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Addressing the Demand for Medical Coders
Addressing the Demand for Medical Coders Recommendation Report of the Medical Coding Task Force 1199SEIU League Training and Upgrading Funds June 2012 Addressing the Demand for Medical Coders Contents Page Introduction .................................................................................................. 3 Background and Purpose .............................................................................. 5 Education and School Quality ....................................................................... 6 Experience: A Pre-requisite for Employment ............................................... 9 ICD-10 and Transition Support.................................................................... 11 Appendix I: Summary of Recommendations ......................................14 Appendix II: Medical Coding Task Force Members ........................... 15 2 Addressing the Demand for Medical Coders Introduction Medical coders play a key role in providing essential support for hospital and outpatient services. They are the health information management professionals responsible for reviewing all tests, diagnoses, procedures, results and medications and assigning them a code for billing and record keeping purposes. Their work requires substantial clinical understanding as well as knowledge of medical records and computer technology. The medical coders‟ role in assuring that all information is accurate and complete is crucial to the economic well-being of the hospital since their entries determine the amount of reimbursement for -
Basch Unbound—The House of God and Fiction As Resistance at 40
THE ARTS AND MEDICINE Basch Unbound—The House of God and Fiction as Resistance at 40 Stephen Bergman, MD, DPhil here’s a saying you should read nonfiction for facts demic and clinical careers. The Fat Man—the senior resident and fiction for the truth. The novel The House of God who teaches Roy Basch (a thinly veiled version of me), the T is a true account of my internship experience at moral center of the novel, and ultimately its hero—is an ex- Beth Israel Hospital (the BI) in 1973-1974. The book has sold ception. A literary invention, he seemed to write himself, 3 million copies to date and his sausage fingers on my typewriter keys, so buoyant, so funny, counting, popular because so wise. A measure of the success of the character is that Related article of its authentic portrayal of I hear of Fat Man sightings all over the world, from Iowa to medicine and postgraduate Australia, to this day. Casual readers may be turned off by his training, its rowdy sex and greed and ambitions for the “Big Fortoona.”But those who stick Video bawdy comedy, and its char- with him learn it’s all a put-on, a way of using the language of acters’ (my friends’) attempt to stay human and honor our money, which now more than ever is coursing through health patients’ humanity in a dehumanizing year. care, to disarm his interns, create connections with and be- I previously described why I wrote it.1 I knew before tween them, and teach them what is important in patient- and medical school I wanted to be a writer, but I wanted to make self-care. -
Senate Finance Majority Staff Analysis of the 2010-11 Executive Budget
Senate Finance Majority Staff Analysis of the 2010-11 Executive Budget Senator Carl Kruger Senator John L. Sampson Chair, Senate Finance Committee Conference Leader Senator Liz Krueger Senator Malcolm M. Smith Vice-Chair, Senate Finance President Pro Tem Committee Senator Pedro Espada, Jr. Joseph F. Pennisi Majority Leader Secretary, Senate Finance Committee SENATE FINANCE COMMITTEE Senator Carl Kruger – Chairperson Senator Liz Krueger – Vice-Chairperson Majority Members Senator William Stachowski Senator Suzi Oppenheimer Senator Velmanette Montgomery Senator Thomas Duane Senator Kevin Parker Senator Toby Stavisky Senator Martin Dilan Senator John Sampson Senator Andrea Stewart-Cousins Senator Antoine Thompson Senator Eric Adams Senator Neil Breslin Senator Ruben Diaz, Sr. Senator Pedro Espada, Jr. Senator Jeffrey Klein Senator Bill Perkins Senator David Valesky January 2010 Dear Colleagues; On Tuesday, January 19th, Governor Paterson proposed his Executive Budget. As