Chapter 1.2, Problem 1E

The E/M is used in every specialty including emergency medicine, OB/GYN, ENT, Neuro, and Peds. Pick any specialty and share with the class how coding could be different for each. HINT: Modifier -25, E/M elements, concept of time, established versus new patients.

Compare and contrast the three different levels of health promotion (primary, secondary, tertiary). Discuss how the levels of prevention help determine educational needs for a patient.

The Inpatient Payment System is used by Medicare to pay hospitals for services at a pre-determined rate for each discharge. Professional Administrative C) Prospective Diagnostic

Since the implementation of hospital payment by the DRG system,           cost shifting no longer occurs in hospitals.     use of RCCAC serves no purpose to the hospital’s management.     payment for hospital stays is based on a patient’s diagnosis at discharge.     payment for hospital stays is based on a patient’s diagnosis upon admittance to the hospital.     payment for hospital stays is less profitable to hospitals.

Coordination of benefits (COB) includes:   Reimbursement when a patient is covered by more than 1 health plan    Reimbursement for non-covered services   Reimbursement for not medically necessary services   Reimbursement for diagnosis mismatch

Discuss the role of the nurse in preventing healthcare-associated infections (HAIs) in hospitalized patients.

Often, research on medical issues will be incorporated into a THREATSUM or Briefing. Group of answer choices. True or False ?

Risk assessment is critical. Assess all health-care activities to determine the personal protection that is indicated.   Question options: A) True B) False

Discuss the commonalities and differences between individual and population health. Provide an example of each, along with a time when a provider would be concerned about both concurrently.