Why Code Is Outdated Or Outdated? Essay

Research five healthcare provider websites and see if the site mentions HIPAA, HITECH, or The Joint Commission.

Medical billing and coding specialists usually work in office settings. A computer, a telephone and appropriate documents are all used on a daily basis. Unlike other medical professions, there is little contact with patients. Medical coders work closely with healthcare providers and insurance carriers to gather and provide accurate billing information, but most communication take place in the form of phone conversations and mailings.

Under the references comes the 3M Coding Reference Plus, and it contains AHA Coding Clinic for HCPCS, Coders’ Desk Reference for Procedures by Optum, Anesthesia Crosswalk, Faye Brown’s ICD-9-CM Coding Handbook, and ICD-10-CM and ICD-10-PCS Coding Handbook. The References include introductions, changes in the ICD coding, and guidelines for coders to find and better understand the coding process. For example, the Anesthesia section provides the section of the surgery and next to it the section where the right code can be assigned. Then, the Coding Clinic for HCPCS provide some articles and questions with their answers related to coding and the changes to some codes. These references are crucial in the coding sector, especially with the changes that occur on some codes and modifiers. Coders should be aware of the references and use them to avoid intention and non-intention mistakes, frauds or abuse.

However, whilst optometrists could manage these conditions, they had to always record the clinical situation and the advice that was given to the patient within the patient’s record, as well as making the patient’s medical practitioner aware of what action was taken. This is to ensure good practice and to legally protect ourselves, as well as being a GOC requirement. “The decision whether to manage or refer is currently based on the judgement of the optometrist, taking into account the patient’s personal circumstances and clinical needs”. (Needle, J.

For my research paper, I went through 10 different resources such as websites, journals and etc. I found useful resources which helped me to zero in to source of errors and how can be prevented.

The American Health Information Management Association (AHIMA) is a recognized, respected association of health information management (HIM) professionals worldwide. Founded in 1928, AHIMA has become a respected authority for professional education and training in the effective management of health data and medical records needed to deliver quality healthcare to the public. Throughout AHIMA’s history back to 1928, the American College of Surgeons established the Association of Record Librarians of North America (ARNLA) to “elevate the standards of clinical records in hospitals and other medical institutions” (www.ahima.org, 2015). Since its formation, the Association has undergone several name changes in its evolution of the profession. In 1938 the Association changed its name to the American Association of Medical Record Librarians (AAMRL) for a more concise representation. When the Association became the American Medical Record Association in 1970, health information professionals had increased their involvement in hospitals, community health centers, and other health service facilities. As the health industry continues to evolve, the Association changed its name in 1991 to American Health Information Management Association to capture the expanded scope of clinical data beyond medical records to health information comprising the entire continuum of care.

“Individuals who would like to become a certified medical coder must pass examinations offered by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC) (Medical Coding Specialist, 2002-2004).”

The only projects that the organization is currently undergoing is the preparation for the implementation of the new ICD-10 coding. We are hoping that with the new computer coding assistant that it will help the HIM staff transition better and be able to look up the new codes for all the diagnosis and procedures more easily and quickly.

Identify OPPS, CPT or HCPCS Level II code descriptions for the associated codes from (Charge Master Medicare Regulatory Updates):

The mission statement or purpose of the American Health Information Management Association, (AHIMA) pertains to “leading the advancement and ethical use of quality health information to promote health and wellness worldwide; and leads the health informatics and information management community to advance professional practice and standards” (the

Are any healthcare organization that transmits health data in electronic form, in connection with a transaction for which HHS has adopted a standard.

What is Medical coding? (Herzing University, 2009) says, “Medical Coding is the act of billing patients and health insurances for the medical check up they received”. In other words, medical coding is the process of a medical coder recording a patient’s diagnosis. The medical coder has certain responsibilities when it comes to managing codes. Those responsibilities include: attaching health care codes, comprehending the codes, and meeting the guideline of the codes.

In 2003, the agency implemented the Morbidity & Mortality Rounds on the Web (WebM&M), which takes advantage of the lessons that have been available from hospital-based morbidity and mortality conferences and making them more widely available and accessible. It functions as a free, online journal and forum for the evaluation and discussion of a variation of patient safety and quality issues. The AHRQ also developed a monitoring tool called the Patient Safety Indicators (PSIs) which includes 20 hospital-level and 7 regional measures (AHRQ, 2012, pp. 3 –

Research five healthcare provider websites and see if the site mentions HIPAA, HITECH or the Joint Commission.

Health Information Exchange is the electronic movement of healthcare information amongst organizations according to the national standards. HIE as it is widely known, serves the purpose of providing a safe, timely, and efficient way of accessing or retrieving patient clinical data. Health Information Exchange allows for doctors, nurses, pharmacists, and other vital healthcare professionals to have appropriate access and securely share vital medical information regarding patient care. Health Information Exchange has been in efforts of developing for over 20 years in the United States. In 1990 the Community Health Management Information Systems (CHMIS) program was formed by the Hartford Foundation to foster a development of a centralized data repository in seven different geographically defined communities. Many of the communities struggled in securing a cost-effective technology with interoperable data sources and gaining political support. In the mid-1990s a similar initiative began known as the Community Health Information Networks (CHINs) with the intention of sharing data between providers in a more cost-effective manner. In 2004, the Agency for Healthcare Quality and Research Health Information Technology Portfolio was funded $166 million in grants and contracts to improve the quality and safety to support more patient-centered care. This was the beginning of the progress we have seen in HIE today. Health Information Exchange devolvement serves the purpose of improving