a conference, our priorities for the budget are clear: it must create jobs, control spending, and protect already overburdened taxpayers. While everyone is in agreement regarding the seriousness and scope of this economic crisis, it’s also clear that in order to meet our objectives, the Executive Budget will need significant modification to meet the standard of fiscal prudence. Changing Course In less than 20 years, the State Budget grew nearly 100-percent—an unsustainable pattern that well outpaced the race of inflation. Instead of capitalizing on the economic largesse of the 1990’s and early 2000’s, prior leadership employed a borrow-and-spend tradition. Poor fiscal choices then are hurting us now. For instance, New York’s debt service load will increase by 17% this year, a clear indicator of the lack of fiscal stewardship of the past. -
Writing Contest Winners Reasons Why Doctors Write Why We Need
ALSO INSIDE: Writing Contest Winners Reasons Why 7 Doctors Write Why We Need the Arts in Medicine MINNESOTA MEDICAL ASSOCIATION JULY 2011 MINNESOTA MEDICAL ASSOCIATION 17 22 JULY 2011 TABLE OF CONTENTS COVER STORY Medical Imaging 14 Winners of our photo 47 contest p.30 PULSE 14 A Life in Pictures | By Suzy Frisch Taking photos is the best medicine for pediatric surgeon Roberta 37 Sonnino. FEATURE 16 The Body Electric | By Kim Kiser Medical students create an online showcase for their creative works. Medical Musings 17 Visual Cues | By Carmen Peota A Minneapolis Institute of Arts program aids people with memory Results of our eighth annual writing contest loss. Student Winners 18 A New Leaf | By Lisa Harden Rehab patients express themselves through clay. 38 Unspoken Words | By Erica Warnock 40 The River | By Aaron Crosby 20 Study Break | By Kim Kiser Medical students use Art of Medicine awards to explore Physician Winner their creative side. 43 Hospice | By William Shores, M.D. 22 Uniform Design | By Carmen Peota Scrubs become high fashion. Physician Honorable Mention 44 Bethany, House of God PERSPECTIVE | By Jamie Santilli, M.D. 45 I Believe, You Believe 47 Seven Reasons Why Doctors Write | By Tony Miksanek, M.D. | By Marilyn Aschoff Mellor, M.D. Physicians write for the same reasons that nonphysicians do, 46 Infertility 628.2 | By Carrie Link, M.D. plus some special ones. 8 | Minnesota Medicine • July 2011 MMA NEWS minnesota MEDICINE 25 State Launches Time Out Campaign 2011 MMA Officers Owner and Publisher President Minnesota Medical Association Patricia J. Lindholm, M.D. -
Virtual Mentor American Medical Association Journal of Ethics
Virtual Mentor American Medical Association Journal of Ethics July 2011, Volume 13, Number 7: 417-520. Physician-Authors From the Editor Healing Narrative—Ethics and Writing about Patients 420 Rimma Osipov Educating for Professionalism Clinical Cases Case Studies and the Therapeutic Relationship 425 Commentary by Ronald Pies and Judy L. Kantrowitz Ethics, Memoir, and Medicine 435 Commentary by Jack Coulehan Anonymous Physician Blogging 440 Commentary by Bryan S. Vartabedian, Emily Amos, and Jay Baruch Conley Ethics Essay Contest Winning Essay: Social (Networking) Justice 448 Russell J. Coletti Runner-Up Essay: Social Roles and Semi-Public Spaces on the Internet—The Case of Jason and Emily 454 Christopher Langston Runner-Up Essay: Jason’s Journal—Thoughts of an Ethically Conflicted Medical Student 461 Ankoor Shah Medical Education Medical Students Learn to Tell Stories about Their Patients and Themselves 466 Johanna Shapiro, Elena Bezzubova, and Ronald Koons Multiple Exposures—Reflective Writing in the First Year of Medical School 471 Martin Kohn, Janine Bernardo, Daniel Huck, and Eric Coble www.virtualmentor.org Virtual Mentor, July 2011—Vol 13 417 The Code Says AMA Code of Medical Ethics’ Opinions on Confidentiality of Patient Information 475 Journal Discussion The Poetry of John Stone, MD 478 Angeline L. Wang Clinical Pearl The Art of Writing Patient Record Notes 482 Thomas Robey Law, Policy, and Society Health Law When Doctors Pick up the Pen—Patient-Doctor Confidentiality Breaches in Publishing 485 Valarie Blake Policy Forum A Delicate Balance—Ethical Standards for Physician-Journalists 490 Tom Linden Medicine and Society Vulnerability in Physicians’ Narratives 494 Susan Sample History, Art, and Narrative Medical Narrative The House of God: Is It Pertinent 30 Years Later? 499 Howard Brody Op-Ed and Correspondence Op-Ed The Case History and Deferred Pain 503 G. -
