Exam. Jen Godreau, BA, CPC, CPEDC. Director of Development & Operations Supercoder.com January 2012
|
|
|
- Logan Riley
- 5 years ago
- Views:
Transcription
1 Exam Jen Godreau, BA, CPC, CPEDC Director of Development & Operations Supercoder.com January 2012
2
3 Agenda 1. Embrace the GRAY! 2. Put your clinical savvy to the TEST 3. Make your doctor s documentation work for them 4. Increase your vocabulary savvy
4 4 Types of Examination Problem focused Expanded problem focused Detailed Comprehensive
5
6
7 Terms and Their Systems
8 Problem Focused Exam Require: 1 body area or 1-5 bulleted elements New patient visits, consults, ED services, and longterm care requires that you meet the criteria of all 3 key components: 99201, 99241,
9 Problem Focused Exam Services that require performing and documenting 2 of the 3 medically necessary key components listed with the first levels of an established patient office visit are: a PF exam (99212) subsequent hospital care (99231) subsequent nursing facility ( 99307) long-term care (99334).
10 Problem Focused Exam In a 99212, the physician is examining that body area/system only. Example: a follow-up ear exam in which the OM is resolved involves the physician examining the ear only.
11 Expanded Problem Focused An expanded problem focused incorporates many body areas or systems a limited examination of the affected body area or system plus 1-6 systematic or related systems Only give credit for performed and documented medical physician examination findings that were done based on the encounter s medical necessity
12 Example: Our patient with OM on initial presentation has a fever, runny nose, and stomach ache. The physician examines those systems and documents his findings. In addition to examining the ear (1 body system), you have stomach under body system GI. Although the physician also examined the patient s nose, you still have 2 systems. Ear, nose, mouth, and throat all qualify as 1 system. If the patient also had goop coming out of R eye, the eye exam counts as an additional system.
13 The 1 Count Rule ENMT: 1 system credit no matter the structures involved.
14 Test it Wt 186 lbs Ht 66 in BP: 120/80 PR: unfound Temp: 99.0 POx: 99% Dress in disarray. How many systems? The answer is 1! Even though you have 7 pieces of constitutional information you get credit for a system once only.
15 Test It You have murmur documentation that indicates a cardiovascular (CV) exam and the abbreviation c/c/e. Is this notation, plus CV, enough body areas/systems for an expanded problem-focused exam? Yes, c/c/e stands for cyanosis, clubbing, edema
16 Expanded Problem Focused Physical Exam On 3/3 services, expanded PF is required for both new patient office visit code 99202, consult codes and 99252, ED codes and 99283, and on longterm care code On 2/3 services, EPF is listed as a component of 99213, 99232, for NF, and for LTC.
17 Detailed exam The 1995 E/M Documentation Guidelines distinguish between an expanded problem focused examination and a detailed exam as both requiring at least two body areas and/or systems and that one is a limited exam and the other is extended. Tip: For areas that your physician regularly examines, be familiar with his usual detail. That way, when you see more detail, you can distinguish an expanded problem focused exam from a detailed one.
18 Keywords For respiration: Documentation will have the respiratory rate, assessment of respiratory effort, auscultation findings and usually a re-evaluation of the respiratory system and usually a reevaluation of the respiratory system. For abdomen examination: Documentation would have how the abdomen looks in general, palpation of liver, spleen, masses, area of pain, degree of pain, bowel sounds, etc. Hint: If you re taking the E/M or AAPC s primary care specialty exams, know the difference between limited and detailed documentation.
19 Detailed exam A detailed exam goes to 3/3 key components for a 99203, 99243, 99253, 99284, the lowest level of observation care (99218 and 99234) and NF care (99304), as well as midlevel long-term care In the 2/3 category, detailed exam is listed in 99214, 99233, 99309, guidelines require: bulleted elements from 2 or more systems for a detailed exam.
20 guidelines: is an expanded problem focused exam of 2-6 brief systems. Example: Documentation includes: General: alert and responsive Ears: left clear, right fluid Nose: clear drainage Chest: clear CV: No murmur This counts as 4 systems examined for 99213
21 99214 Example General: Crying on Mom s lap with flaring nostrils ENT: clear runny nose, ears clear Resp: Resp. rate 30, substernal retractions, in obvious distress. Rales and rhonchi bilaterally. Will do neb and reevaluate. Heart: Heart Rate rapid but normal Re-eval: Improved but still having wheezing. Resp rate 20 will repeat neb Re-eval: Much improved, no further wheezing. Resp rate normal. 1 system in detail respiration, plus 3 systems that are brief: Constitutional, ENT, and Cardiovascular.
