Download or read book Cheat Sheets A Clinical Documentation Workbook written by MSN MPH Jessica Reeves and published by . This book was released on 2021-11-19 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: Attention nursing students, NP students, PA students, med students or new grads - a clinical documentation workbook that is a time- and life-saver!
Download or read book The Clinical Documentation Sourcebook written by Donald E. Wiger and published by John Wiley & Sons. This book was released on 2010-02-02 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: All the forms, handouts, and records mental health professionals need to meet documentation requirements–fully revised and updated The paperwork required when providing mental health services continues to mount. Keeping records for managed care reimbursement, accreditation agencies, protection in the event of lawsuits, and to help streamline patient care in solo and group practices, inpatient facilities, and hospitals has become increasingly important. Now fully updated and revised, the Fourth Edition of The Clinical Documentation Sourcebook provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing and protecting your practice. The Fourth Edition offers: Seventy-two ready-to-copy forms appropriate for use with a broad range of clients including children, couples, and families Updated coverage for HIPAA compliance, reflecting the latest The Joint Commission (TJC) and CARF regulations A new chapter covering the most current format on screening information for referral sources Increased coverage of clinical outcomes to support the latest advancements in evidence-based treatment A CD-ROM with all the ready-to-copy forms in Microsoft® Word format, allowing for customization to suit a variety of practices From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Fourth Edition offers sample forms for every stage of the treatment process. Greatly expanded from the Third Edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out. Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file.
Download or read book Medical Billing Coding For Dummies written by Karen Smiley and published by John Wiley & Sons. This book was released on 2019-12-05 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to starting a successful career in medical billing and coding With the healthcare sector growing at breakneck speed—it’s currently the largest employment sector in the U.S. and expanding fast—medical billing and coding specialists are more essential than ever. These critical experts, also known as medical records and health information technicians, keep systems working smoothly by ensuring patient billing and insurance data are accurately and efficiently administered. This updated edition provides everything you need to begin—and then excel in—your chosen career. From finding the right study course and the latest certification requirements to industry standard practices and insider tips for dealing with government agencies and insurance companies, Medical Billing & Coding For Dummies has you completely covered. Find out about the flexible employment options available and how to qualify Understand the latest updates to the ICD-10 Get familiar with ethical and legal issues Discover ways to stay competitive and get ahead The prognosis is good—get this book today and set yourself up with the perfect prescription for a bright, secure, and financially healthy future!
Download or read book Guide to Clinical Documentation written by Debra D Sullivan and published by F.A. Davis. This book was released on 2018-07-25 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understand the when, why, and how! Here’s your guide to developing the skills you need to master the increasing complex challenges of documenting patient care. Step by step, a straightforward ‘how-to’ approach teaches you how to write SOAP notes, document patient care in office and hospital settings, and write prescriptions. You’ll find a wealth of examples, exercises, and instructions that make every point clear and easy to understand.
Download or read book Nursing Cheat Sheets written by Jon Haws and published by . This book was released on 2019-01-04 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt: FULL COLOR Nursing Cheat Sheets It's Time To ACE the NCLEX® Ready to take your studies to the next level? At NRSNG we get it... understanding nursing concepts can be difficult. Wouldn't it be nice to be able to carry around a book that's sol purpose is to break down those tough nursing concepts into concise information? With the Nursing Cheat Sheets, that is exactly what we've done! 76 quick easy to read nursing cheat sheets. Detailed images and graphs that make learning fun and easy! This book contains the most needed, most referenced, and sometimes most confusing information in an easy to read, understand, and remember format. Stop Wasting TimeWith tables, pictures, graphs and more . . . you are ready to soar!Perfect for the new nurse or nursing student looking to save time and energy in their studies.Nursing Cheat Sheets comes in full color!
