【正文】 logy) ? a numeric coding system maintained by the American Medical Association (AMA). ? The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. 80 ? Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians. 81 Level II HCPCS ? Codes are reported to thirdparty payers (., insurance panies) for reimbursement purposes. 82 ? Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics 假體 , orthotics 矯形器 , and supplies (DMEPOS) when used outside a physician39。 ? Medicare, Medicaid, and private health insurers use HCPCS procedure and modifier codes for claims processing. 84 A1001007DRESSING FOR ONE WOUND Dressing for one wound C 2023070120230701 N A2023007DRESSING FOR TWO WOUNDS Dressing for two wounds C 02023070120230701 N A3001007DRESSING FOR THREE WOUNDS Dressing for three wounds C 02023070120230701 N 85 Abstracting ? Performed to enter codes and other pertinent information utilizing puter software. ? To generate statistical reports and disease/procedure indexes, which are used for administrative decisionmaking and qualitymanagement purposes. 86 Inplete record processing ? Includes the assembly and analysis of discharged patient records. ? After a patient is discharged from a nursing unit, the record is retrieved and reports are assembled according to a hospital and medical staffapproved order of assembly. 87 Medical transcription ? Involves the accurate and timely transcription of dictated reports. 88 Record circulation ? Includes the retrieval of patient records, for the purpose of: ? Inpatient readmission ? Scheduled and unscheduled outpatient clinic visits ? Authorized qualitymanagement studies ? Education and research 89 Licensure, Regulation and Accreditation ? Code of Federal Regulations (CFR) ? Federal Register ? A legal newspaper published every business day by the National Archives and Records Administration (NARA) in paper form, microfiche, and online. ? Accreditation Standards and Surveys 90 Regulation ? A regulation is an interpretation of a law that is written by the responsible regulatory agency. ? . the Conditions of Participation (CoP) are regulations written by the Centers for Medicare Medicaid Services (CMS). ? Congress writes and passes an act, the President signs the act into law, and CMS interprets the law creating a regulation. 91 Accreditation ? A voluntary process that a health care facility or anization undergoes to demonstrate that it has met standards beyond those required by law. 92 Standards ? Accreditation anizations develop standards, which are measurements of a health care anization’s level of performance in specific areas and are usually more rigorous than regulations. 93 Survey ? A survey (evaluation) process is conducted both offsite and onsite to determine whether the facility plies with standards. 94 Accrediting Organizations ? Accreditation Association for Ambulatory Health Care (AAAHC) ? Commission on Accreditation of Rehabilitation Facilities (CARF) ? Community Health Accreditation Program (CHAP) 95 Accrediting Organizations ? Joint Commission on Accreditation of Health Care Organizations (JCAHO) ? National Committee for Quality Assurance (NCQA) ? National Commission on Correctional Health Care (NCCHC) 96 Bringing a new drug to market 5000 pounds evaluated 5 pounds enter clinical trials 1 pound approved 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 years Discovery and preclinical testing: Compounds are identified and evaluated in laboratory and animal studies for safety, biological activity, and formulation. Review and approval by Food Drug Administration Phase III: Confirms effectiveness and monitors adverse reactions from long term use in 1000 to 500 patient volunteers. Phase II: Assesses effectiveness and looks for side effects in 100 to 500 patient volunteers Phase I: Evaluate safety and dosage in 20 to 100 healthy human volunteers. 謝謝觀看 /歡迎下載 BY FAITH I MEAN A VISION OF GOOD ONE CHERISHES AND THE ENTHUSIASM THAT PUSHES ONE TO SEEK ITS FULFILLMENT REGARDLESS OF OBSTACLES. BY FAITH I BY FAITH