EBK CASE STUDIES IN HEALTH INFORMATION
3rd Edition
ISBN: 9780357636497
Author: Mccuen
Publisher: YUZU
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A request for a patient’s medical record is sent by fax to your office. The fax cover sheet contains the letterhead of a nearby medical facility. You do not recognize the name of the physician, fax number, or telephone number stated for the physician’s office. How do you respond to the request?
When 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.
A physician requests that you change the “date of dictation” on a medical report to 3 days before the actual date of dictation so that the report will appear to have been dictated in a timely fashion. He explains that he was called out of town for a family emergency and fell behind in his dictation, and that he appreciates your cooperative and helpful attitude with small requests such as this. What do you do?
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- You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call? If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example. “Hi, my mother was in to see the doctor yesterday. Ever since then she has been quite upset. She won’t talk to me about it. I want to know what is going on.”arrow_forwardYou know a patient is uncomfortable about undergoing a pel-vic examination, and you ask the male physician to wait for you before he begins the examination. He tells you he can’t wait and doesn’t need your assistance. You know the patientwants another woman in the room. How would you respond,and what is at stake? Does it matter if the reason for thepatient’s request to have you present is simply preference,is linked to a history of abuse, or is related to her culturalor religious beliefs?arrow_forwardhttps://mylearning.suny.edu/d21/le/content/1496105/viewConten Ch 9 Medical Record Activity Page 1: What is Cindy's chief complaint or reason for visit? 1 Page 2: 21 Page 3: 3> Page 4: 41 Page 5: 5 Page 6: Cindy is a 17-year-old high school student. She leads an active social life, gets good grades, and is a member of the track team. About two weeks ago she became ill with what she thought was the flu. Her signs and symptoms included sore throat, enlarged and tender lymph nodes in her neck, inflamed tonsils, headache, fever, muscle aches and fatigue and loss of appetite. She expected to feel better by now, but she still has many of the symptoms. Her mother took Cindy to their family physician for evaluation. Upon examination the physician notes that Cindy has swollen lymph nodes in her neck and armpits, her spleen is enlarged. Based on her symptoms and examination the physician diagnosed Cindy with the Epstein-Barr virus. He explained that there is no specific cure, but that treatment…arrow_forward
- You are an administrator in the Intensive Care Unit (ICU). The Physician approaches you for assistance with her patient Mr. Jones and Mr. Jones’ family. The Physician explains that Mr. Jones no longer requires the level of care that is provided in the ICU and wants to transfer Mr. Jones to an acute medical unit. Jones is ‘incapable’ so his daughter is making treatment decisions on his behalf. Jones’ does not have a Power of Attorney for Personal Care, his spouse passed away many years ago, and is daughter ranks next on the substitute decision-maker hierarchy. The issue that the Physician is facing is that Mr. Jones’ daughter does not want her father transferred out of the ICU and is telling the Physician and the staff that she does not give her consent for him to be transferred. Question: Using your critical thinking skills and what you’ve learned about the Health Care Consent Act, what advice do you give the Physician in this case? Explain your…arrow_forwardEmma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What are the patient's responsibility, discount amount, and the amount the carrier pays the provider?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
- A patient is being transferred from the ICU to a regular hospi-tal room. What must the ICU nurse be prepared to do as part of this transfer?a. Provide a verbal report to the nurse on the new unit.b. Provide a detailed written report to the unit secretary.c. Delegate the responsibility for providing information.d. Make a copy of the patient’s medical record.arrow_forwardShould the money used to care for this woman be considered when she is being helped? Do you think that legalizing euthanasia could create conflicts of interest for the patient/ or the doctor? Will people feel that they need to end their lives earlier to save money? If you were the physician, what would you do? Note: if you would pass her off to another doctor knowing he or she would do it, does this free you from you ethical obligations?arrow_forwardThere is no option to choose a Public Health option but this is for my Healthcare Delivery System class: 1.) What steps should Clark take as she begins her efforts to improve the health of the community? 2.) Find and describe some of the tools available to Clark that might help her analyze the needs of the community and prioritize the programs she puts in place.arrow_forward
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