EBK CASE STUDIES IN HEALTH INFORMATION
3rd Edition
ISBN: 9781337514538
Author: Mccuen
Publisher: VST
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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.
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Do 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?
After revewing the scenario below, andser the following:
1. What types of information/evidence should be collected to build the case for an EMR system implementation?
2. What would you suggest that Dr. Johnson say to physicians who are concerned that an EMR will limit their ability to practice patient-centered medicine?
3. How you would engage Ms. Chapman, the manager of medical records, to encourage her to embrace a new EMR system?
4. How would adoption of an EMR affect organizational control systems at Geneva? How would it affect individuals? How would you communicate critical factors/steps needed for successful implementation?
SCENARIO: At Geneva Health System, the new CEO, Dr. Dan Johnson, is faced with the challenging task of introducing electronic health records to an organization whose system is antiquated. Below are the steps on how Dr. Johnson will complete this task.
Filing Cabinet:
Geneva Health System's current record system is antiquated and currently overseen by Amy…
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