Highest Level of Specificity Essential Processes in Healthcare Analysis
Order ID:89JHGSJE83839 Style:APA/MLA/Harvard/Chicago Pages:5-10 Instructions:
Highest Level of Specificity Essential Processes in Healthcare Analysis
To ensure accuracy in documentation and receive fair compensation, health care providers should code to the highest level of specificity.
Create a training document illustrating examples of how to code to the highest level of specificity.
Your role: Practice administrator
Audience: Physicians and Coders in your practice
Objective: Training/reference guide for assigning codes
Content:
One paragraph explaining why coding should be to the highest level of specificity.
Bullet point format: Six (6) examples of appropriate codes that align with specificity best practices. Format should include the code itself, followed by the code’s description. Examples:
* E10.65 Type 1 diabetes with hyperglycemia
* S06.0x1A Concussion with loss of consciousness of 30 minutes or less, initial encounterOne paragraph explaining the process for correcting codes internally if they are not coded to the highest level of specificity – before they are sent to the payer. This will be specific to your practice’s workflow and staffing (fictional information, you create based on your research and knowledge).
Headache Process and Diagnostics Discussion
topic: Headache
Process and Diagnostics
Your objective is to determine diagnostic workup based on the differential diagnosis for clients presenting with an episodic illness in the care setting.
Headache is an exceedingly common symptom in primary care and other practice settings, ranking among the top 10 most frequent symptoms that prompt an office visit. Diagnosis and management are based on a careful clinical approach augmented by an understanding of the anatomy, physiology, and pharmacology of the nervous system pathways that mediate the various headache syndromes.
A 35-year-old woman comes to your office to discuss her “bad headaches,” which started after having her first child 2 years ago. The headaches sometimes awaken her from sleep and at times can be disabling and occasionally require her to take Tylenol and rest in a dark room. Sometimes she vomits during an attack. Over the past 6 months, her headaches have become more severe and frequent, prompting her visit today.
What additional questions would you ask to learn more about her headaches?
How do you classify headaches?
How can you determine if this is an old headache or a new headache/s? Is this a chronic or episodic condition?
Can you make a definite diagnosis through an open-ended history followed by focused questions?
How can you use the patient history to distinguish between benign headaches and serious ones that require urgent attention?
What diagnostic tests do you want to include to help you with your diagnosis? Who might you refer this patient to see and why?
Create a differential diagnosis flow sheet for this patient and include the diagnostics related to the differentials.
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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Highest Level of Specificity Essential Processes in Healthcare Analysis