Review:
Preface. 1. Health Care Delivery Systems. History of Medicine and Health Care Delivery. Continuum of Care. Health Care Facility Ownership. Health Care Facility Organizational Structure. Licensure, Regulation, and Accreditation. 2. Health Information Management Professionals. Careers. Professional Practice Experience. Join Your Professional Association. 3. Health Care Settings. Acute Care Facilities (Hospitals). Ambulatory and Outpatient Care. Behavioral Health Care Facilities. Home Care and Hospice. Long-Term Care. Managed Care. Federal, State, and Local Health Care. 4. The Patient Record: Hospital, Physician Office, and Alternate Care Settings. Definition and Purpose of the Patient Record. Provider Documentation Responsibilities. Development of the Patient Record. Patient Record Formats. Archived Records. Patient Record Completion Responsibilities. 5. Electronic Health Records. Evolution of Electronic Health Records. Electronic Health Record Systems. Regional Health Information Organizations. Impact of the American Recovery Reinvestment Act, Public Law 111-5. Components of Electronic Health Record Systems Used in Health Care. 6. Content of the Patient Record: Inpatient, Outpatient, and Physician Office. General Documentation Issues. Hospital Inpatient Record-Administrative Data. Hospital Inpatient Record-Clinical Data. Hospital Outpatient Record. Physician Office Record. Forms Control and Design. 7. Numbering Filing Systems and Record Storage & Circulation. Numbering Systems. Filing Systems. Filing Equipment. File Folders. Filing Controls. Loose Filing. Circulation Systems. Security of Health Information. 8. Indexes, Registers, and Health Data Collection. Indexes. Registers and Registries. Case Abstracting. Health Data Collection. 9. Legal Aspects of Health Information Management. Legal and Regulatory Terms. Maintaining the Patient Record in the Normal Course of Business. Confidentiality of Information and HIPAA Privacy and Security Provisions. Legislation that Impacts Health Information Management. Release of Protected Health Information. 10. Coding and Reimbursement. Nomenclatures and Classification Systems. Third-party Payers. Health Care Reimbursement Systems. Glossary. Bibliography. Index.
About the Author:
Mary Jo Bowie is the owner of Health Information Professional Services in Binghamton, New York, which has provided medical record consultative services for various health facilities for more than 25 years. She served as an instructor in Health Information Technology Programs for more than 20 years, teaching such courses as Inpatient Coding, Ambulatory Care Coding, Quality Assurance, Survey of Healthcare and Computers in Healthcare. Ms. Bowie is now the Health Information Management and Medical Coding program director at Mount Wachusett Community College and an associate professor. She develops all course content within the curriculum, including ICD-9-CM and ICD-10-CM/PCS courses, CPT/HCPCS courses, Introduction and Advanced Health Data courses. Ms. Bowie is a registered Health Information Administrator and an accredited Health Information Technician. She is an active member of the American Health Information Management Association (AHIMA) and is also an AHIMA ICD-10-CM/PCS-approved Train the Trainer. She served on the New York State Health Information Association Board of Directors from 1989 to 1991 and was education director and on the Ambulatory Coding Guideline Committee. Ms. Bowie was the New York State nominee for the National Award for Literacy Contribution to Profession, 1993 and 1994. She is a National and Regional speaker on ICD-9-CM, CPT and ICD-10-CM and ICD-10-PCS, as well as a trusted course writer for Cengage Learning. Ms. Bowie holds an Associate of Arts Degree, a Bachelor of Science Degree and a Master of Science Degree. She has conducted more than 50 national training seminars on ICD-10-CM/PCS coding.
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