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OCS - Ophthalmic Coding Specialist - Dump Information

Vendor : Medical
Exam Code : OCS
Exam Name : Ophthalmic Coding Specialist
Questions and Answers : 45 Q & A
Updated On : October 18, 2018
PDF Download Mirror : [OCS Download Mirror]
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OCS Questions and Answers

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OCS Ophthalmic Coding Specialist

Study Guide Prepared by Killexams.com Medical Dumps Experts


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OCS exam Dumps Source : Ophthalmic Coding Specialist

Test Code : OCS
Test Name : Ophthalmic Coding Specialist
Vendor Name : Medical
Q&A : 45 Real Questions

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Medical Medical Ophthalmic Coding Specialist

clinical coding gives hope for Canadian Valley expertise center graduate | killexams.com Real Questions and Pass4sure dumps

Elaine Simpson is using the education she received in medical coding at Canadian Valley Technology Center as a springboard to realize her dream of one day becoming a medical doctor. [PHOTO PROVIDED]

Elaine Simpson is using the schooling she bought in clinical coding at Canadian Valley expertise center as a springboard to know her dream of one day fitting a medical medical professional. [PHOTO PROVIDED]

YUKON — just about two years ago, Elaine Simpson's mailbox offered hope.

The optimism came from a booklet showcasing classes for adults. Simpson, 31, of Mustang, noted she had needed an honest job to make ends meet after having these days given start to her 2d newborn. She had achieved some faculty health classes, however she became not wanting to work 12-hour shifts in normal direct patient care. She examine a course description in Canadian Valley expertise middle's adult and continuing training brochure highlighting the “business facet” of the fitness care industry. She dug deeper. “I came across clinical coding,” she talked about. “It sounded best. I figured there became a lot I might learn and nevertheless be a reside-at-home mom.” there were openings in Canadian Valley know-how center's daylight scientific Coding professional program on the Cowan Campus in Yukon, so she attended category full-time.

In 13 months, Simpson had completed the route and handed the licensed expert Coder (CPC) examination. She earned a CPC-A credential, which capability she was diagnosed as an apprentice. After working in the container for almost two years, she utilized for removing of the “A,” and is now a totally credentialed CPC. “My last day on Oct. 30 (2016), I acquired a call for my first job,” Simpson referred to. “I started working the very subsequent week.” After five months working as a clinical coder for a medical device issuer, she discovered a connected job with stronger pay on the Oklahoma metropolis Indian health facility. each 12 months, the sanatorium serves basically 20,000 individuals representing greater than 200 tribes.

“i am on the Chickasaw Nation (tribal registry) roll, so I accept as true with this is the appropriate region for me at the present,” she said. “every little thing I realized at Canadian Valley as far as coding and clinical terminology and the anatomy and physiology, i'm placing to use.”

The subsequent chapter

Simpson mentioned her new career has inspired her to continue dreaming and upgrading her knowledge. “I enrolled in school yesterday,” she pointed out. “once I went earlier than, I wasn't basically enthusiastic about it. I actually have loads of desires in mind.” She has chosen pre-med as her major and plans to develop into a medical doctor. “i really like the undeniable fact that i am getting to recognize the business facet of how all of this works, as a result of my dream is to open up my own follow at some point,” Simpson spoke of. “I think like this could all play a role in assisting me make my desires come real.”

making a choice on a coding profession

scientific coding education gives entry-degree frequent administrative scientific office abilities through the more difficult medical coverage and coding competencies. successful insurance and coding competencies are the key to the persisted success of the medical practice as these avenues supply the cash flow for the company to proceed, referred to Christi Walker, Canadian Valley technology center's clinical coding expert instructor.


medical scheme accused of discrimination after charging ‘fat americans’ extra for surgery | killexams.com Real Questions and Pass4sure dumps

Surgeons and anaesthetists are entitled to can charge 50% greater when operating on obese sufferers, regardless of the character of the surgery.

