Seminar TWO

1. Seminar TWO

2. 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

3. 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

4. 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 DRG’s and PPS when it is about different types of health care settings?

5. 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

6. Health care Settings • Ambulatory or Outpatients • Ambulatory Surgery • Emergency Care • Inpatient • Newborn • Observation • Subacute

7. 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

8. 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

9. 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

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

11. 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

12. 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

13. Personal Health Record Activity • Example

14. 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.