Rutgers Dynamics of Health Care Exam With Complete Solutions

Rutgers Dynamics of Health Care Exam With Complete Solutions Health information technician - answerGather patient's health paperwork (ex. history, summary of visits, lab test results) to ensure they are complete and assemble them into a well- organized medical record that can be located and read easily. Health information technician: Work Responsibilities - answer-Ensure medical charts are complete, well-organized, easily located -Gather patient notes, test results, consultation reports, diagnoses, treatment plans, other documents related to patient care -Contacts appropriate health care providers for missing information -Sets up charts for new patients -Maintains confidentiality of patient records -Process business and government forms -Prepare admission and discharge documents -Can specialize in two areas -Coding -Cancer registry Health Information Coders - answer-Assign numerical codes to identify patients' diseases, injuries, and conditions and the services they receive -Codes are used by insurance companies to determine whether, and how much, to pay for services -Codes used by government agencies and the WHO to gather data about common diseases, causes of death, and epidemic diseases Health Information Coders: Education, training, and legal requirements - answer-On the job training -Associate's degree programs (not accredited) -Coding is included in an accredited health information technician associate's degree program -Certificate programs are also available -Includes coursework in biomedical sciences, information technology, health information management, and clinical classification systems Health Information Coders: Work Responsibilities - answer-Assign number to patient's medical problem or treatment -Requires accuracy, medical knowledge, and careful attention to detail -There are more than 10,000 codes and they are added to, deleted, and revised yearly -Work with 2 types of codes -Diagnostic codes - a different code for every illness, injury, or condition -Procedure codes - Source of codes is the Current Procedural Terminology (CPT-4) produced by the AMA. Provides codes for nearly every treatment, test, and service a patient may receive -Combination of diagnostic and procedure codes tells the insurance company what the patient's medical problem way and what type of care was received -Coders comb through medical records to determine diagnoses and treatments then use coding books to select the appropriate codes -Computer assisted coding (CAC) uses software to find key words and phrases and their locations to predict codes Healthcare Common Procedure Coding System (HCPCS) - answerpatients on Medicare there are a set of codes Medical Transcriptionists - answerTranscribe recordings dictated by physicians and other health care professionals into medical reports and other documents Medical Transcriptionists: Education, training, and legal requirements - answer-Employer prefer transcriptionist with post secondary training in medical transcription -2 year associates degree -1 year certificate programs Medical Transcriptionists: Work Responsibilities - answer-Listen to dictated recordings and interpret and transcribe them into medical reports and other documents -Typically use special transcribing equipment and word processing software -Must be fast and accurate typist, as well as knowledgeable about A&P, med terminology, etc. -Check spelling and meaning of medical terms -Edit the text to complete sentences and replace abbreviations with full words -Proofread, edit, and format What happens to the medical transcriptionists' finished documents? - answerbecome part of a patient's permanent medical file acute care facility - answerHealth care facility that provides care for patients who have extremely serious, severe, or painful conditions that require immediate medical attention assisted living facility - answera facility that generally provides housing, group meals, personal care, support services, and social activities in a community setting Complementary Therapies - answertreatment methods that typically promote healing through nutrition, exercise, or relaxation; sometimes referred to as alternative medicine Extended Care Facility - answerhealth care facility that provides health care and helps with the activities of daily living to people who may be physically or mentally unable to care for themselves; this type of care may last from days to years General Practitioner - answerphysician who diagnoses and treats a variety of common health problems Hippocratic Oath - answeran oath written by Hippocrates of Cos that serves as the moral basis for many medical regulations and guidelines still in use today Home Health Care - answercare provided in a patient's home through community health departments, visiting nurses' associations, hospital-based case managers, and home health agencies Homeopathy - answerholistic system of healing that focuses on stimulating the body's ability to heal itself by giving very small doses of highly diluted substance Hospice - answercare program focused on reducing pain, symptoms, and stress during the last stage of terminal illness