Chapter 1, Problem 1.19.2C

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…

Identify an issue or situation from practice or in healthcare that requires an evidence-informed approach. Explain why this issue is important for a registered nurse to understand, drawing on the literature to support your argument. Develop a searchable question using PICO framework. Remember to reference the framework and explain it briefly (all components identified), to demonstrate your understanding and why you have chosen it. Identify the elements of the question formula in your clinical question. Design a search strategy, including database choice, key terms, and Boolean operators to link these (tables may be used for this section Use this strategy to carry out your search, and identify four research articles that address your question, choosing these from the highest possible evidence sources with reference to an appropriate hierarchy Include a screenshot of the search history from your database searches as an appendix to your report. PLEASE NOTE:  This assessment task is about…

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?