HEALTH * PAC HEALTH POLICY ADVISORY CENTER Bulletin April 1969
HEALTH * PAC HEALTH POLICY ADVISORY CENTER Bulletin April 1969 Editorial... THE TROUBLE WITH EMPIRES SHOTS RINGING OUT IN THE STRUGGLE OVER A SOUTH BRONX COMMUNITY MENTAL HEALTH CENTER ARE BEING HEARD AROUND THE MEDICAL WORLD. COMMUNITY-WORKER FORCES ARE BEGINNING TO GIVE "THE BOOT" TO THE ARBITRARY RULE OF AUTOCRATIC GRANTSMEN AND HIERARCHICAL PROFESSIONALS. It's being called an "Ocean Hill-Brownsville" of health and mental health—only the "insiders" are both community and workers. The "outsiders" are the medical empire-promoters themselves. Those who care about an effective recon struction of the health services system must understand the national meaning, particular "imperial" context, and im mense new insurgent social energy contained in such a situation. The striking new challenge being made by community and workers' forces, allied with progressive students and professionals, not only poses new questions, but offers the only real potential for new answers—the basis for a new kind of public service sector of health. The Nixon Administration, like its Democratic predecessor, shows an increasing nervousness about the unfettered free enterprise system of health care and its financing. Despite the 30-years-late "Health New Deal" of Medicare and Medi caid, the nation faces a catastrophic breakdown of its health delivery and financing "nonsystem." In fact, Medicaid and Medicare have accelerated the escalation of medical costs—while barely beginning to fill widening gaps in service. In a nutshell, the financing, organization, and delivery of medical care, as centered in existing institutions for insurance, patient care, and education, are totally out of control. The national establishment has begun a determined search for new "enlightened trustees" to pull some of the scattered pieces together into a more manageably competitive system. -
Television's Portrayal of Doctors: Effects on the Public and the Profession
Television’s Portrayal of Doctors Effects on the Public and the Profession John E. Anderson M.D., JHUSOM ’72, JHMI Nephrology retired 2010 Board of Directors Docent Editor of Dials and Channels 2608 Mitchellville Rd, Bowie, MD 20716 NCRTV.ORG Brief History of Television August 26, 1930, Philo T. April 1939 RCAs David Sarnoff World War 2 stops TV’s Farnsworth, a Utah farm announces first commercial commercial development boy: Patent #1,773,980 broadcast TV; settles with for electronic TV Farnsworth for $1,000,000 Medic 1954-55 “The Eye of an Eagle, the Heart of Lion, the Hands of a Woman” Creator James Moser copied the style of his earlier show: Technical accuracy and unquestioned competence and integrity but ignored doctors’ personal lives, weaknesses, or motivations. Medic also established the template that most later doctor shows followed: Hospital-based, acute illnesses resolved in the allotted time. Both had the imprimatur of their professional organizations: the Los Angeles Police Department and the Los Angeles County Medical Society. The latter reviewed all scripts to ensure an idealized presentation of doctors. Dr. Kildare 1961-66 “Three Stars Will Shine Tonight” Dr. Kildare was based on a series of radio shows and movies from the 1930- 40’s. Richard Chamberlin’s Kildare was an imperfect, inexperienced but earnest young doctor mentored by Raymond Massey’s acerbic Dr. Gillispie. Guest stars on Dr. Kildare Eddie Albert Ron Howard Leonard Nimoy Ed Asner Brian Keith Carroll O'Connor Tom Bosley Ted Knight Suzanne Pleshette Robert Culp Harvey Korman Robert Reed Angie Dickinson Carolyn Jones William Shatner Barbara Eden Jack Lord Jean Stapleton Linda Evans Walter Matthau Sam Waterston Peter Falk Gavin McLeod Robert Young ` Ben Casey 1961-66 "Man, Woman, Birth, Death, Infinity!" Vince Edward’s Ben Casey was a brilliant young neurosurgeon, who battled administrators and other doctors to help his patients. -
New York City Health Hospitals Corporation