This has come to gentle in an attraction at present earlier than the Council for scientific Schemes (CMS) that Moneyweb has considered with the permission of the affected person.

The aged lady (Mrs X), via her son to whom she has given vigor of lawyer, is accusing Spectramed of discriminating towards fats individuals since it refuses to pay for the treatment of obesity or any fees and procedures “directly or indirectly” related to it. The 50% surcharge is for this reason also excluded.

In impact, Spectramed covers surgery on obese sufferers at a reduce level than its different contributors, Mrs X says.

She had spinal fusion surgery past this yr. The 50% surcharge changed into levied by using her orthopaedic surgeon (R16 903), neurosurgeon (R4 581) and an anaesthetist (R8 041). As all of the clinical suppliers additionally charged more than Spectramed’s tariffs, her complete co-price for the operation and observe-up medication topped R100 000.

Spectramed, in its obesity Funding coverage, defines obesity as “any increase in weight”.

In files earlier than the council, neither Spectramed nor the patient dispute the appropriate of the scientific authorities to can charge the 50% ‘modifier’ over and above their regular expenses.

clinical coding specialist Dalena Coetzee of Medcodelink is, although, very critical of the surcharges.

She explains that scientific specialists cost by means of citing codes on their invoices. These codes are generally approved in the trade and represent the selected remedy administered to the affected person. They aren't time-based.

considering the fact that the mid-Nineties, the SA medical association (Sama) has held a coverage that every one new codes and code alterations to the South African coding system should have the U.S. existing Procedural Terminology (CPT) coded in deepest hospitals in SA as a foundation.

Coetzee says the CPT offers for a ‘modifier’ in terms of which surgeons may additionally negotiate additional charges should they believe the regular prices insufficient in a selected case. This might, as an example, be due to the time spent or the complexity of the case. The clinical skilled, although, ought to personally motivate the groundwork for the extra fees as neatly because the extent – how much they plan to can charge over and above their regular expenses.

in the US here's the exception, now not the rule, Coetzee says. A physique mass index (BMI) of forty and higher is listed as a risk in the US – however for anaesthetists handiest, now not for surgeons, she says.

She says that in South Africa, the modifier 0018 conveniently provides for surgeons and anaesthetists to levy a 50% surcharge for all surgery on sufferers with a BMI of greater than 35, and it's broadly utilized.

There is not any clinical basis for it being at a level of 50% and no requirement for the medical knowledgeable to display any medical groundwork for the surcharge in a selected case. It could, therefore, be charged on anything else from abdominal surgery to an operation on the attention or finger, where its medical relevance may well be questioned.

A representative of the CMS, besides the fact that children, informed Moneyweb that the weight problems have to be clinically crucial for 0018 to lawfully follow.

In an previous ruling against a few scientific schemes together with Spectramed, the CMS last enchantment Board found that the surcharge pertains to improved surgical time and value, now not expanded possibility to the success of the system. The board pointed out a piece of writing that explains that there is extra can charge regarding the coaching and positioning of the patient and accelerated charge of surgical devices.

The 0018 modifier has been in use in South Africa considering 2002, Coetzee says. greater recently anaesthetists brought “physical repute modifiers” to their permitted codes.

These give for five degrees of further cost where patients have pre-existing circumstances that complicate surgery. These encompass a BMI above forty, smoking and heavy drinking.

Coetzee says the groundwork for these modifiers is more applicable than a blanket BMI modifier. She aspects out that it might, besides the fact that children, effect in duplication the place these are charged apart from the 0018 ‘weight problems’ modifier.

Coetzee says scientific schemes generally do not pay the expenses linked to the ‘actual popularity modifiers’, which leaves individuals carrying the can.

In its previous ruling, the last enchantment Board rejected a protocol, developed by using a managed doctor and utilized via Spectramed and different schemes at the time, which excluded fee for joint substitute surgical procedure on overweight patients since the protocol become now not evidence-based mostly as required via law.

In her enchantment, Mrs X argues that Spectramed is now attempting to slip the same exclusion, this time in terms of all surgery, in through the returned door by way of its obesity Funding coverage.

