Outpatient Admission Sample

The client is referral to a particular medical professional depending on the clients need. Determining the most

I will do only the patient demographic part and the provider or someone for clinical has to complete the form. I still don't understand why Johana or any MA can complete the patient demographic part on vase of the list that I provide to them but anyway I will do that part so they can't said that our billing department don't want to cooperate on this process.I know we shouldn't not be responsable for this but we need to recovery that

The first area outlined in the intake form is the client’s demographic information that included the client’s date of birth, social, insurance information, etc. necessary to process claims for reimbursement and the client’s provider information, such as primary care, and case management, to ensure fluidity for establishment of coordination of care between providers. The intake form

The patient self-admits that she was not always compliant with her appointments due to changes to her work schedule since the month of December of 2016, but shared this information with her counselor. The patient is requesting to be reassigned to another counselor as she reports of not having a positive rapport with Cherron. Cherron was advised based on the patient complaint that it will be addressed with the Clinical Director based on her request to be

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

On 8/7/2015, CM met with the client and completed Bi-Weekly ILP Review. Client arrived early for the meeting; she was alert, satisfactorily groomed, and casually dressed. In the meeting she was cooperative and friendly. CM inquires how client is doing since the last Bi-Weekly ILP Review. Client reported she is exhausted from running around obtaining relevant documents to be submitted to Lemle & Wolfe, Inc. by 8/3/2015. She continues to reports she has Straight Medicaid and she is searching for a Managed Cared that cover oxygen tanks.

This section is to identify three client health problems the patient has and sort by prioritization.

The chief compliant screen will allow clinicians to enter patient’s reasons for visiting the emergency department. The chief complaint data entry screen will be to obtain information from patient such as symptoms, duration of symptoms, and what major problem they are experiencing as a result of symptoms. The chief compliant data entry screen does not deals with obtaining information about chronic illness or history of family disease. Rather, the data entry screen will enable clinicians to prioritized treatment intervention based on severity of patient’s condition. Furthermore, the data capture in the chief complaint entry screen can be

The study was a secondary data analysis of existing patient records (record-based). This study made use of the National Inpatient Sample (NIS) Database .The NIS database was developed by the Healthcare Cost and Utilization Project (HCUP). The NIS is the largest inpatient care database in the United States containing data from 1988 to 2013. It includes about 98 percent of all hospital discharges in the United States. NIS is a sample of hospitals that comprises approximately 95 percent of all hospital discharges in the United States. It consists of over hundred nonclinical and clinical data elements for each hospital stay. The four most recent available calendar years (2010 to 2013) were obtained for the analyses of cervical cancer mortality

Based on Walter’s situation, I have decided to write the referral for Walter to be listed for a placement, mainly because I think that he is incapable of living safely at home. First of all, relating to the first theme, I have determined that Walter is incompetent because based on his actions, he is unable to look after himself and maintain a safe and clean home. For instance, he does not appear well-groomed and his house is cluttered with spoiled products, multiple objects on the floor, and piles of newspapers on the stove, all of which are safety hazards. Secondly, the next theme is time-sensitive because it can advance the decision making process by taking immediate actions of placing the patient on the wait list. After defining Walter’s

Could you please review the Clinical department coding for Claim #022153 and let me know which one needs to be used?

Though the Admissions Orders forms were in standardized format and compliant with EP 9, there were several other errors noted. They lacked all necessary pre-printed prompts to be compliant with other EP and lacks sufficient evidence that the hospital’s plan for information management supports a patient’s diagnosis, condition, or justification of the patient’s care, treatment, and services as required by EP 5, 6, 7. Also there was an insufficient number of unique identifiers used to properly identify the patient on Admission Orders; compliance requires two identifiers. The collected data showed there was 42 of 50 patient’s records this year displayed an increase in non- compliance versus only 18 errors the previous year. The standardized form should be updated to include an area for positive identification of patient. In order to comply with Joint Commission, there will be training courses for nurse education quarterly and audits are to be undertaken by each unit manager. To determine whether this action has been effective and is being sustained the audit results will be discussed during monthly staff

51 PRACTICE CASE 10 (TRAVEL AGENCY) ................................................................................................................................................. 53 PRACTICE CASE 11 (HOSPITAL) ............................................................................................................................................................. 55 PRACTICE CASE 12 (E-GROCERY) ......................................................................................................................................................... 58