Research Paper On Ambulatory Care

Improved Essays
Ambulatory Medical Coding
Ambulatory care involves a myriad of medical treatments and unique considerations. Outpatient care may be provided through many avenues including, but not limited to, diagnosis, injury, treatment, rehabilitation services, acute medical care, and surgical processes.
Ambulatory surgical centers (ASC) are dedicated outpatient surgical settings, and as such, are reimbursed according to specific regulations and industry standards that fall under Medicare, Medicaid, and contractual financial agreements with private health insurers. The Medicare program and its’ regulatory rules set the standard for all other payers.
Medical coders for ambulatory centers need to have specialized training and expertise in the field of ambulatory

Related Documents

  • Improved Essays

    The Joint Commission standards require that the patient record contain patient- specific information proper to the consideration, treatment, and services provided. Due to the patient records contain clinical/ case information, demographic information, and other information the Medicare Conditions of Participation (CoP) required each hospital to establish a medical record service that has administrative obligation regarding medical records, and the hospital must keep up a medical record must be precisely composed, promptly completed, legitimately files, properly retain, and available. Within the hospital you have to utilize the system of author identification and record maintenance that ensures the integrity of the authentication and ensures…

    • 265 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Introduction Medicare pays for the inpatient acute-care services. These payments are based on rate per discharge and by using the Medicare Severity Diagnosis Related Group (MS-DRG) which are assigned to the patients. The MS-DRG is the system by which the Medicare patient’s hospital stay has been classified into different groups in order to make the payments for the services. The MS-DRG assigns code such as 190 stands for chronic obstructive pulmonary disease with MCC.…

    • 705 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    Coding Compliance Report

    • 438 Words
    • 2 Pages

    Lexington Medical Center (LMC) Urgent Care in Irmo, is one of the physician practices under the Physician Network Services. For physician services at LMC-Urgent Care, continuing education is for the nurse practitioners, physicians, and other staff that uses Misys. Misys is a financial software that is used in the revenue department in Urgent Care. The Coding Compliance Educator (CCE) at Lexington Medical Center-Physician Network Services (PNS) provides the auditing, training of codes, updates MAC regulations and more.…

    • 438 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The University of Michigan Health System is one of the largest health care facilities in the world. The facility is also referred to as the University of Michigan Hospital. It is one of the largest hospitals in the state of Michigan, as well as a premier academic medical center. Michigan Health System has a vision of creating the future of health care through discovery, as well as to become the national leader in care, education, biomedical innovation, and health care reform (Regents, 2015). An important aspect of quality assurance is utilization management.…

    • 1221 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    The recovery room or the post-operative care unit (PACU) is an area within the operating room where a specialized registered nurse provides care to patients immediately following an operative procedure as the patient recovers from the surgical procedure and anaesthesia. According to the Australian College of Operating Room Nurses (ACORN), nurses specialized in this area of perioperative care must demonstrate certain minimum skills and knowledge referred to as practice standards in order for them to be considered competent in their field of specialty (ACORN, 2013). The competency standards are useful in a way not only to access the professional markup for the license of registered nurse, but is also intended to maintain the standard of nursing…

    • 167 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    The holiday months are a time of joyous celebration, visits with family and friends, and, of course, seemingly endless meals overloaded with food and drink. It's a wonder any of us make it through winter without permanent damage to our health or the need for urgent medical care, but thankfully there are a few ways you can counter the traditional holiday excess. Statcare Urgent & Walk-In Medical Care is an urgent care center with locations in Long Island and Queens, and they want to help everyone stay as healthy as possible throughout the remainder of the year and beyond. Unfortunately, that means it's time to stop thinking about all the holiday treats that are coming your way and start taking action to keep your body in shape.…

    • 452 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Clinically Integrated

    • 798 Words
    • 4 Pages

    This occurred when the Affordable Care Act (ACA) of 2011 included provisions to help promote clinical integration. In general, the act suggests that hospitals and health care organizations are expected to collaborate and improve clinical integration or the coordination of care across settings by expanding coverage, boost the effectiveness and efficiency of care, promote innovation, and control costs. Collaboration is comprised of physicians, hospitals, and other providers that share the responsibility and information about patients as they transition from one setting to another over the entire course of their care. Clinically integrated providers work together to develop and implement evidence-based clinical protocols, focusing on delivery of preventive care and coordinated management of high-cost and high-risk patients. The combination of these results allows these providers to identify opportunities for improvement and ensure adherence to protocols by utilizing shared information and technology to conduct ongoing clinical care…

