...Kandis mckenzie Health Care Terminology Worksheet Refer to pages 40-41 in your text to complete the following exercise and record your answers below. |Definition Letter (a-o) |Term | |K |Adjudication | |B |Clearinghouse | |L |Documentation | |C |Electronic Health Record (EHR) | |E |Encounter Form | |M |Health Information Exchange (HIE) | |N |Health Information Technology (HIT) | |F |Meaningful Use | |G |Medical Documentation and Billing Cycle | ...
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...University of Phoenix Material Accurate Registration Worksheet In 50 to 100 words, explain each step of the medical billing cycle, using Figure 6.7 of Integrated Electronic Health Records as a reference. Your explanations must be in your own words. Step Explanation 1 Pre-registration confirms the patient’s information and helps to identity the patient to ensure the patient safety. This is an important step especial for reoccurring patients... This step also helps with verifying a patients insurance. Pre-registration gives the office ample time to answer questions before they are asked by looking into the EHR. Pre-registration also allows you to see procedures that may require prior authorization (pre-cert). 2 Establish financial responsibility- Establishing financial responsibility is knowing who owes what for a certain doctor’s visits. Once the clinic gathers the pertinent information from the patient, then the biller can then determine which services are covered and allowed under the patient’s insurance plan. Insurance coverage can differ hugely between companies, individual, and plans, The biller needs to make sure each patient’s coverage in order to create the bill correctly. This also goes for prescriptions, some insurance companies do not allow for certain types or prefer generics. 3 Check in patients- Patient check-in and check-out are pretty much straight-at the desk task. When the comes in, First time patients will be asked to fill out paper forms or...
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...Material Week 1 Health Care Terms Worksheet Understanding health care terms is a prerequisite for both academic and professional success. This assignment is intended to ensure you understand some of the basic terms used in this course. Complete the worksheet according to the following guidelines: In the space provided, write each term’s definition. You must define the term in your own words. In the space provided after each term’s definition, use the term in a sentence as it applies to the health care industry. You may wish to consider the following: * How has it influenced heath care? What role has the term played as health care developed over the years? * * Save the completed worksheet as a Microsoft® Word document with your name in the file name. * Submit the file to your facilitator. Submitted by: [Megan Hageman] Term | Definition | Use the term in a sentence as it applies to the health care industry. | Example: Electronic health records | Electronic health records are digital forms of entering and storing patient information. | My doctor entered the diagnosis into his laptop and told me that the information would go into my electronic health record. | HIPAA | HIPAA or Health Insurance Portability and Accountability Act, keeps health information confidential and protected. It also enables millions of American families to have insurance coverage. It reduces health fraud with electronic billing | I was given a HIPPA pamphlet from...
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...Material Week 1 Health Care Terms Worksheet Understanding health care terms is a prerequisite for both academic and professional success. This assignment is intended to ensure you understand some of the basic terms used in this course. Complete the worksheet according to the following guidelines: In the space provided, write each term’s definition. You must define the term in your own words. In the space provided after each term’s definition, use the term in a sentence as it applies to the health care industry. You may wish to consider the following: * How has it influenced heath care? What role has the term played as health care developed over the years? * * Save the completed worksheet as a Microsoft® Word document with your name in the file name. * Submit the file to your facilitator. Submitted by: [Megan Hageman] Term | Definition | Use the term in a sentence as it applies to the health care industry. | Example: Electronic health records | Electronic health records are digital forms of entering and storing patient information. | My doctor entered the diagnosis into his laptop and told me that the information would go into my electronic health record. | HIPAA | HIPAA or Health Insurance Portability and Accountability Act, keeps health information confidential and protected. It also enables millions of American families to have insurance coverage. It reduces health fraud with electronic billing | I was given a HIPPA pamphlet from...
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...University of Phoenix Material Health Record Worksheet In 150 to 350 words, explain the importance of a health record. Support your explanation using your assigned readings. Personal health records can help a provider's patient better manage their care. Having important health information, for example, immunization records, lab results, and screening due dates in electronic form makes it simple for patients to update and share their records. Patients can be more engaged with their wellbeing and health care. PHRs can advance better health care by offering patients some assistance with managing information from different providers and enhance care coordination. Having an online PHR can be useful if there should be an occurrence of crises particularly if a patient is traveling. Administrative expenses can be reduced utilizing a PHR to give patients simple access to electronic prescription refill and appointment scheduling applications. With PHRs, health care staff can invest less time searching for patient-requested information and respond to patient inquiries. Use the following table to identify and list at least five key components of a health record. Additionally, include a 50- to 100-word description of each component. Support your descriptions using your assigned readings. |Component of the health record |Description | |Patient Management ...
