Student Name: Myia Jones
Student ID: 012235717
A. Explain how different departments within a hospital could work
both independently and collaboratively to ensure all elements of the
“Record of Care, Treatment, and Services (RC)” standard from the
Joint Commission quality improvement and accreditation standards
are met.
Different departments within the hospital could work
independently to ensure elements of the RC standard from Joint
Commission quality improvement and accreditation standards are met
by having their specialized duties adhere to quality standards. The
standards will be the blueprint for their specialized department's work
function. The elements of the RC for admission for care, treatment,
and services could be outlined in their daily job task list. Their
responsibility could be to adhere to the task list and check for any
oversight.
Different departments within a hospital could work
collaboratively by ensuring that their department meets quality
standards first then coming together to foster joint ideas and
strategies. The departments can collaboratively ensure the admission
of care, treatment, and services by coming up with original ideas by
working together to create a plan to meet quality standards by
allowing collective input that suits everyone's needs.
B. Explain why a patient’s medical record is considered an integral
part of the Joint Commission’s tracer methodology for quality
improvement and accreditation standards.
A patient’s medical record is an integral part of the Joint Commission’s trace
methodology for quality improvement and accreditation standards because
when the Joint Commission does the trace methodology the medical record is
the focal point of attention. The medical record is supposed to have an
accurate and detailed account of the patient's treatment and care while at
the hospital. They are thoroughly evaluating if the hospital is compliant and
the best way to gauge this would be to look at how the patient’s care
processes were completed and compare that to the Joint Commission
compliance standards.
C. Discuss why the Centers for Medicare and Medicaid Services
(CMS) utilize the Uniform Hospital Discharge Data Set (UHDDS).
CMS utilizes UHDDS because UHHDS is seen as a standardized
discharge data system that categorizes vital patient information. The
, Student Name: Myia Jones
Student ID: 012235717
use of UHDDS helps better streamline discharge information to CMS
and other groups that are allowed to have access to that information.
D. Explain why the selection of the correct principal diagnosis is
critical, based on your knowledge of billing and reimbursement.
The selection of the correct principal diagnosis is critical because when
something is billed to the insurance it must be accurately documented
to get paid for or reimbursed. If something is inaccurately or
incorrectly billed it can slow down the process of payment or
reimbursement, potentially getting the claim denied.
E. Describe what a user would discover if searching for an ICD-10
code for “gastroesophageal” or “GERD” instead of for “gastro-
esophageal,” including what this indicates about search protocol for
ICD codes.
When you try to search for “gastroesophageal “or “GERD” instead of
gastro-esophageal it gives a “no matches found” error.
F. Discuss three strategies that could be used to maintain the
average coding productivity in a department when a new coder is
hired.
1. The first strategy to maintain the average coding productivity in
a department when a new coder is hired is to ensure the new
hire is aware of the department standards for their role. If the
new hire is given the proper information on their expected tasks
and duties it will help them be more productive and secure in
their role.
2. The second strategy to maintain the average coding productivity
in a department when a new coder is hired is to ensure that
they’re properly trained. If the new coder received adequate
coder training, they're able to come in and do their job at a
faster pace with less oversight than someone who hasn’t
received the same level of training. The person who is not
properly trained will take more time to teach, which in turn slows
down productivity.
Student ID: 012235717
A. Explain how different departments within a hospital could work
both independently and collaboratively to ensure all elements of the
“Record of Care, Treatment, and Services (RC)” standard from the
Joint Commission quality improvement and accreditation standards
are met.
Different departments within the hospital could work
independently to ensure elements of the RC standard from Joint
Commission quality improvement and accreditation standards are met
by having their specialized duties adhere to quality standards. The
standards will be the blueprint for their specialized department's work
function. The elements of the RC for admission for care, treatment,
and services could be outlined in their daily job task list. Their
responsibility could be to adhere to the task list and check for any
oversight.
Different departments within a hospital could work
collaboratively by ensuring that their department meets quality
standards first then coming together to foster joint ideas and
strategies. The departments can collaboratively ensure the admission
of care, treatment, and services by coming up with original ideas by
working together to create a plan to meet quality standards by
allowing collective input that suits everyone's needs.
B. Explain why a patient’s medical record is considered an integral
part of the Joint Commission’s tracer methodology for quality
improvement and accreditation standards.
A patient’s medical record is an integral part of the Joint Commission’s trace
methodology for quality improvement and accreditation standards because
when the Joint Commission does the trace methodology the medical record is
the focal point of attention. The medical record is supposed to have an
accurate and detailed account of the patient's treatment and care while at
the hospital. They are thoroughly evaluating if the hospital is compliant and
the best way to gauge this would be to look at how the patient’s care
processes were completed and compare that to the Joint Commission
compliance standards.
C. Discuss why the Centers for Medicare and Medicaid Services
(CMS) utilize the Uniform Hospital Discharge Data Set (UHDDS).
CMS utilizes UHDDS because UHHDS is seen as a standardized
discharge data system that categorizes vital patient information. The
, Student Name: Myia Jones
Student ID: 012235717
use of UHDDS helps better streamline discharge information to CMS
and other groups that are allowed to have access to that information.
D. Explain why the selection of the correct principal diagnosis is
critical, based on your knowledge of billing and reimbursement.
The selection of the correct principal diagnosis is critical because when
something is billed to the insurance it must be accurately documented
to get paid for or reimbursed. If something is inaccurately or
incorrectly billed it can slow down the process of payment or
reimbursement, potentially getting the claim denied.
E. Describe what a user would discover if searching for an ICD-10
code for “gastroesophageal” or “GERD” instead of for “gastro-
esophageal,” including what this indicates about search protocol for
ICD codes.
When you try to search for “gastroesophageal “or “GERD” instead of
gastro-esophageal it gives a “no matches found” error.
F. Discuss three strategies that could be used to maintain the
average coding productivity in a department when a new coder is
hired.
1. The first strategy to maintain the average coding productivity in
a department when a new coder is hired is to ensure the new
hire is aware of the department standards for their role. If the
new hire is given the proper information on their expected tasks
and duties it will help them be more productive and secure in
their role.
2. The second strategy to maintain the average coding productivity
in a department when a new coder is hired is to ensure that
they’re properly trained. If the new coder received adequate
coder training, they're able to come in and do their job at a
faster pace with less oversight than someone who hasn’t
received the same level of training. The person who is not
properly trained will take more time to teach, which in turn slows
down productivity.