22 Comprehensive Physical Exam Requires a general multi-system exam of 8 or more systems or complete exam of a single organ system. For the complete exam requirements, see the 1997 EM guidelines individual single system exam requirements at: -management/
23
24
25 Exam Requirements Type of Physical Examination Problem focused Expanded problem focused Detailed Body System/Area(s) required 1 system or area (1-5 bulleted elements) 2-7 brief systems or areas (6-11 bulleted elements) 1 system or area in greater detail and 1-6 additional BRIEF system(s) (12-17 bulleted elements in 2 organ systems) Comprehensive 8+ systems OR complete single system exam (18 or more bulleted elements from 9 or more systems Complete single system, see individual single system exam requirements.)
26 1995 or 1997? Tip: If your practice or group uses the `95 guidelines, keep a copy of the `97 ones. Example: doctor documents edema and c/c/e, but not murmur. You could count edema for the CV, and clubbing and cyanosis could go to musculoskeletal. The 1997 guidelines show: Musculoskeletal: Inspection and/or palpation of digits and nails (e.g.,clubbing, cyanosis, inflammatory conditions, petechiae,ischemia, infection, nodes) Cardiovascular: Examination of extremities of edema and/or varicosities
27 Improve Your Vocab AAO: Awake, Alert and Oriented AAPC: EM certification audit sheet from Stephanie Jones's E-M for Coding Class Part (Stephanie Jones, CPC, CEMC) c/c/e: Cyanosis, Clubbing, Edema CTA: Clear To Auscultation DTR: Deep tendon reflex Edema: Edema is swelling caused by excess fluid trapped in your body's tissues. Although edema can affect any part of your body, it's most commonly noticed in your hands, arms, feet, ankles and legs. EOMI: Extraocular Movements Intact NAD: no abnormalities detected PERRL: Pupils equal, round & reactive to light & accommodation ROM: Range of Motion RRR: Regular Rate and Rhythm/ Respiration, Rate, and Rhythm WDWN: Well Developed Well Nourished WNL: Within Normal Limits
28 Thank YOU! Helping coders, help physicians!
29 The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC Phone: (866)
Office of Compliance. Complete & Accurate Documentation Core Curriculum for GWU Residents
Office of Compliance Complete & Accurate Documentation Core Curriculum for GWU Residents December 3, 2014 Medical Record The medical record tells the story of the patient from start to finish. If the story
Medical Decision Making
Medical Decision Making Jen Godreau, BA, CPC, CPMA, CPEDC Director of Development & Operations Supercoder.com jenniferg@supercoder.com February 2012 What s he thinking? What Is the Table of Risk? 1 of
Start with the Problem
Start with the Problem Jen Godreau, BA, CPC, CPEDC Director of Development & Operations Supercoder.com jenniferg@supercoder.com December 2011 Phone: (866)-228-9252 E-Mail: customerservice@supercoder.com
Neighborhood Hospital
Physician Progress Notes Time Mon S/P HoLEP Procedure without complications; estimated blood loss < 100 ml; stable condition to recovery room. 1530 To be admitted to Urology following PACU. Dan Stein,
Evaluation and Management
Evaluation and Management CPT CPT copyright 2011 American Medical Association. All rights reserved. Fee schedules, relative value units, conversion factors and/or related components are not assigned by
Clinical Documentation Requirements
Clinical Documentation Requirements Foundational Curriculum: Cluster 2: Clinical Process Module 2: Clinical Practice and Documentation Unit 4: Clinical Documentation Requirements Curriculum Developers:
Course Outline and Assignments
Course Outline and Assignments WEEK ONE 10-16-12 Instructional In Class-Learning to be completed prior to class 10-17-12 Total Hours Assessment 1. proper hand washing techniques 2. donning and removing
