Agenda - 09-17-2002 - 8g - Laserfiche WebLink

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Information Flow Assessment Questionnaire 7.Clinical Information(Continued) Storage Information Format How Stored Description Create Receive Send Store O C P E Use list Logs ShiftlStaff Notes Insurance,Other Medication Administration Medication Error Reports Nurses Notes Pathology Repolts Physician Orders Progress Notes - Ps hological Records&Testing Re orts Psychotherapy Notes . Radiology Reports Referral Information Training Programs Treatment Plan X ra Fltms None o to neat section S.Diagnosis/Procedure Codes Specify your source(s)for diagnosl&/vocedure codes in the following table: Specify Reference ✓ CDT(American Dental Association[ADA)Codes,'Code on Dental Procedures and Nomenclature' CPT(AMA,'Current Procedural Terminology Coding,Fourth Edition' - DSM-IV(American Psychiatric Association,'Diagnostic and Statistical Manual of Mental Disorders,4th Edition ICD-9-CM,Vol.1&2(Intemational Classification of Diseases,9th Edition, . Clinical Modification,Volumes 1 and 2) - ICD-9-CM,Vol.3(International Classification of Diseases,91h Edition, Clinical Modification,Volume 3 HCPCS HCFA,'Common Procedure Coding System') HCPCSJ-Codes HCPCSPharmac Codes Local Codes W and Y Codes NDC HHS,'National Drug Codes' None go to next section s. Transactions For the transactions listed below,specify whether health information is created,sent,received,or stored electronically(E), on Paper(P),andorby Voice(V). Voice includes the following: face-to-face,phone,or voicsmail. Select all that apply. Description Create Receive Send Store E P V E P V E P V E P V Authorization for Services Coordination of Benefits Eligibility Information Enrollment and Disenrollment-health plan First Report of Injury Health Care Claim - Health Care Claim Status Health Care Payment and Remittance Advice Health Claims Attachments Health Plan Premium Payment None go to next section Juhr 2001 Version 4 HIPAA 4