claim code, also called the claim financial policyholder code, for physician practice claims indicates whether this claim is an original, a or needs to be voided. A total of four…arrow_forward
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