quizlet chapter 11 emergency room patient report

What would lead an EMT to conclude a patient has a respiratory problem?

C 4. C 5. B 6. C 7. C 8. B 9. A 10. A HANDOUT 12-2: In the Field 1. The husband’s history, the patient’s chief complaint, and physical surroundings would lead an EMT to conclude that the patient has a respiratory problem. Difficulty breathing is a high- priority problem and necessitates a good assessment. 2. The patient’s airway is open.

Is this type of injury reported to OSHA CPPM Chapter 11?

No, this type of injury is not reported to OSHA CPPM Chapter 11 Review Questions Answer Key 1. Waste can be described as? c. Overuse of services Rationale: Waste is an overuse of services.

What are the CPPM Chapter 11 review questions?

CPPM Chapter 11 Review Questions Answer Key 1. Waste can be described as? c. Overuse of services Rationale: Waste is an overuse of services. There is no intent for wrong doing or inappropriate reimbursement. 2. The OIG recommends physicians focus on four basic risk areas that affect physician practices.

What is diagnostic coding and report Guidelines for outpatient service?

Those are the guidelines for Diagnostic Coding and Report Guidelines for Outpatient Service. According to that, most facilities – just to give you an idea of what happens in most facilities – if a patient presents to the emergency room, those emergency room charges are entered into the system.

What is the ICD-10 manual for outpatient services?

Those are the guidelines for Diagnostic Coding and Report Guidelines for Outpatient Service. According to that, most facilities – just to give you an idea of what happens in most facilities – if a patient presents to the emergency room, ...

Why do we bill for appendicitis?

The reason for this is, when we’re billing in the inpatient facility environment , we are billing for the services that it took to rule in or rule out that diagnosis. It doesn’t matter whether the patient has appendicitis or not. If we’re trying to figure out whether they have it, we’re going to use the same amount of resources to rule it in as we would to rule it out. That’s the only reason this differ.

What does section II.H mean?

They say specifically under Section II.H, it says Uncertain Diagnosis. If you’re coding for the inpatient hospital facility, you are going to take what the diagnosis says at the time of discharge. Not at the time they’re admitted, but right when we send them home, that discharge summary.

What happens when a claim is generated?

When the claim is generated, they then look to see what place of service did that patient wind up in to determine which rules do we need to follow. If they wind up in the inpatient environment, they were admitted for a full hospitalization, the claim that’s generated is going to utilize the inpatient diagnosis, quite frankly. It is going to code for all of the different pieces that it needs to.

Can you code for a probable diagnosis?

What those guidelines say is if you’re coding for the hospital outpatient department, you do not code for any diagnoses that is documented as “probable,” “suspected,” “questionable,” “rule out,” or “working diagnosis” or anything else that indicate uncertainty; so no “probable,” “likely,” “suspected,” anything like that.

Can a doctor work in a hospital?

The physician services, those are what we call our professional services, our pro fees, and that doctor can provide services on either place. They can work in their office or they can work in the hospital. Either way, they are considered an outpatient entity, they have to follow the outpatient rules because we’re not billing, they’re not billing for the hospital.