Compliant RA Coding and the EHR
Compliant RA Coding and the EHR Sheri Poe Bernard, CCS-P, CPC, COC, CPC-I Today s goals Consider factors that brought us to the EHRs we are coding from today, and what a compliant EHR is Explore benefits
Medical Necessity: Not just LCD. Debra L. Patterson, M.D. Medicare Medical Director TrailBlazer Health Enterprises, LLC
Medical Necessity: Not just LCD Debra L. Patterson, M.D. Medicare Medical Director TrailBlazer Health Enterprises, LLC Medical Necessity In The Law Social Security Act, Title XVIII Section 1862 (a) (1)
Calculating E&M codes & 2018 Medicare Physician Fee Schedule Proposed Rule. Grace Wilson, RHIA
Calculating E&M codes & 2018 Medicare Physician Fee Schedule Proposed Rule Grace Wilson, RHIA Objectives 2018 Medicare Physician Fee Schedule E/M Coding Overview Documentation Examples Proposed Documentation
E/M: Coding Opportunities- Documentation is key
E/M: Coding Opportunities- Documentation is key Compiled and Presented by: Suzan Berman CPC, CEMC, CEDC The duplication of this presentation, all or in part, without the expression permission of the presenter,
History of CPT. History of CPT. History of CPT. History of CPT. History of E&M. Workshop Evaluation and Management Coding on the River 2010
Workshop Evaluation and Management Coding on the River 2010 Presented By: Freda Brinson, CPC, CPC-H, CEMC Freda.brinson@aapcca.org or brinsonfr@sjchs.org Faye Grile, CPC, CPMA, CEMC grilefa1@memorialhealth.com
Evaluation & Management
Evaluation & Management Shannon O. DeConda CPC, CPC-I, CPMA, CEMC, CEMA, CRTT President, NAMAS Partner, DoctorsManagement Evaluation and Management Components We will now look at the each of the components
Basics of Coding for Compliance. Health Systems Compliance Presented by JoAnn Martinez, CPC Compliance Educator
Basics of Coding for Compliance Health Systems Compliance Presented by JoAnn Martinez, CPC Compliance Educator Documentation Best Practice Common Themes ICD-10 that support E/M & Procedure Coding Type
Subacute Care. 1. Define important words in the chapter. 2. Discuss the types of residents who are in a subacute setting
175 26 Subacute Care 1. Define important words in this chapter 2. Discuss the types of residents who are in a subacute setting 3. List care guidelines for pulse oximetry 4. Describe telemetry and list
A Guide to Compliance at New York City s Health and Hospitals Corporation Resident Orientation
A Guide to Compliance at New York City s Health and Hospitals Corporation Resident Orientation 1 General Principles of Documentation 2 7 General Principles of Documentation 1. Medical record should be
COLORADO COLLEGE HEALTH HISTORY & PHYSICAL EXAM FOR OFF CAMPUS PROGRAMS
COLORADO COLLEGE HEALTH HISTORY & PHYSICAL EXAM FOR OFF CAMPUS PROGRAMS PARTICIPANT INSTRUCTIONS: Step 1: Complete Parts I & II of this form. Part III must be completed by a Physician, Nurse Practitioner,
Webinar 2: CPT Coding and Compliance. July 20, 2015
Webinar 2: CPT Coding and Compliance July 20, 2015 Toni Woods, CCS, CPC AHIMA Approved ICD 10 CM/PCS Trainer R.T. Welter & Associates, Inc. www.rtwelter.com 303.534.0388 tmw@rtwelter.com Meet Your Presenter
Welcome To The Digital Learning Center. Billing Compliance: Today s Presentation. Course Faculty. Presented by
Welcome To The Digital Learning Center Presented by Your Partner In Building High Performance Practices Today s Presentation Billing liance: Avoiding Fraud & Abuse in Your Medical/Surgical Practice Course
CODING vs AUDITING Does it all boil down to Medical Necessity?
PERFORM REGULAR AUDITS You provide routine maintenance for your car- but what about your documentation? CODING vs AUDITING Does it all boil down to Medical Necessity? EDUCATE WISELY Be sure and discern
Introduction to physical examination & general survey.