New York City Health Hospitals Corporation Primary Contact: Christina Jenkins Email Address: [email protected] Phone Number: (212) 788‐3648 1199SEIU TRAINING AND EMPLOYMENT FUNDS A T M YOUSUF A.I.R. NYC AALTONEN, ERIC ABAD, EDDA ABADI, JACOBO ABADI, MARIA ABBEY‐MENSAH, MICHAEL ABBOTT HOUSE ABDELAAL HANY DR. ABDELHALIM, AHMED ABDELMALEK, EHAB ABDUL HAY, MOHAMMAD MAHER ABDUL RAHMAN ABDULAI SAFIATU MRS. ABDULLA ALWANI, M.D. ABDULLAH MD,MUHAMMAD ABDUL‐QUADER, MOHAMMED ABDURAKHMANOVA, LARISA ABEDIN, RASHED ABLE HEALTH CARE SERVICE, INC. ABLE HEALTHCARE SERVICE, INC. ABOUELHASSAN KHADIJA MS. ABRAHAM PA,DUNSTAN ABRAHAM, BESSIE ABRAHAM, NAOMI ABRAMS MD,ELAINE J ABRAMS, CHARLES ABRAMSON, AUSTIN ABREU MARIA ABRIGHT, ARTHUR ABRIGO, LOURDES ABROKWAH, SAMUEL ABRUDESCU‐OPRAN, ADRIANA ABUELENIN MD,DANIEL ABULAFIA, OVADIA ACADEMY OF MEDICAL & PUBLIC HEALTH ABULU, JOHN SERVICES ACCESS COMMUNITY HEALTH CENTER ACHARYA, ANJALI ACHOLONU, RHONDA ACOSTA, ENRIQUE ACOSTA, ROBERT ADAMES REINA MS. ADAMS MD,MICHAEL ADAMS NP,CLAUDETH ‐ PAGNY ADAMS, JENNIFER ADAMS, SYLVIA ADAMSON MD,ORLANDO ADANIEL MD,TINDALO ADDEPALLI MD,RAJASEKHAR ADDICT REHABILITATION CENTER FUND INC ADDRIZZO‐HARRIS, DOREEN ADEBISI, AKINOLA ADEGBOYEGE DPM,SAMUEL ADELL MD,ALVIN ADELMAN, MARK ADEPT ADES, VERONICA ADEYEMI PA,LINCOLN O ADEYEMO, ISHOLA ADEYINKA, ADEBAYO ADIATU, ISMAILA ADOTEY, ALEXANDER ADU MD,ALBERT AFACAN, YUSUF AFRICAN SERVICES COMMITTEE AFROZE, SALMA AFZAL HOSSAIN AFZAL, OMARA AGABEKIAN MD,TATIANA AGARWAL, SANJEEV AGBIM, GABRIEL AGEWELL NEW YORK, LLC AGOLORY, SIMON AGORITSAS, KONSTANTINOS AGRAWAL MD,NINA AGRAWAL MD,SUMAN AGRAWAL, NARAYAN AGRIANTONIS, GEORGE AGUERO‐ROSENFELD, MARIA AGUILAR MD,DAVID J AGUSTIN MD,ELMER C AGYARE MD,SAMUEL K AGYEMAN PA,DANSO O AHAD MD,MOHAMMAD A AHAMADI MD,NAHEED AHDOOT, MICHAEL AHERN, BARBARA AHERNE, ANDREW AHLUWALIA MD,MEENA AHMAD, ASMA AHMAD, NAEEM AHMAD, NAWAIZ AHMAD, NOEEN AHMAD, SAMOON AHMAD, SUMAIR AHMADI, RAMIN AHMED FAHMIDA MS. -
Montefiore Aco Network Directory
MONTEFIORE ACO NETWORK DIRECTORY Addiction Psychiatry Allergy & Immunology Hudes, Golda , MD Berger, Alexandra , MD Ahuja, Kishore K, MD MMC Medical Arts Pavilion 3400 Bainbridge Avenue Montefiore Medical Center Perry Avenue Family Medical Center Bronx, NY 10467-2404 111 East 210th Street 3071 Perry Avenue Bronx, NY 10467-2401 Bronx, NY 10467 MMC Medical Park at 1575 Blondell 1575 Blondell Avenue MMC AECOM Melrose on Track Bernstein, Larry J, MD Bronx, NY 10461-2660 260 East 161st Street Bronx, NY 10451-3512 MMC Einstein Division Montefiore Medical Center 1825 Eastchester Road 111 East 210th Street MMC at 1510 Waters Place Bronx, NY 10461-2301 Bronx, NY 10467-2401 1510 Waters Place Bronx, NY 10461-2723 MMC CHAM Hwang, Haeyoung K, MD 3415 Bainbridge Avenue Cergnul, Irene G, MD Bronx, NY 10467-2403 Children's & Women's Physicians of Westchester MMC SATP Unit 3 at 2005 Jerome MMC Wellness Center 4350 Van Cortlandt Park East 2005 Jerome Avenue 1180 Morris Park Avenue Bronx, NY 10470 Bronx, NY 10453-1803 Bronx, NY 10461-1925 Jariwala, Sunit P, MD Chin, Tin S, MD Montefiore Medical Center 111 East 210th Street MMC Westchester Faculty Practice Montefiore Wakefield Campus Bronx, NY 10467-2401 495 Central Park Avenue 600 East 233rd Street Scarsdale, NY 10583-1068 Bronx, NY 10466-2604 MMC CFCC at Eastchester 1621 Eastchester Road MMC Medical Park At 1575 Blondell Adolescent Medicine Bronx, NY 10461-2604 1575 Blondell Avenue Bronx, NY 10461-2660 Coupey, Susan M, MD Fedor, Mary E, MD MMC Einstein Division Montefiore Medical Center Westchester Allergy -
Man's 4Th Best Hospital by Samuel Shem
Man’s 4th Best Hospital by Samuel Shem: A Review In the late 70s and early 80s I underwent my training in internal medicine at some of the busiest hospitals in New York City. The AIDS epidemic was raging. Poverty, urban decay and crime were taking their tolls. The prevailing ethic was that internship and residency were survival ordeals—a sort of “hazing” ritual to initiate new doctors, and to winnow out the weak. I seldom slept when I was “on call” every third or fourth night. I’d have responsibility for 10-15 severely ill patients by day, 30 to 40 when I covered overnights. My responsibilities included lots of “scut” like drawing blood, moving patients to radiology, and putting in IV lines. There were many times when I felt like the wheels were coming off. Amid this scenario arrived a revolutionary book, deemed illicit and underground at that time. It was so taboo that my professors