She says the policy is not contained in the scheme guidelines and that the CMS would no longer approve one of these rule as it discriminates in opposition t a vulnerable neighborhood of participants.

Mrs X assumes in her grievance that the modifier became charged lawfully. Her grievance is geared toward Spectramed’s refusal to fund the 0018 surcharge for any type of surgery on a patient with a BMI of more than 35.

The scheme in its response made it clear that it relies on its obesity Funding coverage, drafted through its managed care company and administrator Agility health. Agility additionally applies the coverage to the resolution health clinical Scheme, which it also administers.

Mrs X argues that a stipulation – that “no member who is obese” or who has an “elevated weight”, whatever thing this vague time period capability, “can also under any cases claim charge for fees associated with surgery for any condition”, for the mere motive of them being overweight – constitutes unfair discrimination and is in contravention of the clinical Schemes Act.

She says the coverage isn't proof-based mostly as required and constitutes risk preference, which is illegitimate. chance option happens when schemes directly or in a roundabout way motivate low-chance individuals to enlist in schemes while discouraging high-possibility individuals.

If the funding coverage stipulated that no people who smoke may additionally claim payment for any lung-connected illnesses akin to bronchitis, it might cause a public outcry, Mrs X states.

She says Spectramed seemingly argues that obesity is self-inflicted and that non-overweight members shouldn’t be expected to go-subsidise the surgery cost of overweight participants. She says there are lots of situations that may can charge extra to deal with and may be greater typical and even brought about by means of alcoholism, smoking, HIV infection and so on. “Yet the mere idea of singling out those populations for obligatory co-funds – which the 0018-modifier exclusion amounts to in its crude kind – for his or her perceived tradition decisions rightly fills anyone with repulsion.”

No date has yet been set for the appeal hearing.

Moneyweb has asked Agility fitness for comment. Agility replied but didn't reply our questions. study our questions and Agility fitness’s response.

* Spectramed does cover the 0018 modifier when the circumstance is a prescribed minimal improvement (PMB).

dropped at you with the aid of Moneyweb

For greater information your way, down load The Citizen’s app for iOS and Android.


medical Coding: The global Market by way of Classification system, part, end-consumer and Geography - Forecast to 2023 - ResearchAndMarkets.com | killexams.com Real Questions and Pass4sure dumps

DUBLIN--(enterprise WIRE)--The "world medical Coding Market - Segmented by way of Classification equipment, through part, by using conclusion-person, and Geography - increase, trends, and Forecast (2018-2023)" document has been introduced to ResearchAndMarkets.com's offering.

The global scientific coding market is expected to register a CAGR of 9.9% all over the forecast duration, 2018 to 2023.

Rising incidence of insurance frauds and insurance considerations linked to misinterpretation of clinical files is liable for using the demand of medical coding functions, in particular in developed nations.

clinical Coding is being increasingly used at the moment to create a proper checklist of patient care, streamline the medical billing method, accelerate payments to physicians and establish healthcare areas that require center of attention. there is high demand for clinical billers and coders in latest job market. The good news is coding-related jobs are increasing due to the becoming landscape of the company facet of healthcare.

The Bureau of Labor information (BLS) tasks that the number of positions in the box of clinical records and health advice technicians which includes medical billers and coders will increase 13% between 2016 and 2026. This trade's increase fee is sooner than the national average for all occupations, and about 27,800 new positions may be added with the aid of 2026. hence this escalating demand for coding jobs drives the medical coding market throughout the globe.

different factors using the market growth are rising want for a familiar language to in the reduction of frauds and misinterpretations linked to assurance claims and high demand to streamline health facility billing tactics.

statistics protection is a huge concern for healthcare agencies. The different components restraining the market are lack of skilled IT gurus and changing laws related to clinical coding.