In The Name of God (A PROJECT OF NEW LIFE COLLEGE OF NURSING KARACHI) Introduction to physical examination & general survey. Shahzad Bashir RN, BScN, DCHN, MScN (Std. DUHS) Instructor New Life College
RN - Skilled Nursing Visit
Clinician: Mileage: Gender: Agency Name/Branch: M F Time In: Time Out: DOB: HCPCS Select the home health service type that reflects the primary reason for this visit: (G0154) Direct skilled services of
Evaluation and Management Auditing Back to the Basics. Objectives. Audit Start with the benchmarks CMS MEDPAR by specialty 4/22/2013
Evaluation and Management Auditing Back to the Basics E&M Audit Sonda Kunzi, CPC, CPMA, CPPM, CPC-I Associate Director, Cohen Healthcare Consulting Ltd. Objectives Discuss good basic audit techniques Review
HISTORY AND PHYSICAL EXAM
TO: PHYSICIAN COMPLETING THIS MEDICAL INFORMATION You are being presented papers for completion in reference to application for admission to The Virginia Home by a patient of yours. As you probably know,
How To Document and Select Outpatient Levels of Evaluation and Management (E&M) Service in RHC
How To Document and Select Outpatient Levels of Evaluation and Management (E&M) Service in RHC John F. Burns, CPC, CPC-I, CPMA, CEMC Vice President, Audit and Compliance Services jburns@ruralhealthcoding.com
Returned Missionary Study Guide
Returned Missionary Study Guide Skills to Refresh if Returning to Capstone: 1st Semester skills Head to Toe Assessment (Need to be able to document each of these.) o Vital Signs BP Pulse Respirations Temperature
Health & Safety Packet for Incoming Students
Health Occupations Division 707-256-7600 Health & Safety Packet for Incoming Students This packet has been designed to help Health Occupations students comply with CPR and health/physical documentation
NUR 181 PHYSICAL ASSESSMENT PREPARATION FOR UNIT 1 MODULE
NUR 181 PHYSICAL ASSESSMENT PREPARATION FOR UNIT 1 MODULE This Module is intended to give you a head start as you begin the Physical Assessment course in the Bergen Community College Nursing Program. The
E/M Auditing: History is the Key
E/M Auditing: History is the Key By Brandi Tadlock CPC, CPC-P, CPMA, CPCO CPC, CPMA, CEMC, CPC-H, CPC-I SUMMARY Review the history component in your E/M documentation to make sure it tells the patient
Documenting & Coding for Compliance
Documenting & Coding for Compliance Department of Family and Community Medicine October 17, 2012 UNMMG Compliance Documentation Documentation Why is it important? Enables the physician and other health
Presented for the AAPC National Conference April 4, 2011
Presented for the AAPC National Conference April 4, 2011 Penny Osmon, BA, CPC, CPC-I, CHC, PCS Director of Educational Strategies - Wisconsin Medical Society penny.osmon@wismed.org CPT codes, descriptions
New Patient Registration Form NJR_NP_F100
New Patient Registration Form NJR_NP_F100 Patient Last Name First Name Middle Name Maiden Name Address (Street or Box) City State Zip Code Home Phone Number Cell Phone Number Work Phone Number E-Mail Patient
Disclosure and Release of Health History and Immunization Requirements
TO BE COMPLETED BY THE STUDENT: NURSING AND HEALTH OCCUPATIONAL PROGRAMS Disclosure and Release of Health History and Immunization Requirements Student s Name: Birth date: Last First Middle Month/Day/Year
E & M Coding. Welcome To The Digital Learning Center. Today s Presentation. Course Faculty. Beyond the Basics. Presented by
Welcome To The Digital Learning Center Presented by Your Partner In Building High Performance Practices Today s Presentation E & M Coding Beyond the Basics Course Faculty R. Thomas (Tom) Loughrey, MBA,
One-Size Curricula Does Not Fit All:
One-Size Curricula Does Not Fit All: Using an EHR Clinical Learning Platform in Medical and Allied Health Professions Education Getting Started Every school s curricula are unique in our experience from
Southwestern College Nursing & Health Occupations Programs MEDICAL EXAMINATION FORM
Southwestern College Nursing & Health Occupations Programs MEDICAL EXAMINATION FORM TO THE PHYSICIAN: Southwestern College requires a physical examination for students enrolling in the Nursing and Health
E-Learning Module M: Assessment Review
E-Learning Module M: Assessment Review This Module requires the learner to have read Chapter 12 of the Fundamentals Program Guide and the other required readings associated with the topic. Revised: August
The World of Evaluation and Management Services and Supporting Documentation
The World of Evaluation and Management Services and Supporting Documentation Presented by Cahaba Government Benefit Administrators, LLC Provider Outreach and Education May 14, 2009 Disclaimers Disclaimer
PREOPERATIVE CHECKLIST
PREOPERATIVE CHECKLIST 1. Stop giving your child aspirin or ibuprofen (Advil, Motrin and Aleve) two weeks before surgery. Tylenol is OK. Continue all other medications as prescribed. 2. Please contact
TABLE OF CONTENTS. Medicare Charting Guidelines... Section 3 Documentation Guideline Procedures...1 Medicare Documentation Guidelines...
