Seminar%20TWO

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Seminar TWO

• Careers in Health Information Management and AHIMA

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Health Information Professionals

• AHIMA American Health Information Management
  Association
• RHIT Registered Health Information Technician
• RHIA Registered Health Information
  Administrator
• CCS Certified Coding Specialist
• CCS-P Certified Coding Specialist Physician
• AAPC American Academy of Professional Coders
• CPC Certified Professional Coder
• CPC-H Certified Professional Coder Hospital
  Outpatient
• AHDI Association for Healthcare Documentation
  Integrity
• CMT Certified Medical Transcriptionist

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Health Information Professionals

• Health Services Managers
• Plan, direct, coordinate and supervise the
  delivery of health care
• Medical Assistants
• Perform routine administrative and clinical tasks
  for physician offices.
• Consultant
• Medical Office Manager
• Medical Staff Coordinator
• Requires special certification of CMSC or CPCS
• Quality/Risk or Utilization Manager
• Vendor Salespeople/Consultant

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Professional associations

• American Health Information Management
  Association (AHIMA) www.ahima.org
• Healthcare Information and Management Systems
  Society (HIMSS) www.himss.org
• American Medical Informatics Association (AMIA)
  www.amia.org

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Health Care Settings

• DRG Diagnosis Related Group
• PPS Prospective Payment System
• Great Resource http//oig.hhs.gov/oei/reports/oei
  -09-00-00200.pdf
• Why do you think this chapter is talking about
  DRGs and PPS when it is about different types of
  health care settings?

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Health care settings

• Acute Care Facilities
• Treats serious, sudden or acute illnesses or
  illnesses
• Provides full range of services including
  Ancillary Services
• Single Hospital or Multi-hospital Systems
• Critical Access Hospital
• http//www.flexmonitoring.org/cahlistRA.cgi
• General Hospital
• Specialty Hospital
• Rehabilitation Hospital
• Behavioral Health Hospital

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Health care Settings

• Ambulatory or Outpatients
• Ambulatory Surgery
• Emergency Care
• Inpatient
• Newborn
• Observation
• Subacute

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Health care Settings

• Home Care
• Skilled Care
• Hospice Care
• Long-term Care
• Assisted Living Facility
• Continuing Care Retirement Communities
• Intermediate Care Facility
• Long-term Care Hospitals
• Residential Care Facility
• Skilled Nursing Facility

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Health Care Settings

• Managed Care
• Prepaid healthcare sector
• Combines healthcare delivery and financing of
  health care services
• HMO Health Maintenance Organization
• Provides coverage to members on a prepaid basis
• Closed-panel HMO specific group of providers
• Open-panel HMO contracted providers
• Point of Service (POS) can use HMO or Non-HMO
  providers. A copayment is required.
• Preferred Provider Organization

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Health care settings

• Utilization Management
• Controls health care costs and ensures quality
• Preadmission Certification (PAC)
• Medical Necessity
• Correctional Facilities
• Primary Care
• Chronic Disease Management
• Inpatient Care

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Health Care Settings

• Military Health System
• Military treatment center
• Military Medical Support Office
• Veterans Health Administration
• Veterans Integrated Service Networks
• Public Heath Service

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Personal Health Record Activity

• Instructions, Medical Record PHR Form are in
  Doc Sharing
• Important Record is now for Edward Newman and
  updated the PHR forms

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Personal Health Record Activity

• Fill in the forms in the spaces provided from the
  information provided in the health record
• Can only fill in the form in the spaces provided
• Can use the tab key to move to each space

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Personal Health Record Activity

• Example

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Chapter 2 Review (page 51)

• True/False
• Once certified, a certified tumor registrar pays
  an annual fee to the NCRA and, therefore, does
  not have to participate in continuing education.
  FALSE
• Coding and Reimbursement Specialists can obtain
  employment in a variety of health care settings.
  TRUE
• A health information manager has a wider range of
  skills than a certified coder. TRUE
• Registered Health Information Technician job
  titles include data quality manager, information
  security officer, educator, and consultant.
  FALSE
• Medical assistants examine, diagnose, and treat
  patients under the direct supervision of a
  physician. FALSE

