Asked by Kendra Jacob on May 31, 2024

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A nurse is teaching the staff about health care reimbursement. Which information should the nurse include in the teaching session?

A) Home health, long-term care, and hospital nurses' documentation can affect reimbursement for health care.
B) A clinical information system must be installed by 2014 to obtain health care reimbursement.
C) A "near miss" helps determine reimbursement issues for health care.
D) HIPAA is the basis for establishing reimbursement for health care.

Health Care Reimbursement

The process by which health care providers receive payment for their services from insurers or patients.

Documentation

The act of recording details and information about a specific situation, process, or patient encounter in a formal and systematic manner.

Clinical Information System

An integrated healthcare information system used in hospitals and clinics to manage patient data, treatments, and healthcare workflows efficiently.

  • Understand the importance of uniform evaluations and care coordination for financial compensation.
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JS
Jasmine Scott

Jun 04, 2024

Final Answer :
A
Explanation :
Nurses' documentation practices in home health, long-term care, and hospitals can determine reimbursement for health care. A "near miss" is an incident where no property was damaged and no patient or personnel were injured, but given a slight shift in time or position, damage or injury could have easily occurred. A clinical information system (CIS) does not have to be installed by 2014 to obtain reimbursement. CIS programs include monitoring systems; order entry systems; and laboratory, radiology, and pharmacy systems. Diagnosis-related groups (DRGs) are the basis for establishing reimbursement for patient care, not HIPAA. Legislation to protect patient privacy regarding health information is the Health Insurance Portability and Accountability Act (HIPAA).