Double Booking: A Case Study

4) Each staff member ta performs the hourly round will document each round on the rounding log that will be located in the patient room. Rounds can be done by either the nurse or nurse’s assistant, as long as all needs for medication or other special needs will be immediately addressed by the nurse.

Activity | # of Staff | Available time | Activity time | Number of Patients | Time needed | Utilization10 |

Right time/schedule- attention must be given to the right time and schedule when administering medication because it is important to the well-being of the patient. Example of this would be, some medication can be take on a empty stomach and some cannot therefore, determining the time the patient has last eaten is important. At the time you are checking the time you can also be checking the expiration dates on the medication to be sure it is of quality strength.

Patient's name, address, telephone number, and date of birth. (In the case of a minor child, you will also need the name of the parent or guardian requesting the appointment).

As a biller or coder, if it is not documented, it didn't happen that needs to follow to be able to give an excellent service to every patients. Documentation is the key to have an appropriate health patients result including demographics, health issues, and billing. “Consistent and complete documentation in the medical record for every patient is an essential component of providing quality patient care. This documentation is required to record pertinent facts, observations and findings, and must meet certain compliance standards.” If not documented that is not necessary to give any further diagnosis

Healthcare just like any other type of service industry is reliant on possessing satisfied clientele. Scheduling practices help to manage the patient flow by establishing certain guidelines regarding how late a patient can arrive, and still be seen without disrupting the patient flow

We begin each new relationship by evaluating call volumes for our clients, and assigning billing staff based on our formula for optimum service levels. Call volume and staff allocation are re-evaluated quarterly, and updated as necessary. This has proven not only successful in DM Medical servicing our clients with consistent quality, expeditious

4.) double check you have the correct patient by having them say their name ,date of birth and possibly other basic information to prevent reveal of private health information

Hourly rounding is usually performed every hour during the hours of 6:00 a.m to 10:00 p.m. and every two hours between the hours of 10:00 p.m. to 6:00 a.m. (Hicks, 2015). When doing the hourly check on the patient, it is important for the nurse or nurse assistant to focus on pain, potty, position, and proximity of personal possessions. These four concepts are known as the four p’s of hourly rounding. Communication is a key factor not only between nurses but between nurse and patient, therefore many hospitals have what is known as a “whiteboard” in each patient’s room. This whiteboard allows the nurses and patient to communicate about rounding preferences such as positioning and comfort measures, this whiteboard allows for these preferences to be seen by the entire healthcare team (Halm, 2009). The whiteboard in the patient’s room tend to increase the patient’s and family satisfaction by allowing them to see needed information while keeping them up to date on any changes that have been made throughout the course of the hospital stay.

You will have to record the patient's medical history and examine them to help you identify their past illnesses. You will need to make sure you guide your patients and tell them the information they need to

Patient volumes vary greatly in the ED. There are, however, patterns noted in census fluctuations according to the day of the week. High census days are historically early in the week, while lower census usually occurs later in the week. On days when the census is high throughout the hospital, there will be patients holding in the ED awaiting inpatient beds.

In society today patient encounters take place in a variety of different settings. Evaluation and Management codes (E/M) describe a patient encounter with a physician and are the most frequently used codes that adhere to unique criteria. The criteria are to identify the settings, patient type and level of service. In the CPT Manual E/M codes are located in the front of the book and are broken down by divisions which are known as categories and subcategories. The categories are the first level of division because they identify the location of where the service took place such as a hospital visit, office visit and consultation. The subcategories identify the type of service rendered depending on the patient type if they are new or established, age and frequency. Also the subcategories are classified into levels of services that are identified by specific codes. It is by utilizing this classification that one is able to determine the nature of the work by the service type as well as place and patient status.

Overbooking is a highly controversial issue that has been on the agenda for many years. It is not only a business topic but also an ethical matter. Overbooking can be examined through many ethical theories.

I have just received a call from Yvonne who made a booking for Angus McIntyre (AXMVHM)

Tracking time in the work environment can prove to be decrease time wasted. With the necessary documentation needed for billing will result in simple process needed to bill efficiently. Seiso or sweep can assist with allotting the proper time necessary for every patient and the activity or therapy indicated (Mahalik, n.d.). Standardizing the form needed for billing will decrease billing errors. Sustaining