TABLE OF CONTENTS Medicare Skilled Nursing Training Handout...Section 1 Post Test...1 Training Content...3 Nursing Documentation Subjective/Objective Statements...22 Supportive Nursing Documentation...23
Congestive Heart Failure
TM Nightingale Congestive Heart Failure Do you or someone you know have any of the following symptoms? 1. Shortness of breath (dyspnea) when you exert yourself or when you lie down 2. Swelling in your
Pediatric In Training History And Physical Examination Assessment
Pediatric In Training History And Physical Examination Assessment PREAMBLE The requirement for Pediatric residency training programs to perform and document by observation an assessment of each resident's
Score Sheet for Patient #1 - "Crushed Arm"
CYCLE # TEAM # 5001 5002 5003 5004 5005 5006 5007 Did the team ASK for SITUATION HISTORY? 5008 Did the team DETERMINE the NUMBER OF CASUALTIES? 2 5009 Did the team ID SELF and OBTAIN CONSENT? 5010 5011
B: Nursing Process. Alberta Licensed Practical Nurses Competency Profile 15
B: Nursing Process Alberta Licensed Practical Nurses Competency Profile 15 Competency: B-1 Assessment B-1-1 B-1-2 B-1-3 B-1-4 Demonstrate ability to apply critical thinking and clinical judgment in the
Charting for Midwives. Getting Credit For the Work You Do
Charting for Midwives Getting Credit For the Work You Do Moving Beyond S.O.A.P. The U.S. health care system is moving past fee-for-service billing. In the future, the providers will be reimbursed based
N: Emergency Nursing. Alberta Licensed Practical Nurses Competency Profile 135
N: Emergency Nursing Alberta Licensed Practical Nurses Competency Profile 135 Competency: N-1 Multi-Systems Assessment N-1-1 N-1-2 N-1-3 N-1-4 Demonstrate knowledge and ability to apply critical thinking
DOUGLAS JAY SPRUNG MD, FACG, FACP The Gastroenterology Group
DOUGLAS JAY SPRUNG MD, FACG, FACP The Gastroenterology Group Date: NAME: AGE: DOB: Why are you here to see the doctor today? REFERRED BY: INSURANCE HEALTH GRADES INTERNET FRIENDS/RELATIVES PCP OTHER: Medications
Patient Assessment. Copyright 2011, 2007, 2003, 1999 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Patient Assessment Holistic Care Holistic care includes assessing the patient s health status with physical, cognitive, psychosocial, and behavioral data. A comprehensive patient care that considers the
Evaluation & Management 101 for Clinicians
Evaluation & Management 101 for Clinicians Kerin Draak, MSN, WHNP BC, CPC, CEMC, COBGC, CPC I System Director of Clinical & Financial Integration Hospital Sisters Health System This is the Full Title of
S T A N D A R D O P E R A T I N G G U I D E L I N E
S T A N D A R D O P E R A T I N G G U I D E L I N E Subject: Line of Duty Benefits Reference Number: SAP-DEP-048 Effective Date: July 1, 2013 Last Revision Date: N/A Signature of Approval: J. Dan Eggleston,
Rational Physician Coding for E/M Consult Services. Redacted Version. Peter R. Jensen, MD, CPC
Rational Physician Coding for E/M Consult Services Peter R. Jensen, MD, CPC www.emuniversity.com Rational Physician Coding for E/M Consult Services Peter R. Jensen, MD, CPC For clinically driven E/M coding
E/M Fast Finder. CPT only 2012 American Medical Association. 1 All Rights Reserved.
E/M Fast Finder The E/M Fast Finder is a carry-along reference to assist in assigning the Evaluation and Management (E/M) codes that are part of the 99000 series of Current Procedural Terminology (CPT
International School Bangkok Instructions for Completion of Returning Students Medical Package
Instructions for Completion of Returning Students Medical Package All returning students must complete the returning students medical package unless a New Student Medical Package has been done in the preceeding
Health Assessment Student Handbook
Health Assessment Student Handbook Fall 2017 Your guide to the Shadow Health Digital Clinical Experience UGV.1 Table of Contents WELCOME!... 3 HEALTH HISTORY Instructions... 4 HEENT Instructions... 5 RESPIRATORY
SAMPLE HLTEN609A. Practise in the respiratory nursing environment. TAFE NSW Training and Education Support Industry Skills Unit, Meadowbank
TAFE NSW Training and Education Support Industry Skills Unit, Meadowbank HLTEN609A Practise in the respiratory nursing environment Version 1.0 Flexible Learning Resource Product Code: 2639 ISO 9001 HLTEN609A
Introduction to Respiratory Care (RSPT 1201) Credit: 2 semester credit hours (2 hours lecture,1 hour lab)
Introduction to Respiratory Care (RSPT 1201) Credit: 2 semester credit hours (2 hours lecture,1 hour lab) Prerequisite: Acceptance into the Respiratory Care Program Course Description: An introduction
