3.02 Understand Health Informatics

1. 3.02 Understand Health Informatics HEALTH INSURANCE SPECIALIST MEDICALTRANSCRIPTIONIST MEDICAL RECORDS ADMINISTRATOR SECRETARY/RECEPTIONIST MEDICAL RECORDS TECHNICIAN

2. Health Informatics: • Healthcare careers and job duties that document patient records and health information 3.02 Understand health informatics

3. Health Informatics: • Health information systems that operate between healthcare facilities • Integrate all medical records and insurance requirements into one system • Follow procedures for handling information to ensure patient privacy and security 3.02 Understand health informatics

4. Health Informatics ProfessionalsCareer Responsibilities • Analyze patient information • Abstractand code patient information • Document patient information • Communicate patient information • Manage health information systems 3.02 Understand health informatics

5. Health InformaticsCareer Responsibilities 1) Analyze Patient Information: • Collect, review, and evaluate patient information • Report and distribute the information within legal guidelines within healthcare systems and insurance companies 3.02 Understand health informatics

6. Health InformaticsCareer Responsibilities 2) Abstract andCode Patient Information: • Abstracting refers to collecting information from a medical record. • Coding refers to the assignment of a code to each of the patient’s diagnoses and procedures for the purpose of reimbursement 3.02 Understand health informatics

7. 2 Types of Coding: • ICD-9-CMsare Diagnosis codes • CPTsare Procedure & Services codes 3.02 Understand health informatics

8. Diagnosis CodesICD-9-CM Coding • Used to code the DIAGNOSIS • Identify the main term in the DIAGNOSIS • Review sub terms, cross-reference, verify and assign correct numerical code Example: Essential hypertension Example: Essential hypertension ICD-9 401.9 3.02 Understand health informatics

9. Diagnosis CodesICD-9-CM Coding Main Term in Diagnosis • Main term – condition causing the patient to be sick. • Example:Urinary Tract Infection Infection is the main term in this diagnosis. • Review sub terms, cross-reference, verify and assign correct numerical code Urinary Tractis the sub term ICD-9 is 599.0 3.02 Understand health informatics

10. Complete the ICD-9-CM Coding using the internet 3.02 Understand health informatics

11. Procedure CodesCPT Coding • Used to code MEDICAL PROCEDURES AND SERVICES • Identify the main procedure or service • Review sub terms, cross-reference, verify and assign correct 5 digit numerical code Example: X-ray pelvis, 4 views Example: X-ray pelvis, 4 views CPT code 72190 3.02 Understand health informatics

12. Procedure CodesCPT Coding Main Procedure or Service provided • Example:Needle core biopsy of lungBiopsyis the main procedure or service provided • Review sub terms, cross-reference, verify and assign correct 5 digit numerical code Sub Terms are Needle core, lung CPT code is 32405 3.02 Understand health informatics

13. Complete the CPT Coding using the internet 3.02 Understand health informatics

14. Health InformaticsCareer Responsibilities Documenting 3) Document Patient Information: • Documenting refers to recording and transcribing patient information and health information. • Includes completing and processing insurance forms. • Must follow legal guidelines and confidentiality. 3.02 Understand health informatics

15. Health InformaticsCareer Responsibilities Documenting Medical Transcriptionist: • Works independently and transcribes health information dictated by physicians and other healthcare professionals into the patient’s medical record 3.02 Understand health informatics

16. Health InformaticsCareer Responsibilities Documenting • Requires: • knowledge of medical terminology • understanding of anatomy, physiology, and disease processes • familiarity with pharmacology and laboratory tests 3.02 Understand health informatics

17. Health InformaticsCareer Responsibilities Documenting Health Insurance Specialist: • Completes and processes insurance forms. • Determines the information needed by insurance companies for reimbursement. • Assigns ICD-9 and CPT Codes. 3.02 Understand health informatics

18. Complete the Medical Terminology 3.02 Understand health informatics

19. Health InformaticsCareer Responsibilities Communicating 4) Communicate Patient Information: • Communicating refers to the exchange patient information and health information. • Includes: • Filing records • Using technology • Scheduling appointments • Completing medical records forms • Maintaining accounting records 3.02 Understand health informatics

20. Health InformaticsCareer Responsibilities Communicating Medical Records Technician: • Files patient records (patient charts). 3.02 Understand health informatics

21. Health InformaticsCareer Responsibilities Communicating Ways to File Records: • Alphabetical • Numeric 3.02 Understand health informatics

22. Health InformaticsCareer Responsibilities Communicating • Alphabetical: • Index all names first: • Index all names by transposing so that the last name is the primary indexing unit, first name second and middle name/initial is third. • After indexing, follow strict alphabetical order. 3.02 Understand health informatics

23. Health InformaticsCareer Responsibilities Communicating • Numeric: • Uses numbers in various combinations • Straight-numeric, consecutive • Terminal-digit, the last digit is the primary unit 3.02 Understand health informatics

24. Complete the • Alphabetic/Index Filing • Straight & Terminal Numeric Filing 3.02 Understand health informatics

25. Health InformaticsCareer Responsibilities Communicating Office Secretary/Unit Secretary: • Answers the phone • Schedules appointments • May work for one doctor or a group of doctors; or work at hospitals 3.02 Understand health informatics

26. Complete • Telephone Etiquette • Scheduling Appointments 3.02 Understand health informatics

27. Health InformaticsCareer Responsibilities Communicating Admissions Clerk: • Completes medical record intake forms; requires attention to details. • Collects personal and insurance information when entering the Emergency Room 3.02 Understand health informatics

28. Health InformaticsCareer Responsibilities Communicating Bookkeeper: • Maintains accounting records. • Includes: • Inventory • Patient accounts • Cash records • Payroll records • Tax records 3.02 Understand health informatics

29. Health InformaticsCareer Responsibilities Managing 5) Manage Health Information      Systems: • Managing refers to being in charge of all the information systems used within a healthcare agency. • Ensures timely and accurate. • Follows regulations, guidelines, and confidentiality. 3.02 Understand health informatics

30. Health InformaticsCareer Responsibilities Managing Medical Records Administrator: • Manages/in charge of all the information systems used within a healthcare agency like a hospital. • Highest responsibility. 3.02 Understand health informatics

31. Employment Opportunities in Health Informatics • Clinics • Home health facilities-(Works primarily with Medicare and elderly patients.) • Hospitals • Insurance companies • Laboratories • Legal offices/Attorneys- (Reviews patient records for malpractice and negligence) • Physician offices • Transcription services- (Types medical information recorded by physicians) 3.02 Understand health informatics

32. The End 3.02 Understand health informatics