PDF-Language Documentation and DescriptionISSN 17406234__________________

Dahmen Josua Francesco Possemato Joe Blythe 20 20 Jaru Australia Language Snapshot Language Documentation and Description 1 7 142 149 Jaru Australia Language Snapshot. Day, Egusquiza, President. AR Systems, Inc . Lori Rathbun, VP Finance. Mercy Network, IA. . 1. Why have Clinical Documentation Improvement?. A consistent ‘set of eyes’ on the record . Concurrent review, with direct feedback-fragmented. Presenter’s . Name • Date. 2. Introduction. The . goal of . good documentation is to create a record of employment, including facts of incidences and the steps and actions by the employer in an employment matter. Effective documentation serves as an aid to future managers and HR professionals for historical perspective, audits, and legal claims.. Anthony Jukes. CRLD, La Trobe University. Things to consider. What kind of project? . Size/scope. Time constraints. Who is the audience?. What kind of outcomes do you/the community want?. What skills do you have?. Telana . Fairchild. Nurse Practitioner Students. UMass - Worcester, . Graduate School of Nursing. N/NG . 603B. 1. Narrative. Focused. Flow-sheet. By exception. Problem . oriented. Types of Documentation. 1. Please turn your cell phones off or to vibrate mode.. Welcome to.... ICD-10 Coding. No Recording of ANY TYPE allowed. . Mind expansion in process.... About Dr. Mario Fucinari, DC, CCSP, MCS-P. Certified Chiropractic Sports Physician (CCSP). EMS Documentation Uses. Legal record. Continuity of care with hospital. Internal quality assurance. Billing record. Today’s Environment. Government focus on fraud. Increased audits. Legally collecting every dollar . ethical, legal and clinical issues. Margaret . BROWN. Research . Fellow, Hawke Research Institute, University of South . Australia. Ravi RUBERU. Geriatric . Registrar, Royal Adelaide . Laura Triplett, Director, HIM. Roseann Kilby, Clinical Informatics Analyst. Becky Crane, Clinical Risk Manager. 367 Bed Community Health System in Quincy, Illinois . 2,000 Employees. 240+ Physicians. California Department of Aging. Documentation Rule #1. Documentation. Utilizing the Participant Form Checklist. Official Document or . Business Record. Confirmation of . Signature and Date. Make sure that forms are . Jan Malone 8. th. floor Nurse Educator. Importance of Documentation. Helps us track our patient’s progress. Conveys information between disciplines and shifts. Can determine therapy. Is part of the permanent record. ICD 10 is being mandated by CMS. Compliance date is set at October 2015.. . ICD-9 Diagnosis Codes = 14,000 . ICD-10 Diagnosis Codes = 69,000 . ICD-9 Procedure Codes = 3,800 . ICD-10 Procedure Codes = 71,000 . Documentation Log. Assignments Note Taking. http://library.acadiau.ca/sites/default/files/library/tutorials/plagiarism/. http://www.fmtusd.org/Page/8774. http://library.acadiau.ca/sites/default/files/library/tutorials/plagiarism/. Hospitalist . Presentation . 10/18/10. What is CDI?. BRIDGING THE GAP . Between what CMS (Center for Medicare & Medicaid Services) recognizes (technical terminology of the ICD-9 system) and the clinical language physicians use to describe the patient’s condition. Dahmen, Josua, Francesco Possemato & Joe Blythe . 20 20 . Jaru (Australia) – Language Snapshot . Language Documentation and Description 1 7 , 142 - 149 . Jaru (Australia) – Language Snapshot