As you write your progress notes,
Brenda Edwards, CPC, CPC-I, CPMA, CEMC, CPB Do You Know What Is (or Isn t) in Your Documentation? Leaving out key information in patient documentation can compromise quality and cost you money. As you
County of Santa Clara Emergency Medical Services System
County of Santa Clara Emergency Medical Services System Policy #501: Hospital Radio Reports HOSPITAL RADIO REPORTS Effective: February 12, 2015 Replaces: January 22, 2008 Review: November 12, 2018 Resources:
The Slippery Slope of Electronic Health Record Systems. Presented by: Maryann C. Palmeter, CPC, CENTC. Learning Objectives
The Slippery Slope of Electronic Health Record Systems Presented by: Maryann C. Palmeter, CPC, CENTC Learning Objectives Identify key benefits of an electronic health record system (EHR) Define note cloning,
CMC Weekend Program PO Box 816 Wilder, VT 05088
CMC Weekend Program PO Box 816 Wilder, VT 05088 Enclosed is the registration paperwork required for registration (State of Vermont Registration form, State of Vermont Release of Information form, CMC Intake
Simulation Implementation 2017
Simulation Implementation Objectives Examine current malpractice claims data Discuss the benefits and objectives of simulation training Review key considerations for planning a simulation training, including
THE UNIVERSITY OF TEXAS AT TYLER SCHOOL OF NURSING. RNBS WEB COURSE Health Assessment for Registered Nurses. Faculty:
RNBS 3312: Fall 2017 1 THE UNIVERSITY OF TEXAS AT TYLER SCHOOL OF NURSING RNBS 3312.060 WEB COURSE Health Assessment for Registered Nurses Faculty: Belinda Deal, RN, PhD, CNE Office: BRB 2210 (903) 566-7120
Michelle Pearson-Smith. NURS 6639 Fundamentals of Nursing: Documentation and the Role of the RN
Fundamentals of Nursing: Documentation and the Role of the RN Class Location: Lewis Clark State College (500 8 th Ave.) Sacajawea Hall: Conference Room A Class Date/Time: Wednesday December 7 th, 2011/1500-1600
CPNE. Clinical Performance in Nursing Examination Study Guide 21 st Edition SUMMARY
CPNE Clinical Performance in Nursing Examination Study Guide 21 st Edition SUMMARY Effective NOVEMBER 2014 2 CONTENTS Clinical Performance in Nursing Examination 3 Summary Description 3 Peripheral Neurovascular
WITHOUT YOUR WRITTEN CONSENT, WE CAN NOT SPEAK TO ANYONE REGARDING YOUR MEDICAL CARE due to privacy laws. You have the right to list anyone you
PATIENT REGISTRATION FORM PLEASE PRINT : Referring Physician: Primary Care: Patient s Name: Last First: M.I. Address: City: State: Zip: Home Phone: Cell: Work: Email: Preferred Contact Method Race: Ethnicity:
Laparoscopic Radical Nephrectomy
Urology Department Laparoscopic Radical Nephrectomy Information Aims of this leaflet To give information on the intended benefits and potential risks of kidney surgery To guide you in the decisions you
D x R. nursing INSTRUCTOR MANUAL STUDENT MANUAL TECHNICAL APPENDIX
D x R nursing INSTRUCTOR MANUAL STUDENT MANUAL TECHNICAL APPENDIX Contents Program Requirements...3 Browser Compatibility Requirements...4 Entering the Program...5 Step-by-Step Instructions...6-12 Performing
UWSMPH Clerkship Experience Requirements
2016-2017 UWSMPH Clerkship Experience Requirements Students will use OASIS to check off each Clerkship Experience Requirement. The following conditions, procedures and learning activities must all be completed
ALABAMA INDEPENDENT SCHOOL ASSOCIATION MEDICAL HISTORY FORM
(Please Print) ALABAMA INDEPENDENT SCHOOL ASSOCIATION MEDICAL HISTORY FORM DATE / / FULL NAME OF STUDENT BIRTHDATE / / First Middle Last AGE SEX RACE: BLACK WHITE OTHER ADDRESS PHONE ( Street City State
Caring for Patients at Risk for Aspiration
Nursing Assistants Sample Peak Development Resources, LLC P.O. Box 13267 Richmond, VA 23225 Phone: (804) 233-3707 Fax: (804) 233-3705 After reading the newsletter, the nursing assistant should be able
SOLOMON ISLANDS NATIONAL UNIVERSITY
SOLOMON ISLANDS NATIONAL UNIVERSITY School of Nursing and Allied Health Sciences NU 621 INTRODUCTION TO NURSING EXAMINATION SEMESTER 1, 2017 1 NAME: I.D: SOLOMON ISLANDS NATIONAL UNIVERSITY SCHOOL OF NURSING
CLINICAL SKILLS & OBSERVATION CHECKLIST
CLINICAL SKILLS & OBSERVATION CHECKLIST Employee: Please check Yes or No at time of hire and annually for Adult and/or Pediatric experience RN Supervisor: Please date and initial after observation & demonstration
Excision of Submandibular Gland
Patient information Excision of Submandibular Gland Ear, Nose and Throat Directorate PIF 863 V5 Your consultant has advised that you have excision of submandibular gland. What is excision of submandibular
