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Rad T 216. Adler Ch 23. Reimbursement. Prospective Payment System – PPS Uses the DRG system Health info including diagnoses are inputted as ICD - 9 codes which are for inpatients CPT codes are for o utpatient and ancillary services. CPT for Radiology. Numbered 70010 to 79999
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Rad T 216 Adler Ch 23
Reimbursement • Prospective Payment System – PPS • Uses the DRG system • Health info including diagnoses are inputted as ICD - 9 codes which are for inpatients • CPT codes are for outpatient and ancillary services
CPT for Radiology • Numbered 70010 to 79999 • Chest film one view frontal is 71010 • Index of Radiologic Daignosis • Osteogenic sarcoma of proximal tibia • 45.321 • 40 Extremity 45 knee and leg • .300 neoplasm .320 malignant primary • .321 ostegenic sarcoma • ICD – would be 170.7
Quality Management and JCAHO • Actvities are collaborative and interdisciplinary • New processes are well designed • Data collected monitor the process, identify opportunities for improvement, and identify changes that lead to improvement • Data aggregated and analyzed on an ongoing basis • Improved performance is achieved and maintained
Adler Ch 16Infection Control • Bacteria • Single celled organisms without a nucleus • Viruses • Parasites need other cells to survive • Fungi • Have a nucleus • Protozoan • Unicelluar, bigger than bacteria, have a nucleus
Chain of Infection • Koch • Host • Infectious organism • Mode or transmission • Reservoir • Host • Something for the organism to live in prior to infection
Mode of transmission • Exogenously • Encounter with a microbe in the environment • Endogenously • Direct • Touching of some kind • Indirect • Vector • Some living thing transmitted the pathogen • Fomite • Inanimate object transmitted the bug • Food and water, equipment, sheets
Reservoir • Organism lives and transmission is possible • People are carriers • Nosocomial • Hospital acquired
Precautions • Standard • Should be used anytime the serostatus of the patient is unknown • Handwashing • Gloving
Transmission Based Precautions • Airborne • Droplet • Contact