North the usa is expected to dominate the market throughout the forecast length. high demand for professional coders and presence of a favorable healthcare equipment are key factors expected to drive market boom.

additionally, Asia Pacific is anticipated to demonstrate lucrative increase all through the forecast length. increasing number of knowledgeable coders and issuer organizations is predicted to gasoline market growth in the location.

essential developments available in the market

  • Aviacode, announced a global expansion throughout the acquisition of a Hyderabad, India-primarily based medical coding company.
  • Key topics lined

    1. Introduction

    2. research Methodology

    3. executive summary

    four. Key Inferences

    5. medical Coding Market Overview

    6. scientific Coding Market Dynamics

    7. scientific Coding Market Segmentation

    eight. enterprise Profiles and competitive panorama

  • 3M business
  • Aviacode Inc.
  • Dolbey methods Inc.
  • Maxim health suggestions functions
  • clinical checklist acquaintances LLC
  • Oracle enterprise
  • Parexel foreign company
  • Precyse solutions LLC
  • Startek fitness
  • Verisk Analytics
  • 9. future of the medical Coding Market

    For greater information about this record consult with https://www.researchandmarkets.com/analysis/7b9wdk/medical_coding?w=4


    OCS Ophthalmic Coding Specialist

    Study Guide Prepared by Killexams.com Medical Dumps Experts


    Killexams.com OCS Dumps and Real Questions

    100% Real Questions - Exam Pass Guarantee with High Marks - Just Memorize the Answers



    OCS exam Dumps Source : Ophthalmic Coding Specialist

    Test Code : OCS
    Test Name : Ophthalmic Coding Specialist
    Vendor Name : Medical
    Q&A : 45 Real Questions

    What have a look at manual do I need to bypass OCS exam?
    The Dumps furnished with the aid of the killexams.com was simply some thing first-rate. just 300 out of 500 is highly enough for the exam, but I secured 92% marks in the actual OCS exam. All credit score is going to you human beings most effective. it is tough to assume that if I used any other product for my exam. it is tough to get an extraordinary product like this ever. thanks for everything you furnished to me. i will truely endorse it to all.


    Take benefit modern-day OCS exam Q&A and get licensed.
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    Is there OCS exam new sayllabus available?
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    All is nicely that ends properly, at final handed OCS with Q&A.
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    Get p.c. modern expertise to put together OCS examination. satisfactory Q&A for you.
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    Ophthalmic Coding Specialist

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    Coding Changes for 2013 | killexams.com real questions and Pass4sure dumps

    January 2013

    Coding Changes for 2013By Ruth Broek, MBA, RT(R), CIRCC, CCS, CPC-H, CHCRadiology TodayVol. 14 No. 1 P. 8

    Every year the Centers for Medicare & Medicaid Services (CMS), coinciding with the implementation of new CPT codes, revises the payment system for Medicare services. The final rules are out, and while the published changes will have a minimal impact on hospital payments for diagnostic radiology services, they will have a significant impact on physician payments for the same services.

    Fortunately, for hospital billing, the CMS has not created any new composite APs such as the advanced imaging composite currently in place. Unfortunately, for physician billing, the CMS has created two new families of codes that are subject to multiple procedure discounting that will reduce physician payment.

    Changes in Medicare Payment to PhysiciansThis year, cardiovascular and ophthalmology procedures will be subject to multiple-procedure discounting of the physician technical component payment; the professional component will not be subject to discounting. This change in payment impacts procedures performed in a physician’s office, not in the hospital setting. The cardiovascular family includes services such as angiography radiological supervision and interpretation codes, noninvasive vascular procedure codes, cardiovascular nuclear medicine procedures, and cardiac catheterization. The ophthalmology family includes services such as ultrasound procedures of the eyes.

    The most significant impact to physician billing of radiology services is the new cardiovascular family. (For a full list of affected codes, see pages 166 to 169 in the Federal Register for a list of the cardiovascular codes and pages 169 to 170 for ophthalmology codes.) When one or more procedures from this family are performed, the technical component of the first procedure will be reimbursed at 100%, and the technical component of each additional procedure in the family will be reimbursed at 75% of the physician fee schedule. When a physician bills for a global service (professional and technical component together), the technical component of the global payment will be subject to the discounting formula for these procedures.