6/14/2017. Evaluation and Management Coding. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA
Evaluation and Management Coding Jeffrey D. Lehrman, DPM, FASPS, MAPWCA APMA Coding Committee APMA MACRA Task Force Expert Panelist, Codingline Fellow, American Academy of Podiatric Practice Management
E&M Coding Pitfalls Jill Young, CPC, CIMC, CEDC. Young Medical Consulting, LLC East Lansing, Michigan
1 E&M Coding Pitfalls Jill Young, CPC, CIMC, CEDC Young Medical Consulting, LLC East Lansing, Michigan 2 Disclaimer This material is designed to offer basic information for coding and billing. The information
MARATHON HEALTH CENTER a benefit of CHG Health and Wellness
Health & Wellness MARATHON HEALTH CENTER a benefit of CHG Health and Wellness WE ARE A DIFFERENT KIND OF HEALTHCARE COMPANY. OUR MISSION IS TO INSPIRE PEOPLE TO LEAD HEALTHIER LIVES. CHG Healthcare Services
1201) Prerequisit. Co-requisit. te: None. cies (CPR). C18, C19, C20) and perform C19, C20) interviews
Introduction to Respiratory Care (RSPT 1201) Credit: 2 semester credit hours (2 hours lecture, 1 hour lab) Prerequisit te: Acceptance into the Respiratoryy Care Program Co-requisit te: None Course Description:
RVU KILLERS The Most Common Reimbursement Documentation Errors. Michael Granovsky MD CPC CEDC FACEP President LogixHealth
RVU KILLERS The Most Common Reimbursement Documentation Errors Michael Granovsky MD CPC CEDC FACEP President LogixHealth Documentation-Why Does It Matter? Must communicate to the payer your concerns and
University of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Neural Transmission: Spinal Cord Injury (Part 2)
Title: To cite this reference: Spinal Cord Injury (Part 2 of 2) University of South Dakota Simulation Scenario Neural Transmission: Spinal Cord Injury (Part 2) Overview Concept: Neural Target Group: Second
Capital Area School of Practical Nursing Fundamentals of Nursing with Medical Terminology Course Syllabus
Course Information: Time: 12:30 4:00 p.m. Theory Contact Hours: 143.5 Instructor Information: Karen Durr RN BSN Office: 217-585-1215 ext. 207 Email: sdurr@caspn.edu Capital Area School of Practical Nursing
MARATHON HEALTH CENTER AND HEALTH COACHING a benefit of CHG Health and Wellness for our North Carolina office
Health & Wellness MARATHON HEALTH CENTER AND HEALTH COACHING a benefit of CHG Health and Wellness for our North Carolina office WE ARE A DIFFERENT KIND OF HEALTHCARE COMPANY. OUR MISSION IS TO INSPIRE
LESSON SIX. Skin, Eyes, Ears, Nose and Throat Assessment
LESSON SIX Skin, Eyes, Ears, Nose and Throat Assessment Introduction The ability to see, hear, smell, taste and interact with others helps us to connect with the world and enjoy life. Assessment of the
Unfolding Clinical Reasoning Case Study: STUDENT Sepsis I. Data Collection History of Present Problem: Jean Kelly is an 82 year old woman who has been feeling more fatigued for the last three days and
Few non-clinical issues have created as
from October 2001 How to Get All the 99214s You Deserve It s easier than you might think to get what s coming to you. Emily Hill, PA-C Few non-clinical issues have created as much controversy as the CPT
Major Oral Surgery: Composite Resection with Free Flap
Major Oral Surgery: Composite Resection with Free Flap Information for patients diagnosed with oral cancer and their families Read this booklet to learn: how to prepare for oral surgery what you can expect
Welcome to Pinnacle Chiropractic Spine and Sports Center
Welcome to Pinnacle Chiropractic Spine and Sports Center Name: Social Security Number: : Address: City: State: Zip: _ Telephone Home: Work: Mobile: _ Age: of Birth: Height: Weight: Gender: M / F Employer:
ARKANSAS TECH UNIVERSITY DEPARTMENT OF NURSING
ARKANSAS TECH UNIVERSITY DEPARTMENT OF NURSING HEALTH ASSESSMENT (RN-BSN) NUR 3303 AT1 & AT2 Spring 2018 ARKANSAS TECH UNIVERSITY DEPARTMENT OF NURSING COURSE: NUR 3303 AT1 and AT2 TITLE: HEALTH ASSESSMENT
Welcome to Pinnacle Chiropractic Spine and Sports Center
Welcome to Pinnacle Chiropractic Spine and Sports Center Name: Social Security Number: : Address: City: State: Zip: _ Telephone Home: Work: Mobile: _ Age: of Birth: Height: Weight: Gender: M / F Employer:
The Stanford 25: Reviving the Art of the Physical Exam. Physician Revives a Dying Art: The Physical
The Stanford 25: Reviving the Art of the Physical Exam Physician Revives a Dying Art: The Physical 1891- Luke Fildes: The Doctor Fildes s ambition: To put on record the status of the doctor in our time.
