Transitioning to Itemized Billing in the Military Healthcare System: Are We Ready? Evaluating Outpatient Coding Accuracy in the Walter Reed Army Medical Center General Internal Medicine Clinic PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Transitioning to Itemized Billing in the Military Healthcare System: Are We Ready? Evaluating Outpatient Coding Accuracy in the Walter Reed Army Medical Center General Internal Medicine Clinic PDF full book. Access full book title Transitioning to Itemized Billing in the Military Healthcare System: Are We Ready? Evaluating Outpatient Coding Accuracy in the Walter Reed Army Medical Center General Internal Medicine Clinic by . Download full books in PDF and EPUB format.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
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:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
Get Book Here
Book Description
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: Eric E. Poulsen
Publisher:
ISBN:
Category :
Languages : en
Pages : 53
Get Book Here
Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213
Get Book Here
Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 416
Get Book Here
Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309113695
Category : Medical
Languages : en
Pages : 202
Get Book Here
Book Description
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Author: Paul Starr
Publisher:
ISBN: 9780465079353
Category : History
Languages : en
Pages : 532
Get Book Here
Book Description
Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review
Author: United States. Congress. Senate. Committee on Appropriations. Subcommittee on Defense
Publisher:
ISBN:
Category : United States
Languages : en
Pages : 848
Get Book Here
Book Description
Author: Albert C. Hergenroeder
Publisher: Springer
ISBN: 3319728687
Category : Medical
Languages : en
Pages : 386
Get Book Here
Book Description
This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309489539
Category : Social Science
Languages : en
Pages : 385
Get Book Here
Book Description
The U.S. military has been continuously engaged in foreign conflicts for over two decades. The strains that these deployments, the associated increases in operational tempo, and the general challenges of military life affect not only service members but also the people who depend on them and who support them as they support the nation â€" their families. Family members provide support to service members while they serve or when they have difficulties; family problems can interfere with the ability of service members to deploy or remain in theater; and family members are central influences on whether members continue to serve. In addition, rising family diversity and complexity will likely increase the difficulty of creating military policies, programs and practices that adequately support families in the performance of military duties. Strengthening the Military Family Readiness System for a Changing American Society examines the challenges and opportunities facing military families and what is known about effective strategies for supporting and protecting military children and families, as well as lessons to be learned from these experiences. This report offers recommendations regarding what is needed to strengthen the support system for military families.
Author: Stephen J. Cozza
Publisher: American Psychiatric Pub
ISBN: 1585625310
Category : Medical
Languages : en
Pages : 344
Get Book Here
Book Description
Care of Military Service Members, Veterans, and Their Families serves a critical need, which has been highlighted by recent reported rates of combat-related stress disorders and traumatic brain injury, as well as increases in suicide rates among service members and veterans over the past decade and the distress and challenges faced by their children and families. More than 2.5 million Americans currently serve in the U.S. military on active duty, in the Reserves, or in the National Guard, and more than 20 million civilians are veterans. Although patients are viewed here in the context of military service, they seek health care in military, veteran, and civilian settings, and their mental health concerns are as diverse as those encountered in the civilian population. This book is designed for clinicians in all care settings and provides thorough coverage of U.S. military structures and cultures across the armed services, as well as detailed material on the particular mental health challenges faced by service members and their families. A full overview of the military lifestyle is provided, including the life cycle of the military (recruitment to retirement), service subcultures (Navy, Army, Marines, Air Force, and Reserve and Guard components), challenges of military life for service members and families (moves, deployments, etc.), and military mental health. Material on military culture provides insight for practitioners who may not be familiar with this population. The book focuses on collaborative care, particularly between the military health care system and the Veterans Administration, providing clinicians with strategies to mitigate stigma and other barriers to care through mental health service delivery in primary care settings. The incidence of traumatic brain injury among service members has increased because of the use of improvised explosive devices, and an entire chapter is devoted to diagnosing and treating these injuries as well as educating patients and their families on the condition. The families of service members face significant challenges, and several chapters are devoted to the needs of military children, the families of ill and injured service members and veterans, deployment-related care, and caring for the bereaved. The book's comprehensive review of resources available to military service members, veterans, and families both ensures high-quality care and reduces the workload for treating physicians. Care of Military Service Members, Veterans, and Their Families is an authoritative and much-needed addition to the mental health literature.
