Category: Health information management

Using the Discussion Board Rubric uploaded for the specific grading criteria, develop an initial response to the following: 
Define the applications and processes of chargemaster management and make up a scenario where codes from the  chargemaster would be used.

Using the Discussion Board Rubric attached for grading criteria, develop an initial response to the following: 
Using information from Chapters 6 and 16 in Health Information Management Technology: An Applied Approach 6th edition textbook and individual research, please answer the following: 
1. Can computer assisted coding (CAC) be helpful to outpatient coders? 
2. CAC is a supporting technology that has reached an exciting stage of development. It holds a great deal of promise for assisting in further automation of the coding process. Although the technology holds great promise, it also faces a huge challenge because of the complexity and variability of human speech. However, promising new CAC products are beginning to emerge in certain medical arenas, such as emergency medicine and radiology. Facilities that have begun to implement CAC report what type of benefits? Please identify and explain in detail 3 benefits.

Physician Query Assignment
Please pick one of these scenarios below and write a physician query.  For examples on how to write a physician query please see AHIMA article at: http://journal.ahima.org/2013/02/01/physician-query-examples/
Scenario #1
A patient is admitted for a right hip fracture. The H&P notes that the patient has a history of chronic congestive heart failure. A recent echocardiogram showed left ventricular ejection fraction (EF) of 25%. The patient’s home medications include metoprolol XL, lisinopril, and Lasix.
Scenario #2
A patient is admitted with chest pain radiating through to his middle back. The provider orders multiple tests to rule out cardiac diagnoses which are all ruled out. On day 2 of the stay, the provider orders the head of the bed to be raised, no coffee or fatty foods, and a 20 mg dose of omeprazole daily. On day 4, the patients symptoms subside and he is discharged home. There is no diagnosis documented by the provider.
Scenario #3
Patient is admitted with pneumonia. The admitting H&P exam reveals WBC of 14,000; a respiratory rate of 24; a temperature of 102 F; heart rate of 120; hypotension; and altered mental status. The patient is administered an IV antibiotic and IV fluid resuscitation.
Scenario #4
In the impression of the pathology report ovarian cancer is documented; however, only ovarian mass is documented in the final discharge statement by the provider.

The focus of data governance programs, in some capacity, is enterprise-wide data quality standards and processes. If you were a manager focusing on master data: 
Would you likely meet enterprise-level initiatives?
Why or why not?