The coding module allows for coding diagnoses and procedures performed during a hospital stay and do the grouping and GHM GHS. It also calculates the fee for each practitioner.
It can be used in 2 ways:
- either independently by selecting the row ICD10 coding and ACPC File menu : buttons validation and then cancellation can save or cancel changes to the RUM but do not close the window of the coding module. To exit the module it is necessary to click the close box of the window. This mode allows you to search and directly encode the files. The search for a folder is done by indicating its number in the field File No. . This number is the number given by your hospital's internal computer system. If the record of this patient is not in the database, the software allows you to create a new direct folder from the coding window. (For client-server versions, it is possible to prevent the creation of a folder in the coding window by unchecking the box in the Save dialog based)
- either from the window management folders by clicking the Edit button RUM : buttons validation and cancellation can save or cancel changes to the RUM then close the window of the coding module to return to the window that called the coding module. This mode allows direct access to a patient RUM selected from a list.
The main window contains the coding module in the case of a hospital stay three tabs: a tab
- Entering diagnoses which allows entry of diagnoses and associated Pricipals connected and calculation automatiquedu homogeneous group of patients (GHM) and homogeneous group of stay (GHS)
- a tab Seizure of medical which allows entry of acts performed during the hospital stay and CACUL fees
- a tab Hospital stay which summarizes all data for the preparation of summary medical unit (RUM).
In the case of acts performed in outpatient or office, the only window has tab Entering medical procedures.
Developing a RUM requires the following steps:
- Select or create a folder
- either from the window Records Management
- either directly by searching for a file by its number File to learn through homogeneous group of patients s
- coding diagnoses
- research then adding the primary diagnosis
- then addition of any research related diagnosis
- research and possibly adding significant diagnoses associated
- research and possibly adding diagnoses associated documentary
- coding of medical research
- then addition of medical procedures or
- then for each medical procedure
- indication of the practitioner who performed the act
- possibly indicating the extension code documentary
- possibly an indication of the treatment phase
- possibly indicating code modifiers
- possibly indicating the association code not provided any indication
- Code Claim exceptional
- possibly verification and coding manual of the measure under the NGAP
- Verification and validation of Print entire RUM possible
0 comments:
Post a Comment