Download or read book 75 Nurse Cheat Sheets written by Aaron Reed and published by Createspace Independent Publishing Platform. This book was released on 2015-10-18 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: MASTER THE MOST IMPORTANT INFO! Trim the fat and get the quick facts. Condense your knowledge base so you can skip the fluff, save time, and master your nursing career! The largest collection of nursing labs, medications, assessments, procedures, acronyms, diagrams, mnemonics, equations, conversions, scales, graphs, pictures, & 20 pages of abbreviations and Spanish translations. This enormous mobile phone and eBook reference will replace all of your expensive and bulky laminated clinical sheets. We have poured through the textbooks and publications to serve you the meat and potatoes. Includes detailed tables, diagrams, algorithms, and charting tools. As well as... * Abbreviations * ABG: Analysis * ABG: Interpretation * ACLS: Bradycardia, Stroke, Tachycardia, Acute Coronary Syndrome algorithms * ACLS: Cardiac arrest, Post Cardiac Arrest algorithms * Admit Notes * APGAR * Artificial airway, endotracheal tube, & laryngoscope size by age * Blood Chemistry * Blood Compatibility * Blood Gas Formulas * Blood Products * BLS Algorithm * Body Mass Index & Body Surface Area * Braden Scale * Cardiac Volumes & Pressures * Cardioversion, Defibrillation, & Fluid Challenge by Age * Chest Pain * Coagulation Studies * Code Drugs * Colloids * Complete Blood Count * Conversions: mcg, mg, mL, kg, lbs., mmHg, & cmH2O * Cranial Nerves * Crystalloids * Daily Body Fluids * Deep Tendon Reflex Scale * Discharge Note * Electrolyte Imbalances * Glasgow Coma Scale * Height Conversion Table * High-alert Medications * History & Physical Exam * Ideal Body Weight * Intracranial Pressure Symptoms * Insulin: onset, peak, duration, & appearance * Lead Placement * Levels of Consciousness: characteristics * Lung Volume Descriptions * Lung Volumes: Obstructive vs. Constrictive * Maintenance Hourly Fluids * Major Nerves: motor action, & sensation * Mechanical Ventilation Parameters: abbreviations, formula, normal values * Mini Mental Status Exam * Morse Fall Scale * Murmurs * Muscle Strength * Nerve Root: motor action, sensation, reflex * Orientation & Disorientation Behaviors * Oxygen Tank Factor Equation * Oxygen: device, flow, FIO2, notes * Pacemaker Codes * PFT Special Test Descriptions * PFT Values: calculations per kg, & normal for 70kg * Postpartum & Delivery Note * Preload/Afterload/Contractility * Preoperative, Procedure, & Postoperative Notes * Pressure Ulcers: stage, characteristics, interventions * Respiratory Pattern Diagrams * Serum Drug Levels * Stroke Scale: Cincinnati * Temperature Conversion Table: formula, F to C * Transfusion Reactions * Transfusion Times * Translation: English to Spanish * Transmission-Based Precautions * Urinalysis * Vital Signs, Weight, Height: by age * Weight Conversion Table * Wound Care: products, indications, considerations Prepare, Pass, Perform... with NurseMastery!
Download or read book Nursing Notes the Easy Way written by Karen Stuart Gelety and published by . This book was released on 2010-11-01 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ever wonder what to put in a nursing note? This pocket sized guide provides you with over a hundred templates for written and verbal comminication in nursing to help you.
Download or read book Medical Billing and Coding For Dummies written by Karen Smiley and published by John Wiley & Sons. This book was released on 2012-06-15 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: The easy way to start a career in medical billing and coding With healthcare providers moving to electronic record systems, data accuracy and efficient data processing is more important than ever. Medical offices need professionally trained billers and coders, either in the office or via telecommute, to handle records for internal and external accessibility and efficiency. Medical Billing & Coding For Dummies gives you everything you need to know to get started in medical billing and coding. It gives you practical, easy-to-follow coverage and advice on how to find a course, educational topics you should review and pursue in order to stay competitive in the field, and the laws and other regulations you'll encounter in your work. Certification requirements and standard industry practices Tips for dealing with government agencies and insurance companies Ethical and legal issues If you're looking to start a career in the popular field of medical billing and coding, this hands-on, friendly guide has you covered!
Download or read book Documentation Manual for Writing SOAP Notes in Occupational Therapy written by Sherry Borcherding and published by Slack Incorporated. This book was released on 2005 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Manual focusing on documenting the occupational therapy process. Each skill is broken down into small steps and taught individually. Includes a template for writing problems, goals, and each section of the SOAP note. Also includes practice worksheets and detachable checklist and summary.
