Improving the Emergency Department's Processes of Coding and Billing at Brooke Army Medical Center PDF Download
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Author: Peter A. Lehning
Publisher:
ISBN:
Category :
Languages : en
Pages : 69
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Author: Peter A. Lehning
Publisher:
ISBN:
Category :
Languages : en
Pages : 69
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Author: John R. Fuda
Publisher:
ISBN:
Category :
Languages : en
Pages : 68
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Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 416
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Author: Lonnie S. Hosea
Publisher:
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Category :
Languages : en
Pages : 97
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Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 55
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In a major step towards meeting Health Insurance Potability and Accountability Act (HIPAA) standards, the Military Healthcare System (MHS)plans to implement an outpatient itemized billing system by October 2002. Over the last four years, there have been many different methods and systems used to collect and code outpatient encounter data. The purpose of this project is to evaluate and assess various methods of performing coding in the Walter Reed Army Medical Center (WRAMC) General Internal Medicine Clinic (GIMC)and determine whether current outpatient coding practice and data quality is sufficient for supporting itemized billing. The first part of this study involved a comparison on coding accuracy between providers in 1998 using a bubble sheet to code diagnoses and procedures (Gall, 1998), and the current study using an automated coding system. The results showed a decrease in International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis coding correctness from 66% to 51% and a decrease in the average number of diagnoses recorded per encounter from 2.24 to 1.81. Evaluation and management (E & M) complexity coding accuracy worsened, showing a higher propensity towards over coding, increasing from 37% to 83% over coded. The second part of this study evaluated coding accuracy of a clinic initiative using medical clerks to code directly from provider written documentation. Evaluating and comparing the results using these and other methods of coding is essential to developing the best practices for accurate coding in the MHS. This study provides suggested interventions and process improvements to assist the organization in improving coding accuracy and overall data quality. More importantly, these interventions will help leadership reduce billing risk and remain focused on the core mission of providing quality care to military beneficiaries.
Author:
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ISBN:
Category : Medicine
Languages : en
Pages : 1876
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Vols. for 1963- include as pt. 2 of the Jan. issue: Medical subject headings.
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Publisher:
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Category :
Languages : en
Pages : 58
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Brooke Army Medical Center (BAMC) is analyzing methods to optimize the operating room (OR). One goal of BAMC's OR is to capture supply costs associated with different procedures as well as to assign the costs to patients. Another goal is to provide real time access to supplies for patient care for a variety of elective and non-elective surgeries in a tertiary care medical center with a level I trauma mission. A cost effective analysis was conducted to compare Pyxis, a secure cabinet that uses touch-to-take technology, to bar coding technology. The study was conducted in two phases. The first phase used the Army decision making tool, DECMAT, to decide which system best accomplished the goals of the study. Pyxis with a value of 3.751 was chosen over bar coding, 1.000E9. The second phase of the study measured how accurately the selected system, Pyxis, calculated the costs of the supplies used for designated procedures versus using physician preference cards, prime vendor pricing lists, credit card purchases, and contracts to manually calculate the costs of supplies. The statistical software package, Statistical Package for Social Sciences (SPSS) 12.0.1, was utilized to determine the variance for the dependent variable, current procedural terminology codes (CPT) codes, and the two independent variables, manual and Pyxis calculation of costs. Descriptive statistics were utilized to determine the mean and standard deviation for the manual calculations as $2,726.61 and $2,573.84; and $2,799.33 and $2,646.08 for Pyxis. An Independent T-test and ANOVA table was used to determine the statistical significance of the variation. The F-test value, .015 and .003, for both tests illustrated little scientific significance between the two independent variables.
Author:
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Category : Government purchasing
Languages : en
Pages : 2086
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Author:
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Category : Law
Languages : en
Pages : 2232
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Includes history of bills and resolutions.
Author: United States. Congress
Publisher:
ISBN:
Category : Law
Languages : en
Pages : 1216
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The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
