AHIMA – American Health Information Management Association• RHIT – Registered Health Information Technician• RHIA – Registered Health Information Administrator• CCS – Certified Coding Specialist• CCS-P – Certified Coding Specialist Physician

AAPC – American Academy of Professional Coders• CPC – Certified Professional Coder• CPC-H – Certified Professional Coder Hospital Outpatient

AHDI – Association for Healthcare Documentation Integrity• CMT – Certified Medical Transcriptionist

Health Services Managers• Plan, direct, coordinate and supervise the delivery of health

careMedical Assistants• Perform routine administrative and clinical tasks for physician

offices.ConsultantMedical Office ManagerMedical Staff Coordinator• Requires special certification of CMSC or CPCSQuality/Risk or Utilization ManagerVendor Salespeople/Consultant

DRG – Diagnosis Related GroupPPS – Prospective Payment SystemGreat Resource: http://oig.hhs.gov/oei/reports/oei-09-00-00200.pdf

Why do you think this chapter is talking about DRG’s and PPS when it is about different types of health care settings?

Acute Care Facilities• Treats serious, sudden or acute illnesses or

illnesses• Provides full range of services; including Ancillary

Services• Single Hospital or Multi-hospital Systems

Critical Access Hospital• http://www.flexmonitoring.org/cahlistRA.cgi

General HospitalSpecialty HospitalRehabilitation Hospital Behavioral Health Hospital

Ambulatory or OutpatientsAmbulatory SurgeryEmergency CareInpatientNewbornObservationSubacute

Home CareSkilled CareHospice Care

Long-term Care• Assisted Living Facility• Continuing Care Retirement Communities• Intermediate Care Facility• Long-term Care Hospitals• Residential Care Facility• Skilled Nursing Facility

Managed Care• Prepaid healthcare sector• Combines healthcare delivery and financing of

health care services

HMO – Health Maintenance Organization• Provides coverage to members on a prepaid basis• Closed-panel HMO – specific group of providers• Open-panel HMO – contracted providers

Point of Service (POS) – can use HMO or Non-HMO providers. A copayment is required.Preferred Provider Organization

Utilization Management• Controls health care costs and ensures quality• Preadmission Certification (PAC)• Medical Necessity

Correctional Facilities• Primary Care• Chronic Disease Management • Inpatient Care

Military Health System• Military treatment center• Military Medical Support Office• Veterans Health Administration• Veterans Integrated Service Networks

Public Heath Service

Instructions, Medical Record & PHR Form are in Doc SharingImportant: Record is now for Edward Newman and updated the PHR forms

Fill in the forms in the spaces provided from the information provided in the health recordCan only fill in the form in the spaces providedCan use the “tab” key to move to each space

Example

Reading: Essentials of HIM Chapters 2 & 3Discussion Board: Post answer to DQ by Saturday, two responses to others due by TuesdayCase Scenarios QuizUnit 2 QuizPersonal Health Record Activity – Begin working on this activity. The first update is due in Unit Four.