Acute Care
Acute Care is medical care rendered in facility providing 24/7 care via an inpatient hospital setting or emergency department. Hospitals are governed by many State and Federal regulatory requirements including state statutes and Administrative Code, Medicare Conditions of Participation, as well as accreditation requirements by The Joint Commission. Health Information Management professionals are well informed of these requirements regarding coding/billing, documentation, information management, retention, etc. The following are resources provided to assist in the understanding of Acute Care and the regulations governing the delivery of Acute Care Services.
American College of Physicians – Internal Medicine
American College of Surgeons
American Hospital Association
CMS Conditions of Participation for Patient Rights
CMS Critical Access Hospitals Center
CMS Interpretive Guidelines for Hospitals
CMS Interpretive Guidelines for Swing Bed Hospitals
Long-Term Care Hospitals Prospective Payment System
Medicare Hospital Inpatient Prospective Payment System
Medicare Program Manuals
Office of Inspector General Compliance Program Guidance
Physician Certification and Re-certification of Services
The Joint Commission – Critical Access Hospital Accreditation
The Joint Commission – Hospital Accreditation
Wisconsin Administrative Code
Wisconsin Pricepoint System
Associations and Health Care Related Organizations
American Medical Association
Centers for Disease Control
FDA
Health Care Compliance Association
The Joint Commission
The Joint Commission Move Medicare’s Consumer Information
National Library of Medicine
National Institutes of Health
National Cancer Institute – (Cancer Trials page)
Occupational Health and Safety Administration
Office of Civil Rights
Office of Inspector General (Work plan – Reports > Work plan)
Social Security Administration
US Dept of Health and Human Services
Wisconsin Society for Healthcare Risk Management
World Health Organization
Coding
AHIMA Engage
CMS ICD-10
Coordination and Maintenance Committee
ForwardHealth APR DRG
Hierarchical Condition Categories (HCCS)
Documentation and Coding Practices for Risk Adjustment and Hierarchical Condition Categories
National Center for Health Statistics
ICD-10 Resources
AHIMA ICD-10 Information
NCHS ICD-10-CM
A&P Proficiency Website
Anatomy – Think Anatomy
Anatomy Drill & Practice – Wiley College
Anatomy of Human Body – Bartleby
Anatomy On-Line – Inner Body
Get Body Smart
COVID-19
Click on the paper clip icon that is located at the bottom right hand corner of the screen to obtain the handout, the Observation vs. Exposure Grid, and the evaluation.
HIPAA
HIPAA Administrative Simplification Statute and Rules
HIPAA Harmonization Guidance 2014
HIPAA Harmonization Decision Implementation Flow 2014
42 CFR Part 2 – Confidentiality of Substance Use Disorder Patient Records Health Information Management Guidelines Summary of Final Rule Changes
Home Health Care
CMS Outcomes and Assessment Information Set (OASIS)
CMS HH State Operations Manual
CMS Benefit Policy Manual for Home Health
CMS Claims Processing Manual for Home Health
Office of Inspector General Compliance Program Guidance
Standards of Practice for Community Health – Community Health Accreditation Program
Wisconsin Administrative Code – Chapter DHS 133 – Home Health Agencies
Legal
Long Term Care
Interoperability
Physician Office
AAAHC – Accreditation Association for Ambulatory Health Care
CMS Ambulatory Surgery Center SOM
CMS Rural Health Clinic SOM
CMS Ambulatory Surgical Centers (ASC) Center
CMS Physician Center
CMS Fee Schedules
Government Publication Office
Medicare Benefit Policy Manual for Comprehensive Outpatient Rehab
Medicare Benefit Policy Manual for Rural Health Centers
Medicare Claims Processing Manual – Rural Health Clinics/FQHCs
NCHS (National Center for Health Statistics) ICD-10
NPPES
Rural Health Clinic Center
Privacy and Security
Quality
RAC (Recovery Audit Contractor) Program