Patient Check-in: This is the 1st step of the appointment and where the flow begins. The patient arrives to the doctor’s office and signs in on the “check in” clip board, most doctor’s office has one in the front desk. Usually it will ask for some basic information so the person on the desk can verify all information in the system is correct.
2- Insurance Eligibility and verification: Once you sign in on the clipboard and all information is inputted in the system correctly. The doctor’s office receptionist will verify that your current insurance covers the visit or verify your specific benefits. Usually this needs to be done prior to the appointment.
3- Coding diagnosis, procedures, modifiers: Once the patient has seen the doctor the
Identifying patients correctly when providing Care: Nurses are supposed to have two resident Identifiers when trying to care for a patient for the first time and after that, one identifier is acceptable. Identifiers such as Room number or location are not acceptable. To ensure this is carried out correctly nurses must ask for two identifiers in situations such as specimen collection, when providing treatments or when collecting blood for clinical testing (containers must be labeled in front of the patient). The Purpose of this guideline is to ensure that the patients are been properly identified and that they are receiving the right treatments and medications (The Joint Commission, 2012).
The first step is to pre-register the patient's insurance information into the computer system and making a copy of their insurance cards. The patient's insurance information would then be verified. The patient would then be seen by a medical professional to examine the patient, discuss any test results or provide a diagnosis. Once the patient is ready to check out any payment due would be collected. The medical coder would then go over the patients' medical record and assign any diagnosis codes or procedural codes and then a claim form (CMS 1500) would be completed and submitted. The payment would also receive and posted at this time and document in the patient's record. The CMS 1500 will information from the patient, including the type of
Van Doormaal, J. E., Mol, P. G., Zaal, R. J., Van Den Bemt, P. M., Kosterink, J. G., Vermeulen, K. M., & Haaijer-Ruskamp, F. M. (2010). Computerized physician order entry (CPOE) system: expectations and experiences of users. Journal of Evaluation in Clinical Practice, 16(4), 738–743. doi:10.1111/j.1365-2753.2009.01187.x
Michelle Knuckles, RHIA is the manager of Inpatient Clinical Documentation Improvement and Coding at the University of Utah Hospital. Clinical Documentation Improvement is the vital process of ensuring that records are complete and accurate. There are many types of problems that can occur in patient records, such as conflicting information, inconsistent diagnoses, vague documentation, or illegible information. The accuracy of severity of illness and risk of mortality are also important factors for a CDI professional and the organization itself. If a record has inaccurate MS-DRGs, CCs, MCCs, APR-DRGs, or mortality index; the hospital is unable to truly participate in hospital compare through Medicare and cannot create an accurate picture of their stance compared to state and national benchmarks. The role of a CDI professional is to catch these problems and assist in resolving them which results in a complete and accurate record at the time of the patient’s discharge. CDI is an important part of a patient’s quality of
When the students pay any money for the walk-in clinic or doctor, they have to obtain receipt of the payment; the admission office will assist to claim their money back.
Finally, it is vital to always consider fees, pricing and insurance coverage when selecting a provider. If you currently hold insurance, always call ahead to determine if the clinic accepts your policy. In most cases, a specialist accepting insurance can mean that you will not be required to pay out of pocket fees for exams and other routine
The 4-hour shadowing experience at Casa De La Luz Hospice was insightful to the aspects of palliative care. The experience included shadowing the hospice physician and nurse as they calmly interacted with the patients, assessing for abnormalities in ABC, safety, and pain. Additionally, this experience provided examples of therapeutic communication techniques that were appropriate when speaking to patients and families.
Working as a nurse, patient care associate, or any other health care professional is not an easy job. Nursing profession has the highest rate of back and other injuries related to lifting, moving and transporting patients. Hospitals and other nursing facilities were experiencing increased numbers of injuries, which meant many lost work days, worker’s compensation costs and patient safety at risk.
The individual I had the pleasure of interviewing was a German/Mexican 86 year old female patient who was admitted in because of a fall at home resulting in a hip fracture. She is a petite woman with a full set of thin, white hair and she does not wear make-up. She was comfortably dressed in a dark blue/gray stripped t-shirt and a pair of black pajama pants with yellow slip-resistant hospital socks. Although she had some hearing difficulties, she was fully alert and oriented. The room where she was staying was plain. Other than her hygiene products, extra clothes, and purse, she did not have many personal items that personalized the room. She is temporarily staying in the acute facility, meanwhile she receives physical therapy.
Because I find Jane to be one patient and not two separate individuals, it is my stance that she is the one that the principle of respect for autonomy applies. That is, as the fetus’s host, Jane should be the only one that is able to make choices in regard to the fetus.
Maternal-fetal issues spark complex and controversial debates in the field of biomedical ethics (Farber-Post, 1996). The conflicts arise when medical professionals try to determine to whom their ethical obligations are owed. Many ethicists argue that autonomy is precedential and, therefore, the duty of the medical staff is to the pregnant woman because it is her body, and she has a right to make decisions regarding her healthcare. Others argue that equally important ethical principles such as beneficence, nonmaleficence, and avoiding killing override the principle of autonomy, and therefore, these principles that govern actions towards the fetus, in particular the fetus’ right to life, demand that medical professionals override the mothers’ desires at times.
Kye Poronsky the is a bright and warm person. As she welcomed me into her office she greeted me with a sincere smile and offered me some chocolate macaroons. During our initial small talk she was at ease asking the basic questions while really listening to the answers I gave. She seemed unguarded speaking to me as if I was an old friend. I asked her about the mission of the organization and the major activities that it took part in. Her answers were to the point and well phrased. I got the feeling that she has answered questions along these line many times before and has memorized the answers giving them as if they were second nature. It was not until I asked her if she felt the government asked too much of her department that she took a pause before carefully formulating her answer. The
Because there are so many different places to cover, the hospital takes extra precautions to make sure everyone is protected. They installed physical protection such as time delay lock and alarm system, panic alarms, cameras, photo I.D. system, and IT security. Once you are a hospital employee, you give the security department the license plate on your car. You then make a badge that allows you to get into different doors that are locked for the protection of others. Also you set up different passwords that allow you into the computer system. Once you set up your passwords for the computer you are then allowed to get into every patient 's chart, however you shouldn’t do that unless you are assigned to that patient. There are certain rules that exclude you from going into other peoples chart, it is called HIPPA. HIPPA protects all of your medical information that only you are allowed to say who can know about your medical information. However if you are in a hospital setting there is a system that shows who is in your chart. If it is not a hospital personal that is assigned to you, they will get fined and may get prison time. Other than having an IT system the hospital security can patrol the hospital without even leaving the security
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
Coleman, S. A. (2014). Protecting yourself against surgical smoke. OR Nurse 2014, 8(2), 40-46. Retrieved April 18, 2014, from http://journals.lww.com/ornursejournal/Fulltext/2014/03000/Protecting_yourself_against_surgical_smoke.9.aspx