    • 798 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    As a medical assistant, we will have to talk about certain topics that may make a patient feel uncomfortable. For example, when talking to a patient about their reproductive health history. It is our job to obtain pertinent information about our patients for the physician. When talking to our patients, we need to be kind and professional. It is important that we also inform our patients that we need them to speak truthfully and that anything they say will remain confidential due to HIPAA.…

    • 204 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Acute is referred as inpatient care whereas ambulatory indicates outpatient care. An acute care facility is a medical facility where the patients are continually under care day and night. An ambulatory care facility could be considered as a non-medical facility such as, schools or nursing homes, however it can consist of medical doctor’s office and other medical settings that usually only take care of non-emergency situations. Urgent care clinics are widely known as an ambulatory care facility although they take care of patients with life-threatening symptoms. In an ambulatory care setting, healthcare patients do not have to spend the night at the facility.…

    • 120 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Family Theory Analysis

    • 715 Words
    • 3 Pages

    The CPT or Current Procedural Terminology reference book includes a set of codes, descriptions, and guidelines determined by the American Medical Association, used to describe procedures performed by health care providers for billing purposes (Smiley, 2015). The tenth edition of the International Classification of Diseases (ICD-10) reference book provides a system of codes that classifies every disease and health finding identified by the provider, providing more than 68,000 different diagnosis codes (Smiley, 2015). The Healthcare Common Procedure Coding System (HCPCS), is a two-level coding system that identifies health care procedures, equipment, supplies, and to identify various items or services not included in the CPT medical code set (Center for Medicare & Medicaid Services, 2013). For example, if a patient come to the clinic only to receive a vaccine administered by a nurse, the vaccine administration would be the only reportable service (Smiley, 2015). For procedures such as vaccinations, an HCPCS code must be utilized for billing while an evaluation and management code would not be necessary (Smiley,…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    No plagiarism detected In conclusion, early ambulation is extremely beneficial to the postoperative cardiac patient in several ways. Patient’s experience a shorter length of stay, fewer postoperative complications (i.e pneumonia/ deep venous thrombosis), and a fewer readmission rate for a 6-month period. Patients experienced less back pain, vascular complications (like DVT), urinary discomfort, and they had an overall better well-being perception. By shortening the length of stay, we decrease the risk of hospital acquired infections, delirium, and many other hospital acquired issues.…

    • 260 Words
    • 2 Pages
    Decent Essays
  • Great Essays

    Introduction Medicalization is a word used to define a procedure where nonmedical issues become treated and determined as a medical condition causing it to be subject to a diagnosis, treatments, preventions or even a medical study. Medical issues change all the time due to new evidence or from changing social attributes and more. Medicalization is a strong influence on the views and beliefs of society. This essay denotes medicalization, discusses a light history of nonmedical problems becoming medical problems due to the views society had on certain behaviours, examines ‘The Sick Role’, and analyses ‘Normalization’ while linking all these points to social control. While medicine in today’s century is for relieving us from pain and restoring…

    • 2202 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    Doctor’s Hospital is an acute care facility in a small town. Due to a major financial disruption they had to transform their organization’s governing structure. As a result, they did not consider the impact of CIO in IT and they turn CIO’s full-time job into a part-time job. Therefore, Doctor’s Hospital faces many information system challenges. Along with that hospital is undergoing 3 phase construction.…

    • 768 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Home Health Care is form of health care administration that help people who needs day to day nurse care while at home. Some people who are on home health care are not able to do things on their own such as the following: make sure they complete their proper hygiene {bath, brush their teeth, and put their clothes on}, make sure their house is clean; make sure they take their proper medicine at the right time, and more. Home health care workers can play an important role in a person life. They are more like an adult babysitter. Home environment are supposed to be more conducive to the healing process.…

    • 1082 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Know the Vital Importance of Health Insurance People not plan to get sick however most people do need medical care at some point such as a lab test, counseling, a doctor visit or a prescription drug, etc. Emergency medical care or a surgery or even fixing a broken leg is very expensive procedures. For such issues people do need a health insurance that gives a high-quality coverage choice for both routine and non-routine medical services that is not only for you but for your family as well. People who have health insurance enjoy better access to prescription drug, get more preventive care, more able to pay for the necessities in life and hence lead a better health.…

    • 532 Words
    • 3 Pages
    Improved Essays