Download or read book Suggestions to Medical Authors and A M A Style Book written by American Medical Association and published by . This book was released on 1919 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book 101 Primary Care Case Studies written by Sampath Wijesinghe and published by . This book was released on 2020-10-28 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Real-life primary care case studies* from more than 50 primary care providers, including physician assistants, nurse practitioners, and physicians! 101 Primary Care Case Studies offers real-life patient scenarios and critical thinking exercises to help you work through a patient's chief complaint. Through narrative case studies, you will determine how best to diagnose, treat, and manage your patient based on the history of present illness, review of systems, relevant history, and physical examination findings. This workbook will ask probing questions to help you determine differential and most likely diagnoses, diagnostic tests to order, and appropriate patient management strategies using relevant and timely references to support your decisions. The organization of each case study simulates the patient care journey from chief complaint to outcome. Serving as a virtual clinical preceptor, this workbook can be used independently or in a classroom setting. It is accompanied by a robust online student supplement that provides answers to all questions, real outcomes of the cases, and valuable personal insights from the authors on how the patient was successfully managed. Not only will this workbook help you work through patient cases clinically, it will also share important, but often overlooked, bedside manner skills needed to successfully communicate with and care for your patients. Covering conditions across all organ systems and across the lifespan, this workbook is organized by chief complaint, providing an authentic perspective on what to expect in the patient care environment. It even includes information on pathophysiology and how to use ICD-10 and CPT (E/M) codes in your documentation. The book uniquely weaves together both the science and art of medicine by including personal insights into quality and compassionate care. Key Features Provides real-life patient cases from an interprofessional author team of physician assistants, nurse practitioners, and physicians Uses a templated case study design and critical thinking exercises to help you methodically work through various patient scenarios Teaches clinical and bedside manner skills imperative for delivering quality patient care Covers patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations Offers additional insight on patient education, medical and legal concerns, and interprofessional collaboration Includes a robust online student supplement with valuable insights from the authors on how they successfully managed the cases Provides instructors with a table of contents that is filterable by chief complaint, diagnosis, patient population, and organ system *Details changed to protect patient information.
Download or read book Clinical Herbalism E Book written by Rachel Lord and published by Elsevier Health Sciences. This book was released on 2021-06-17 with total page 577 pages. Available in PDF, EPUB and Kindle. Book excerpt: The only textbook of its kind, Clinical Herbalism: Plant Wisdom from East and West is an ideal resource for anyone interested in herbal therapy. With comprehensive, clearly written coverage of Western and Chinese herbs for each body system, this brand-new text offers case histories, along with easy-to-understand instructions for preparing tinctures, percolations, dual extractions, and much more. Integration of Western and Chinese herbal therapeutics presents health challenges from an energetic context, making it especially useful for those with minimal Chinese Medicine training. Complete coverage addresses a wide variety of topics, including theory, wildcrafting, apothecary, herbal remedy-making, client interaction, and creating and dispensing formulas. Compendium of Western and Chinese herbs covers usages, contraindications, and herb-drug interactions with an emphasis on herbal safety. Comparison of Western diseases and Chinese syndromes helps pinpoint which herbs and formulas best match a person’s health condition. Case histories present specific therapeutic principles and suggested formulas on conditions commonly faced by herbalists. Explicit instructions detail how to make salves, lotions, and syrups, plus tinctures, percolations, and dual extractions, including calculations, proportions, and worksheets. Functional medicine principles address the root causes of common chronic Western diseases.
Download or read book MedSurg Notes written by Ehren Myers and published by F A Davis Company. This book was released on 2004 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Davis's Notes book. MedSurg Notes provides succinct, on-the-spot guidance for caring for patients with complex medical-surgical conditions. MedSurg Notes offers focused assessments, immediate interventions, and follow-up care for patients who develop complications, all presented from the nurse's point of view. Flowsheets allow room for recording frequent vital signs, serial lab values, stat meds, and interventions. From setting up an oxygen delivery system in a hospital room to administering stat meds, nurses and nursing students should keep MedSurg Notes always at their side to help deliver high-quality care. Bookstore managers:"Baker's Dozen" with free point-of-purchase display (ISBN 1232) is available. Call for details.