    One other change for this year is the discounting of several medicine procedures. Procedure codes 78802, 78803, 78806, and 78807 have been subject to the -51 modifier (multiple-procedure discounting) for a long time. This year, however, code 78306 (whole-body bone scan) will be discounted 50% when reported with 78320 (bone SPECT).

    Changes in Medicare Payment to HospitalsThere are significant changes in the Hospital Outpatient Prospective Payment System (HOPPS), the majority affecting cardiac catheterization and electrophysiology procedures. The only 2013 HOPPS change affecting the payment for radiology services worth mentioning is that the status indicator for code 19290, Preoperative placement of needle localization wire, breast, has changed from status indicator N (unconditionally bundled) to Q1 (conditionally bundled). If only a needle localization is performed at the facility (the patient goes to another provider for the biopsy), code 19290 will be reimbursed. Currently, no payment is received in this scenario.

    CPT Code ChangesSeparate from the annual changes in Medicare payments, the CPT Code Book also is updated annually. This year, though, there were few changes for reporting CPT codes for diagnostic radiology procedures. An overview of key changes to diagnostic radiology codes are discussed below. (Note: The majority of the CPT code changes for 2013 are related to interventional radiology. These services will be mentioned but will not be discussed in detail here, as they warrant their own article. This topic will be discussed in more detail in Radiology Today’s February issue.)

    Minor Description and Inclusion ChangesSeveral changes were made in CPT code descriptions to add to any physician terminology the phrase “or other qualified healthcare professional.” These codes are used by professionals, such as clinical nurse specialists and nurse practitioners, who are licensed to perform the described procedures and have their own provider number. The change in terminology identifies that but does not change their usage.

    One procedure code has been added to the list of procedures that include conscious sedation. Code 22522 describes vertebroplasty performed on an additional level. The initial level codes already include conscious sedation, so this change should not have any impact.

    Chest ProceduresThe codes describing pneumocentesis and thoracentesis (32420, 32421, and 32422) were removed this year and replaced by the following new codes:

    • 32554, Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance;

    • 32555, Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance;

    • 32556, Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance; and

    • 32557, Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance.

    The 2012 code for chest drainage with a catheter (32551) was changed to an open procedure designation. This code will no longer be appropriate for percutaneous procedures performed with imaging guidance. Code 32556 or 32557 will be used for percutaneous placement of an indwelling pleural drainage tube. Codes 32555 and 32557 include the imaging guidance (fluoroscopic, ultrasound, CT, or MRI).

    Pain ProceduresThe description for code 64561 has been changed to indicate this inclusion of fluoroscopic guidance, so it now reads as Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed. Imaging guidance always has been a bundled component of neurostimulator implantation; this just formalizes the policy.

    There is one new code: 64615, Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal, and accessory nerves, bilateral (eg, for chronic migraine).

    Code 64615 should not be reported in conjunction with codes describing chemodenervation of unilateral muscles innervated by the facial nerve for other reasons (eg, blepharospasm, hemifacial spasm) or chemodenervation of the neck, extremity, and/or trunk muscles.

    BronchographyThe two codes describing unilateral (71040) and bilateral (71060) radiologic supervision and interpretation for bronchography have been deleted and are not being replaced.

    Spine X-RaysThere are three changes to descriptions for CPT codes that describe cervical spine X-rays, as follows:

    • Code 72040 has changed from describing two or three views to three or less views.

    • Code 72050 has changed from describing a minimum of four views to four or five views.

    • Code 72052 has changed from describing a complete procedure, including obliques and/or flexion and/or extension, to six or more views.

    Similar to thoracic and lumbar spine procedures, cervical spine X-rays will be reported by the number of views instead of the type of views. There has been no change in the recommendation to use code 72020 for one view of any section of the spine.

