HIMT book: 490 (6th ed.): Utilization Management and Case Management

and 506-509 (6th ed.): Recovery Audit Contractor, Quality Improvement Organizations

and scanned documents (6th ed.) Clinical Documentation Improvement (CDI)

1. Discuss how these topics are all interrelated and why they are important to a hospital.
2. Choose one topic above, and give an example of how it can either:
3. Increase the patient care outcomes on.
4. Save the facility money.
   1. Complete Health Record Discussion: Read pages 68-71 (5th ed.) or 81-84 (6th ed.) in your HIMT book, discussing HIM Functions in an Electronic Environment.

Think about the Revenue Cycle Process and how it might work in an electronic environment. Within the reading it says, "the HIM professional must verify that there is a complete health record for every episode of care"... and it's important that the billing submitted is consistent with the documentation in the health record.

1. How might some of the topics discussed in these pages affect how we code and submit charges?

2. What are some things we need to be careful of when working in an EHR, and when submitting charges?

All submissions should be in your own words. Reference any materials you're paraphrasing or citing, anything that didn't come from your own thoughts.