Download or read book Health Information E Book written by Mervat Abdelhak and published by Elsevier Health Sciences. This book was released on 2014-12-24 with total page 800 pages. Available in PDF, EPUB and Kindle. Book excerpt: Uncover the latest information you need to know when entering the growing health information management job market with Health Information: Management of a Strategic Resource, 5th Edition. Following the AHIMA standards for education for both two-year HIT programs and four-year HIA programs, this new edition boasts dynamic, state-of-the-art coverage of health information management, the deployment of information technology, and the role of the HIM professional in the development of the electronic health record. An easy-to-understand approach and expanded content on data analytics, meaningful use, and public health informatics content, plus a handy companion website, make it even easier for you to learn to manage and use healthcare data. Did You Know? boxes highlight interesting facts to enhance learning. Self-assessment quizzes test your learning and retention, with answers available on the companion Evolve website. Learning features include a chapter outline, key words, common abbreviations, and learning objectives at the beginning of each chapter, and references at the end. Diverse examples of healthcare deliveries, like long-term care, public health, home health care, and ambulatory care, prepare you to work in a variety of settings. Interactive student exercises on Evolve, including a study guide and flash cards that can be used on smart phones. Coverage of health information infrastructure and systems provides the foundational knowledge needed to effectively manage healthcare information. Applied approach to Health Information Management and Health Informatics gives you problem-solving opportunities to develop proficiency. EXPANDED! Data analytics, meaningful use, and public health informatics content prepares HIM professionals for new job responsibilities in order to meet today’s, and tomorrow’s, workforce needs. EXPANDED! Emphasis on the electronic health care record educates you in methods of data collection, governance, and use. NEW! Chapter on data access and retention provides examples of the paper health record and its transition to the EHR. NEW! Focus on future trends, including specialty certifications offered by the AHIMA, the American Medical Informatics Associations (AMIA), and the Health Information Management Systems Society (HIMSS), explains the vast number of job opportunities and expanded career path awaiting you.
Download or read book The Clinical Documentation Improvement Specialist s Complete Training Guide written by Laurie L. Prescott and published by . This book was released on 2014-10-23 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Your new CDI specialist starts in a few weeks. They have the right background to do the job, but need orientation, training, and help understanding the core skills every new CDI needs. Don't spend time creating training materials from scratch. ACDIS' acclaimed CDI Boot Camp instructors have created The Clinical Documentation Improvement Specialist's Complete Training Guide to serve as a bridge between your new CDI specialists' first day on the job and their first effective steps reviewing records. The Clinical Documentation Improvement Specialist's Complete Training Guide is the perfect resource for CDI program managers to help new CDI professionals understand their roles and responsibilities. It will get your staff trained faster and working quicker. This training guide provides: An introduction for managers, with suggestions for training staff and guidance for manual use Sample training timelines Test-your-knowledge questions to reinforce key concepts Case study examples to illustrate essential CDI elements Documentation challenges associated with common diagnoses such as sepsis, pneumonia, and COPD Sample policies and procedures
Download or read book Coding and Documentation Compliance for the ICD and DSM written by Lisette Wright and published by Routledge. This book was released on 2017-01-12 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: Coding and Documentation Compliance for the ICD and DSM provides professionals, professors, and students with a logical and practical way of understanding a difficult topic in healthcare for the clinician: coding. Established professionals will find the tools they need to comply with the ICD series, HIPAA, and integrated care models. Professors and students will appreciate having a systemized, standardized approach to teaching and learning the more complex aspects of ICD compliance. The interplay between the ICD and DSM manuals is also explicated in clear terms.
Download or read book Medical Insurance Made Easy E Book written by Jill Brown and published by Elsevier Health Sciences. This book was released on 2013-08-07 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement. 3 separate chapters offer coverage of the basic concepts of medical coding. A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process. Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care. Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations. Sidebars and Examples highlight key concepts and information related to the core text lesson. A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software. Features completely updated information that reflects the many changes in the insurance industry. Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