Part 3: Confirmation of eligibility and coverage for provincial home care - to be completed by the provincial home care case coordinator / manager.
Great-West Life Centre 100 Osborne Street N Winnipeg MB R3C 1V3 Dear Plan Member, To establish the amount of coverage available for nursing care under your group benefit plan, Great-West Life requires
P1: OTA/XYZ P2: ABC c01 BLBS040-Lorenz June 3, :34 Printer Name: Yet to Come CHAPTER ONE. The Problem-Oriented Approach. Michael D.
CHAPTER ONE The Problem-Oriented Approach Michael D. Lorenz During the 1960s, the problem-oriented medical record (POMR) was introduced in medical practice by Dr. Larry Weed. Dr. Weed developed a system
Meet the Presenter. Welcome to PMI s Webinar Presentation. E/M Auditing - Telling an Accurate Patient Story. On the topic:
Welcome to PMI s Webinar Presentation Brought to you by: Practice Management Institute pmimd.com Meet the Presenter On the topic: Pam Joslin, MM, CMC, CMIS, CMOM E/M Auditing - Telling an Accurate Patient
data Collection and General Survey Data collection includes obtaining subjective and objective information from clients.
chapter 26 Unit 2 Section Chapter 26 Health promotion Health Assessment data Collection and General Survey Overview Data collection includes obtaining subjective and objective information from clients.
Guidance on the Enhanced Recovery Programme in Colorectal Surgery Surgery Patient Information Leaflet
Guidance on the Enhanced Recovery Programme in Colorectal Surgery Surgery Patient Information Leaflet Originator: Mr Raj Patel Date: May 2011 Version: 2 Date for Review: May 2014 DGOH Ref No: DGOH/PIL/00364
Medication Aide Skills Assessment Review Guide
Medication Aide Skills Assessment Review Guide Provided by Clarkson College Office of Professional Development professionaldevelopment@clarksoncollege.edu Medication Aide Skills Assessment Study Guide
Abdominal Hysterectomy
2010 Abdominal Hysterectomy Abdominal Hysterectomy You are about to have an abdominal hysterectomy and you must have a lot of questions. We will try to answer some of your questions in this pamphlet. Please
Coastal Alabama Community College January 2017 NURSING PROGRAM TRANSFER APPLICATION
NURSING PROGRAM TRANSFER APPLICATION 1 Dear Potential Transfer Student, Thank you for your interest in Coastal Alabama Community College s Nursing Program. The forms and checklist to request a transfer
University of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Leadership: Triage/Prioritization (Part 1) Overview
Title: To cite this reference: Triage/Prioritization (Part 1 of 2) University of South Dakota Simulation Scenario Leadership: Triage/Prioritization (Part 1) Overview Target Group: Second Year Concept:
University of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Leadership: Triage/Prioritization (Part 2) Overview
Title: To cite this reference: Triage/Prioritization (Part 2 of 2) University of South Dakota Simulation Scenario Leadership: Triage/Prioritization (Part 2) Overview Target Group: Second Year Concept:
Family Medicine Residency Surgery Rotation
Family Medicine Residency Surgery Rotation Rotation Goal The overall goal for the educational experience provided in the areas of general surgery, trauma surgery, office orthopedic surgery and sports medicine,