- Health Information
- For this assignment, you will be writing an essay on the scenario below.
You were recently hired on at Mercy Me Hospital as a medical administrator. During your first week of onboarding, you are brought up to speed on the hospital’s procedures and policies and are assigned your first major project. You will be responsible for assisting with the transition to an electronic system.
In your essay, you must include the information below.
Describe why electronic filing systems are the more suitable option. Provide specific examples of why this method is more efficient.
Articulate the steps you would take for effective medical records retention, storage, and destruction procedures upon the implementation of this system.
Explain the major differences between the three medical record organization systems. Based on what you learned in this unit and in the readings, which record organizational system do you believe will be the easiest to transition to the new filing system? Provide rationale.
Outline steps that you can take during an audit to help detect errors.
Your essay must be at least one page in length, not counting the title page or reference page. You must use at least two sources for this essay. One resource must be found in the CSU Online Library, and the other may be your textbook. All sources used must have proper citations. Your essay, including all references, will be formatted in APA style.
- This unit’s chapter readings identified the importance of using professionalism within written communications. Think about the last letter/e-mail that you received and sent. What elements do you believe make a letter/e-mail professional? Does a professionally written letter/e-mail guarantee that your message is clear? Explain why or why not.
- ICD 10-CM
- The attending physician in the emergency room has finished examining a patient who complained of fever and shortness of breath. The physician determined that the patient has pneumonia. Identify and code the ICD-10-CM code(s) in this case and explain how you arrived at your answer.
Your response must be at least 75 words in length.
- A 25-year-old male patient proceeds to the emergency room with ongoing gastrointestinal bleeding that is determined to be severe acute gastritis. Identify and code the ICD-10-CM code(s) in this case and explain how you arrived at your answer.
Your response must be at least 75 words in length.
- A 17-year-old female patient proceeds to the emergency room with severe lower-right abdominal pain and a low-grade fever. After diagnostic testing, it is determined that the patient has acute ruptured appendicitis. Identify and code the ICD-10-CM code(s) in this case and explain how you arrived at your answer.
Your response must be at least 75 words in length.
- Outline the guidelines when coding a sequela (late effects) including sequencing and exceptions. How do the terms residual and late effects differ and how do they impact medical coding?
Your response must be at least 75 words in length.
- Differentiate between combination coding and multiple coding for a single condition. How is the instructional notation of “Code first” used when more than one code is needed for a diagnosis?
Your response must be at least 75 words in length.
- In this unit, you started to review the Official Coding Guidelines in the ICD-10-CM codebook. Choose two guidelines from two different ICD-10-CM chapters that we discussed in this unit. Outline each and use a patient scenario to illustrate the concept of the guideline.
Your response must be at least 200 words in length. No references or citations are necessary.
- We have now reviewed over half of the chapter-specific guidelines in the Tabular List of the ICD-10-CM. In Chapter 9 (under the Circulatory System section), we reviewed the diagnosis of hypertension. In Section (a) of the guidelines, we see there are several types of hypertension. Please review and select two different types of hypertension (1–11). Explain in your own words why the information in these guidelines can better assist a coder to identify codes using levels of specificity.