EBK CASE STUDIES IN HEALTH INFORMATION
3rd Edition
ISBN: 9780357636497
Author: Mccuen
Publisher: YUZU
expand_more
expand_more
format_list_bulleted
Concept explainers
Question
error_outline
This textbook solution is under construction.
Students have asked these similar questions
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…
The RN and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Which information provided by the UAP warrants immediate intervention by the RN?
The client diagnosed with cancer of the lung has a small amount of blood in the sputum collection cup.
The client diagnosed with chronic emphysema is sitting on the side of the bed and leaning over the bedside table.
The client receiving a biologic response modifier, has a temp of 99.2 F, P 68, R 24 and a B/P of 198/102.
The client receiving prednisone is complaining of an upset stomach after eating breakfast.
When completing a safety event report, the nurse should:a. Include suggestions on how to prevent the incident fromrecurring.b. Provide minimal information about the incident.c. Discuss the details with the patient before documentingthem.d. Objectively describe the incident in detail.
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, biology and related others by exploring similar questions and additional content below.Similar questions
- Ellen Armstrong, cmas (amt), is responsible for all patient insurance billing procedures, Ellen has the following information: Total charges Allowed charges Office visit $150.00 $100.00 Return visit $80.00 $75.00 Deductible has not bee satisfied. Calculate the patient's correct billing if the provider accepts assignment. Calculate the patient's correct billing if the provider does not accept assignment.arrow_forwardYou are caring for a 68-year-old patient who underwent abdominal surgery 24 hours ago. The patient has a history of type 2 diabetes mellitus and hypertension. Post- operative orders include monitoring of vital signs every 4 hours, assessing the surgical site for signs of infection, pain management, and early mobilization. The patient is currently NPO (nothing by mouth) and has an IV infusion of 0.9% saline at 100 mL/hr. The patient's current vital signs are: blood pressure 160/90 mmHg, pulse 96 beats/min, respiratory rate 20 breaths/min, and temperature 37.8°C (100°F). The patient complains of moderate pain at the surgical site, rating it 6 out of 10 on the pain scale, and appears anxious about the pain and the potential for complications. Given this scenario, which of the following nursing actions should be prioritized? A) Administering the prescribed PRN (as needed) analgesic for pain management. B) Assessing the surgical site for signs of infection or complications. C) Encouraging…arrow_forwardYou are involved in a very unusual multiple casualty incident where a plane crash has left 80 victims scattered over a mile area. This area involves a housing subdivision with small business locations. During this rescue, you are responsible to comb the area for victims, triage, treat, and transport. You have been at this task for six hours and have found 22 victims with 20 of those being deceased. What important action should you be provided with if needed? a. Stress relief b. Time for documentation c. Cleaning and restocking d. Devices to designate victim locationsarrow_forward
- IMMEDIATELY following the insertion of an Intercostal Catheter (ICC), list five (5) nursing assessments with rationales you would perform on the patientarrow_forwardDo 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?arrow_forwardA nurse makes a medication error. The best action is to: a. Do not document any error on the patient's record. Document only on the incident or quality assurance report. b. Document in the patient's record the error by either noting the omission of a drug or adding the drug given if it does not appear on the medication record c. Document in the patient's record the error by either noting the omission of a drug or adding the drug as given even if it does not appear on the medication record describe the circumstances surrounding the error. d. Document in the patient's record the error by either noting the omission of a drug or adding the drug as given if it does not appear on the MAR; also document on the incident or quality assurance report .arrow_forward
- You are a supervisory level, clinical laboratory scientist (10 years of experience) in a 300+ Bed, The Joint Commission (TIC) accredited hospital. The laboratory director informs you that the organizations administrator has asked the laboratory to assess the institutions overall approach to meeting its regulatory responsibilities including point-of-care testing (POCT). In addition to the main laboratory testing. POCT is performed on inpatients, outpatients, at off-site clinics, and through outreach (e.g. visiting nurses). The laboratory director asks you to assume the overall responsibility for this reevaluation. (Please give a detailed answer. Thank You!) What regulations govern point-of-care testing? What type of quality control for point-of-care testing must be implemented?arrow_forwardYou are a supervisory level, clinical laboratory scientist (10 years of experience) in a 300+ Bed, The Joint Commission (TIC) accredited hospital. The laboratory director informs you that the organizations administrator has asked the laboratory to assess the institutions overall approach to meeting its regulatory responsibilities including point-of-care testing (POCT). In addition to the main laboratory testing. POCT is performed on inpatients, outpatients, at off-site clinics, and through outreach (e.g. visiting nurses). The laboratory director asks you to assume the overall responsibility for this reevaluation. What is the benefit of point-of-care testing?arrow_forwardSuggest ONE advantage of readmitting patients and ONE advantage for refusing to readmit patients. Request information from TWO other departments that could assist in your investigation. Please specify both the TYPE, and specific CONTENTS of the report you are requesting (Unit 3 types of output)arrow_forward
arrow_back_ios
arrow_forward_ios
Recommended textbooks for you
Case Studies In Health Information ManagementBiologyISBN:9781337676908Author:SCHNERINGPublisher:CengageUnderstanding Health Insurance: A Guide to Billin...Health & NutritionISBN:9781337679480Author:GREENPublisher:Cengage
Comprehensive Medical Assisting: Administrative a...NursingISBN:9781305964792Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy CorreaPublisher:Cengage Learning- Essentials Health Info Management Principles/Prac...Health & NutritionISBN:9780357191651Author:BowiePublisher:Cengage
Case Studies In Health Information Management
Biology
ISBN:9781337676908
Author:SCHNERING
Publisher:Cengage
Understanding Health Insurance: A Guide to Billin...
Health & Nutrition
ISBN:9781337679480
Author:GREEN
Publisher:Cengage
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
Essentials Health Info Management Principles/Prac...
Health & Nutrition
ISBN:9780357191651
Author:Bowie
Publisher:Cengage