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...Terms Worksheet Paper - WWW.STUDENTWHIZ.COM Introduction The HCS 405 week 1 financial terms worksheet throws light on some of the most basic concepts of the healthcare business. Understanding health care financial terms is a prerequisite for both academic and professional success. The health care business helps the nation by providing the building blocks that the citizens need to live a successful and healthy life. The worksheet is intended to ensure that the students understand some of the basic terms used in the business world of the health care industry. The purpose of HCS 405 individual and team assignments is to make the students aware about the numerous strategies employed in the financial and other departments of a health care sector. The students attending to the HCS 405 need to understand the significance of the healthcare industry. The employees of the company strive hard every day to fulfill the mission of the company by providing millions of families, seniors, and children of the country with access to good quality healthcare products and services. The questions are strategically framed to bring out the major theme of each of the HCS 405 week assignments. For example, decision-making is the process of making sound financial decisions with the aid of your controlling, organizing, and planning results and analysis. It defines the roles for various employees of the company like the financial manager. There is a need for the mangers to prove that a medical procedure...
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...expense, revenue cycle, payer mix and revenue. There will be five weeks in the course of HCS 405 in which the above topics will be covered. There will also be the study about the financial worksheet and reporting practices. It will be taught to the students that organizations must comply with the requirements of ethics and proper disclosure of the statements. In HCS 405 week 1, there will be teaching of balance sheet. Balance sheet is defined as the financial statement of hospitals that tells about the assets, liabilities and equity of shareholders at a specific point of time. In HCS 405 week 2, earning statements will be taught to the students. Statement of revenues and expense is one of the financial statements which are used to identify the revenues or losses of the hospitals for the particular period. In the course, there will be different multiple choice questions that will be provided to the students to test their understanding. After it, the solutions are also provided to check the correctness. There will be the final exam in which all the topics will be covered. The HCS 405 week 3 will include the revenue cycle of hospitals. . It is defined as the process in which the revenues generation, payment and claims processing is done. It is used to track the claim process so that billing can follow it allowing the revenues flow. The students will also be provided some simulation practices in which the artificial situation will be provided, and these will be asked to enact...
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...UNDERSTANDING MEDICAL INSURANCE KEY TERMS Step 1 S te St ep 10 Follow up payments and collections Preregister patients p2 Establish financial responsibility St ep 3 S te p 9 Generate patient statements Check in patients Monitor payer adjudication Review coding compliance St ep 8 S te Check out patients Review billing compliance p7 St ep 5 S tep 6 Learning Outcomes After studying this chapter, you should be able to: 1.1 Explain how healthy practice finances depend on correctly accomplishing administrative tasks in the medical office. 1.2 Compare coinsurance and copayment requirements for health Copyright © 2014 The McGraw-Hill Companies plan benefits. 1.3 Identify the key steps in the medical billing cycle. 1.4 Discuss the impact of electronic health records on clinical and billing workflow. 1.5 Evaluate the importance of professional certification and of medical liability insurance for career advancement. S te p4 Medical Billing Cycle Prepare and transmit claims 1 accounts payable (AP) accounts receivable (AR) benefits cash flow certification coding coinsurance copayment covered services deductible diagnosis documentation electronic claim (e-claim) electronic health record (EHR) fee-for-service health care claim health information technology (HIT) health plan indemnity plan managed care managed care organization (MCO) medical assistant ...
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...Compliance and Coding Management Task 2 Western Governor’s University Compliance and Coding Management Task 2 A. Outline a HIM compliance plan that emphasizes the coding function by doing the following: 1. The necessary components of a compliance plan include Code of conduct, policies and procedures, education and training, communication, auditing, corrective action and reporting. The code of conduct is a statement or oath that establishes the intent to perform duties lawfully and ethically. The second component of a plan would include policies and procedures. The policies and procedures for coding would cover items such as how and when to query a physician, acceptable documentation sources, how to rebill a claim, usage of coding guidelines, payer specific issues, and any additional gray areas that may arise in the coding function. Education and training processes must also be outlined in a HIM compliance plan. This would need to identify the number of mandatory CEU’s for each employee, new hire training guidance and requirements, as well as physician and clinical staff educational guidelines and processes. The HIM/Coding compliance plan should also include policies and procedures that address communication, the auditing/monitoring process, any necessary corrective action steps and finally the process for reporting the coding compliance steps that have been followed and any areas identified as risks or any findings of noncompliance. 2. The HIM director...
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...that are legally transferable to another party are considered 9. Rhonda made several and order supplies. from the clinic checking account to pay monthly bills 10. As soon as the monthly bank statement arrives, Rhonda does a to make certain that the statement and checkbook balance are in agreement. Copyright © 2007, 2003 by Saunders, an imprint of Elsevier Inc. All rights reserved. 283 284 22 BANKING SERVICES AND PROCEDURES Skills and Concepts Part I: Short Answer Questions Provide the answers to the questions in the blanks below. 11. List the four requirements of a negotiable instrument. a. b. c. d. 12. Name several advantages to online banking. 13. Why is customer service such an important aspect of today’s medical offices? 14. List seven types of checks. a. b. c. d. e. f. g. 15. Describe each type of endorsement. a. blank b. restrictive c. special d. qualified Copyright © 2007, 2003 by Saunders, an imprint of Elsevier...