condemned it and discouraged us from reading it. It was written by a young doctor who even adopted a pseudonym—Samuel Shem—to avoid repercussions to his medical career. That book was The House of God . The House of God detailed the misadventures of a young intern at a fictional hospital modeled after Boston’s Beth Israel. The protagonist is an idealistic young intern, like me, beleaguered by the overwhelming demands of his first year as a doctor. It’s a ludicrously cynical view of medicine, but its dark humor helped sustain me and my overworked colleagues through those challenging years. Shem coined the term GOMER, which stands for Get Out of My Emergency Room, which designated the endless stream of elderly, chronically ill patients who flooded our services. -
Where to Find Medical Records for Closed Hospitals in New York State
Where to Find Medical Records for Closed Hospitals in New York State This document is a list of the last known contacts for storage of hospital medical records in New York State. While every attempt is made to update this list, records may have been relocated, discarded or destroyed in accordance with retention requirements. Note that if there is no location information listed, the Department does not have any information available regarding the location of the records for the facility. Updates to the information on this list may be submitted by selecting “General Inquiries” from the Subject drop down box in the following link: https://apps.health.ny.gov/surveyd8/email-hospdtc#no-back - For information about locating records from psychiatric hospitals, please see the FAQs from the NYS Office of Mental Health at the following link: https://www.omh.ny.gov/omhweb/faq/ - For information on closed hospitals in New York City the following links may be helpful: - https://en.wikipedia.org/wiki/List_of_hospitals_in_New_York_City - http://newyork.resiliencesystem.org/sites/default/files/closed_hospitals.txt Medical Records for Closed Private Practitioners For information about locating medical records from closed private practitioners, you may contact the Office of Professional Medical Conduct at the following link: https://www.health.ny.gov/professionals/doctors/conduct/ https://www.health.ny.gov/professionals/doctors/conduct/contact.htm New York State Education Law 6530.32, available at the link below, establishes the requirements for retention of records: https://www.health.ny.gov/professionals/office-based_surgery/law/6530.htm Unless otherwise provided by law, all patient records must be retained for at least six years. -
Foundation Endowments Climb to $61.5 Million
Inside Archbishop Buechlein . 4, 5 Editorial. 4 From the Archives. 17 Criterion Question Corner . 13 TheCriterion Sunday & Daily Readings. 13 Serving the Church in Central and Southern Indiana Since 1960 www.archindy.org November 17, 2000 Vol. XXXX, No. 7 50¢ Archdiocese to honor five people dedicated to Catholic education By Susan Schramm They are a diverse group of people, Indianapolis. tuition assistance has been raised at the but they share unity in their service to Dorenbusch, Sister Marian, Pfister dinners in the previous four years. People who receive a Catholic educa- Catholic schools, their community and and Doyle will be honored with Career Tuition assistance for needy families tion often develop strong leadership the Archdiocese of Indianapolis. Achievement awards at the dinner. is necessary to ensure better access to skills and dedicate themselves to serving Hansen Rivera will The dinner’s purpose is Catholic schools, said Annette “Mickey” others. receive this year’s not only to recognize Lentz, secretary for Catholic Education That’s definitely the case with this Community Service Catholic school graduates and Faith Formation for the archdiocese. year’s winners of the Celebrating Award at the fifth annual but also to raise funds for That’s why the awards dinner is so Catholic School Values awards— Celebrating Catholic much needed financial important, she said. Carmen Hansen Rivera, John School Values awards assistance for students to “It illustrates clearly that we are Dorenbusch, Providence Sister Marian dinner and fund-raiser 2000 Career Achievement Awards attend Catholic schools in about making Catholic school education Thomas Kinney, Paul J.