Case Studies In Health Information Management
3rd Edition
ISBN: 9781337676908
Author: SCHNERING
Publisher: Cengage
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Drag the missing term into each sentence/paragraph text related to completion of the 837 P claim.
The HIPAA 837P uses the term
for the insurance
diagnosis
account
or guarantor, meaning the same as
on the
CMS-1500 clalm.
The name and address of any
than the subscriber or patient who has
is reported if applicable.
party, the entity or person other
responsibility for the bill,
submission
line
filing indicator code is an administrative code used to identify
data
health
the type of
plan, such as a PPO.
and the subscriber are not the same person, an
code is required to specify the patient's relationship
When the
claim
attachment
individual
to the subscriber.
Although sometimes called the patient
number, the claim
number should not be the same as the practice's account
insured
electronic
number for the patient.
The claim
code, also called the claim
financial
policyholder
code, for physician practice claims indicates whether this claim is an original, a
or needs to be voided.
A total of four…
A request for a patient’s medical record is sent by fax to your office. The fax cover sheet contains the letterhead of a nearby medical facility. You do not recognize the name of the physician, fax number, or telephone number stated for the physician’s office. How do you respond to the request?
(it is a clinical case history in which you just need to fill this form. you just need to suppose a patient and accordingly you have to fill this form and answers must be in detailed)
Case History Sheet
Personal Information:
Client’s name: __ gender: ___ religion/sect: __ Date of birth: __ age: _ marital status: ___, Education: __
Family information:
Father’s name: ___ alive: ___ age: __
Mothers name: _____ alive: ____ age: _
Presenting Problems ( Nature Of Problems, Precipitating Event, Patient’s Feelings And Thoughts About Problems)
__________________________________________________________
History Of Problems (Duration Of Present Problem, Changes In Nature, And/ Or Frequency Of Problem Over Time, Prodromal Manifestations, Other Past Problems Of A Psychological Nature, No. Of Attacks)______________________________________________
Prior Treatment (Details Of Problems Sought For Presenting Problems And For Whom ; When And For What Duration Treatment Undergone; Nature Of…
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- Prescriptions, biennial inventories, invoices, and Forms 222 and 41 must be readilyretrievable (able to be produced within ____________________. hours of the request).arrow_forwardWhich billing tasks are completed before the patient visit? Insurance information is confirmed. A clean claim is submitted. Appropriate codes are assigned. Referrals are generated.arrow_forwardFor this assignment, you are the RN who has cared for Olivia Jones on the overnight shift. You will be using the SBAR format to provide shift report to the oncoming day nurse. The day nurse will be taking Ms. Jones to the OR for an emergency C-section. Use the information from the vSim and the information below to compose the SBAR report. Including “Situation-Background-Assessment – Recommendations according to the rubric. You will formulate the report using information from the vSim and you may supplement with this data: Olivia Jones is a 23-year-old, single, African-American female, G1 P0000 at 36 0/7 weeks of gestation. She has been diagnosed with severe preeclampsia and is admitted to the labor and delivery unit for assessment and surveillance. The patients blood type is O+. The patient is negative for HIV and Hepatitis B. Pregnancy has been unremarkable until routine prenatal visit at 30 weeks with elevated blood pressure at 146/92 mm Hg, proteinuria, and developing mild…arrow_forward
- A nurse is administering a pain medication to a patient. In addition to checking his identification bracelet, the nurse cor-rectly verifies his identity by: a. Asking the patient his nameb. Reading the patient’s name on the sign over the bedc. Asking the patient’s roommate to verify his named. Asking, “Are you Mr. Brown?”arrow_forward(it is a clinical case history in which you just need to fill this form. you just need to suppose a patient and accordingly you have to fill this form and must be in detailed) Case History Sheet Personal Information: Client’s name: __ gender: ___ religion/sect: __ Date of birth: __ age: _ marital status: ___, Education: __ Family information: Father’s name: ___ alive: ___ age: __ Mothers name: _____ alive: ____ age: _ Presenting Problems ( Nature Of Problems, Precipitating Event, Patient’s Feelings And Thoughts About Problems) __________________________________________________________ History Of Problems (Duration Of Present Problem, Changes In Nature, And/ Or Frequency Of Problem Over Time, Prodromal Manifestations, Other Past Problems Of A Psychological Nature, No. Of Attacks)______________________________________________ Prior Treatment (Details Of Problems Sought For Presenting Problems And For Whom ; When And For What Duration Treatment Undergone; Nature Of Treatment…arrow_forwardA PATIENT’S RECORD UNDERWENT REVIEW BECAUSE THE OUTPATIENT DIAGNOSIS ABOUT MULTIPLE INJURIES WAS UNCLEAR. WHO IS AUTHORIZED TO CLARIFY THE DIAGNOSIS? HEALTH CARE PROVIDER HIM SUPERVISOR INSURANCE COMPANY OUTPATIENT CODERarrow_forward
- The physician has a written order in the patient's chart. "Give 60 mg of Amoxicillin." The medication is available as argral suspension that contains 125 mg/5 mL. How many milliliters should the nurse administer? Record your answer using one decimal place.arrow_forwardEmma Mastrangelo had a CT scan of the brain today because of recurrent migraines. Total charges are $720.50. Her benefits pay 90 percent of this procedure. The allowed amount is $462.60. What is the patient responsibility, discount amount, and the amount the carrier pays provider?arrow_forwardThe nurse enters a clients room room and notes that the client's lawyer is present and the client is preparing a living will The living will require s that the client's signature be witnessed, and the client's asks the nurse to witness the signature. which is the appropriate nursing action.arrow_forward
- A physician requests that you change the “date of dictation” on a medical report to 3 days before the actual date of dictation so that the report will appear to have been dictated in a timely fashion. He explains that he was called out of town for a family emergency and fell behind in his dictation, and that he appreciates your cooperative and helpful attitude with small requests such as this. What do you do?arrow_forwardA nurse answers a patient’s call light and finds the patient on the floor by the bathroom door. After calling for assis-tance and examining the patient for injury, the nurse helps the patient back to bed and then fills out an incident report. Which statements accurately describe aspects of this proce-dure? Select all that apply. a. An incident report is used as disciplinary action againststaff members.b. An incident report is used as a means of identifyingrisks.c. An incident report is used for quality control.d. The facility manager completes the incident report.e. An incident report makes facts available in case litigationoccurs.f. Filing of an incident report should be documented in thepatient record.arrow_forwardWhen the patient presents with a non life threatening issue, the provider is most likely to access the full electronic health record (EHR) to assess for A Patient history and allergies B Self pay status C Social Security number D Marital statusarrow_forward
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