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...advances in the past decade that have affected the healthcare industry. With the networking and communication systems development, the amount of information exchanged between healthcare professionals has also risen dramatically. IT has had a significant impact on the healthcare delivery system in all areas and it is believed that it will continue to do so into the next century. In this research, I will only discuss the Laboratory Information System (LIS) and also briefly explain the Hospital Information System (HIS), that are being used in the healthcare industry. Laboratory Information System A laboratory information system (LIS), is a type of software that handles receiving, processing and storing information generated by Medical laboratory processes. These systems must interface with instruments/analyzers and other information systems such as hospital information systems (HIS). An LIS is a highly configurable application which is customized to facilitate a wide variety of laboratory workflow models. Deciding on an LIS vendor and installing of an LIS software could take a lab from a few months to a few years, depending on the complexity of the organization. LIS’s are complex software applications. There are as many variations of LIS’s as there types of lab work. Disciplines of laboratory science include many aspects such as hematology, chemistry, immunology, and several others. Hospital Information System On the other hand, there is also what is knows...
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...University of Phoenix Material Health Record Worksheet In 300 to 500 words, explain the importance of the health record. Support your explanation using your assigned readings. [Insert response here] Health records are important because they tell doctors about your past health needs. For example, if you broke your arm when you were five, or if you had a heart attack when you were fifty-seven that will go into your health record. Health records also travel with you. I am not sure how it works in the civilian world, but for the military when you move they transfer your electronic health record to your next duty station. It takes about two to four weeks for them to get there but all the information is there for the provider to see. There may be things in your health records that you do not even remember that happened to you. For example, if you got thrown out of a car and lacerated your spleen to the fourth degree, and then you found out later that you got pneumonia because you could not deep breathe because you had 3 broken ribs, that would all be in your health records. Health records all tell doctors what shape your in by the size of your health records. If you have a big long record with all the illnesses or injures that you have had they will know what they are dealing with before they see you. If you have a small health record then they know that you are in pretty good health and do not need to see the doctor very often. Health records are also important because they...
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...APPENDIX Checklists A Checklist A-1 Reviewing a Budget 1. Is this budget static (not adjusted for volume) or flexible (adjusted for volume during the year)? 2. Are the figures designated as fixed or variable? 3. Is the budget for a defined unit of authority? 4. Are the line items within the budget all expenses (and revenues, if applicable) that are controllable by the manager? 5. Is the format of the budget comparable with that of previous periods so that several reports over time can be compared if so desired? 6. Are actual and budget for the same period? 7. Are the figures annualized? 8. Test one line-item calculation. Is the math for the dollar difference computed correctly? Is the percentage properly computed based on a percentage of the budget figure? 333 334 APPENDIX A Checklists Checklist A-2 Building a Budget 1. What is the proposed volume for the new budget period? 2. What is the appropriate inflow (revenues) and outflow (cost of services delivered) relationship? 3. What will the appropriate dollar cost be? (Note: this question requires a series of assumptions about the nature of the operation for the new budget period.) 3a. Forecast service-related workload. 3b. Forecast non–service-related workload. 3c. Forecast special project workload if applicable. 3d. Coordinate assumptions for proportionate share of interdepartmental projects. 4. Will additional resources be available? 5. Will this budget accomplish the appropriate managerial objectives for...
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...self-report risk factor assessment. A clinical question of interest: How effective is a community cardiovascular screening program in identifying persons with subclinical atherosclerosis, who are at risk and not on appropriate preventative treatments such as aspirin and statins? The purpose of this paper is to identify potential data sources, discuss data access implications, and identify strengths and weaknesses of data sets and identity potential data analysis testing tools. Potential Data Sources The DTC program utilizes an old FoxPro SQL database to enter screening results, risk factors, anti-platelet and statin use, and risk assessment categorization for each participant. This information can be electronically downloaded into an excel worksheet for data analysis. Specific data elements of interest include: demographics; presence of carotid disease by ultrasound; presence of HTN, diabetes, smoking, hyperlipidemia; use of aspirin;...
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...Information This information is meant to be a general introduction to this topic. The purpose is to provide a starting point for you to become more informed about important matters that may be affecting your life as a survivor and to provide ideas about steps you can take to learn more. This information is not intended nor should it be interpreted as providing professional medical, legal and financial advice. You should consult a trained professional for more information. Please read the Suggestions and Additional Resources documents for questions to ask and for more resources. Cancer and its treatment can leave a survivor with need to review current and future financial goals. Dealing with financial matters might seem overwhelming. However, an assessment of your current situation can help define your present financial status, as well as prepare for future needs. Planned spending may help you avoid financial problems and be better prepared to deal with unexpected emergencies. As a survivor, you are likely to be very aware of how quickly and unexpectedly life can change. Events such as illness, treatment, medical costs, changes in employment, the birth of a child, inflation or investment losses can...
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