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Chapter 2 review

• Multiple Choice
• A health care professional who has the primary
  responsibility of ensuring the timely, accurate,
  and complete collection and maintenance of cancer
  data is known as a(n) Cancer Registrar
• Two professional associations that offer
  certification in coding are AAPC, AHIMA
• Which is a benefit of joining a professional
  association? Networking with professional
  members
• Which professional is required to pass a
  licensing examination in all states and the
  District of Columbia? Information Systems
  Manager
• Medical transcriptionists have unique skills that
  enable them to Keyboard prerecorded medical
  dictation

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Chapter 2 review

• Fill in the Blank
• The assignment of numbers to diagnoses, services,
  and procedures based on patient record
  documentation is known as CODING.
• The Bureau of Labor statistics states that
  employment for the health information management
  profession is expected to grow FASTER THAN
  AVERAGE for all occupations through 2010.
• The insurance claims organization that offers
  certification as a Certified Medical Billing
  Specialist is the MEDICAL ASSOCIATION OF BILLERS

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Chapter 2 review

1. The American Association of Medical Assistants
   credentials medical assistants as CERTIFIED
   MEDICAL ASSISTANTS, and the American Medical
   Technologists credentials medical assistants as
   REGISTERED MEDICAL ASSISTANT.
2. Each professional association has a CODE OF
   ETHICS which are judgments about what is right or
   wrong.

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Chapter 3 review (page 67)

• True/False
• Clinic outpatients receive scheduled diagnostic
  and therapeutic services. TRUE
• Diagnosis-related groups classify inpatient and
  outpatient hospital cases into groups that are
  expected to consume similar hospital resources.
  FALSE
• General hospitals admit patients for a range of
  problems from fractures to heart disease and
  provide emergency care and general surgery
  services. TRUE
• Outpatient psychotherapy is considered a
  restrictive type of behavioral health care
  service. FALSE

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CHAPTER 3 REVIEW

• Subscribers are individuals who pay premiums to
  receive health care services. TRUE
• Critical access hospitals provide emergency
  services and maintain no more than 30 inpatient
  beds. FALSE
• Swing beds allow rural hospitals to admit
  emergency patients. FALSE
• A patient who has serious, sudden, or acute
  illness or injury would be treated in an ACUTE
  CARE FACILITY.
• Hospitals that provide specialized long-term
  acute care such as chemotherapy, wound care, or
  injury rehabilitation are known as SPECIALTY
  hospitals.

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Chapter 3 review

1. The type of care the provides comprehensive
   medical and supportive social, emotional, and
   spiritual care to terminally ill patients and
   their families is known as HOSPICE care.
2. A type of HMO that includes group and staff
   models, which provide services at HMO-owned
   health centers or by physicians who belong to a
   specialty-formed medical group, is a CLOSED PANEL
   HMO.
3. A PHYSICIAN is either on-site or available for
   24-hour continuous duty to handle an inmates
   medical problems that may occur after normal
   working hours.

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1. A hospital that admits patients who are diagnosed
   with trauma or disease and need to learn how to
   function again is a REHABILITATION FACILITY.
2. Services that are ordered by a physician and are
   provided under the supervision of a registered
   nurse, or physical, occupational, or speech
   therapist are known as SKILLED CARE.
3. The goal of hospice is PALLIATIVE rather than
   CURATIVE.
4. Individuals with mental health diagnoses that
   required inpatient intervention are treated in
   BEHAVIORAL HEALTH CARE hospitals.

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Chapter 3 review

1. Internal medicine physicians specialize in the
   care of adults while PEDIATRICIANS provide
   services to infants, children, and adolescents.

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Unit TWO Reminders

• Reading Essentials of HIM Chapters 2 3
• Discussion Board Post answer to DQ by Saturday,
  two responses to others due by Tuesday
• Case Scenarios Quiz
• Unit 2 Quiz
• Personal Health Record Activity Begin working
  on this activity. The first update is due in
  Unit Four.