Question

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.

Answer 1

The nurse should include information about the impact of documentation on reimbursement, the role of HIPAA in reimbursement, and the importance of a clinical information system.

Step-by-step explanation:

The nurse should include the following information in the teaching session:

1. Home health, long-term care, and hospital nurses' documentation can affect reimbursement for healthcare. This means that the documentation of nurses in these settings can have an impact on the amount of money the healthcare facility receives as reimbursement for the care provided.
2. HIPAA is the basis for establishing reimbursement for healthcare. The Health Insurance Portability and Accountability Act sets standards for the protection of patient information. It requires healthcare providers to maintain strict confidentiality of patient records, which is important for establishing reimbursement.
3. A clinical information system must be installed by 2014 to obtain healthcare reimbursement. While this information may be outdated as 2014 has passed, it highlights the importance of having a system in place to gather and record clinical information for reimbursement purposes.