    Nuclear MedicineThree new codes have replaced the four existing codes that describe thyroid imaging. There will be only one code for uptake, one code for imaging, and one code for the combination of the two. It will no longer matter whether one uptake is performed or multiple; the code will be the same.

    Codes 78006, 78007, 78010, and 78011 have been replaced with the following:

    • 78012, Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed);

    • 78013, Thyroid imaging (including vascular flow, when performed); and

    • 78014, Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed).

    Two new codes have been established for reporting parathyroid SPECT, and the description for the existing code for parathyroid imaging (78070) has been changed to identify it as being performed with only planar imaging. The new codes combine planar and SPECT imaging into one code. One code (78071) describes planar and SPECT parathyroid imaging, while the other new code (78072) describes concurrent acquirement of CT images with the planar and SPECT parathyroid imaging.

    Interventional RadiologyThe most extensive CPT coding changes for 2013 involved interventional radiology. All codes describing cervicocerebral imaging have been deleted and replaced with codes that bundle the different ways these procedures may be performed. One code will be used to report procedures previously reported with numerous codes.

    The codes describing thrombolysis, including the catheter exchange, have been deleted and replaced with comprehensive codes based on each day of treatment. And the codes describing intravascular foreign body retrieval have been deleted and replaced with a single code that includes the radiologic supervision and interpretation. The new codes are all in the 30,000 series of CPT.

    Final ThoughtsThe American Medical Association is constantly refining the CPT coding system. The trend is to bundle procedures into one code when services are typically performed together. For hospital billing, the CMS already has bundled payments for multiple services performed together, such as imaging guidance for biopsies and cyst aspirations. Creating codes that combine the two is a logical next step. Expect to see more codes that encompass procedures that are currently reported separately.

    — Ruth E. Broek, MBA, RT(R), CIRCC, CPC-H, CCS, CHC, has been a consultant in procedure coding for more than 25 years, with an emphasis on radiology and cardiovascular coding. For the past 12 years she has been affiliated with ZHealth, LLC and is the primary author of the Diagnostic Radiology Coding Reference, the fourth installment in the Dr Z’s Medical Coding Series.

    Other Coding Rules to FollowNew rules and guidance on how to use the CPT coding system are continually being published, usually in response to a user’s request for clarification on how to bill a procedure. Some of the instructions that are fairly significant over the past year are as follows:

    • Code 71035, Special view chest, should be reported for only a lateral view of the chest. Since code 71010 specifically states frontal view, it cannot be used for other single views of the chest.

    • Postclip placement mammography may be reported separately when performed on a different piece of equipment than the breast biopsy was. Previously it was modality specific; it is now equipment specific.

    • Ultrasound imaging of a breast biopsy specimen is reported with the unlisted code 76999. Do not use radiographic code 76098.

    • For hospital billing under the Hospital Outpatient Prospective Payment System, modifier -52 (limited procedure) may be appended only to codes describing procedures that do not utilize anesthesia. To report limited procedures that use anesthesia, modifier -74 should be appended instead of -52. This is a significant instruction from the Centers for Medicare & Medicaid Services as modifier -52 discounts 50% and modifier -74 does not discount the ambulatory payment classification payment.

    • When noninvasive vascular duplex Doppler imaging of the extremities is performed and spectral imaging and color flow are not documented, the procedure should be reported with the CPT code describing a nonvascular ultrasound of the extremity, not with the duplex Doppler code. Color flow and spectral imaging are required to report a duplex Doppler procedure.

    • The codes describing duplex Doppler of abdominal, pelvic, scrotal contents, and/or retroperitoneal organs state with arterial inflow and venous outflow. If both are not performed, the complete procedure (93975) cannot be reported. Limited procedure code 93976 should be reported instead.

    • Code G0365, Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow, may be reported only one time on a date of service. It cannot be reported with a -50 (bilateral) modifier, two units of service, or with –LT and –RT modifiers.

    — REB


    H + H's new primary care strategy offers 'welcome change,' exec tells City Council | killexams.com real questions and Pass4sure dumps

    A NYC Health + Hospitals  executive told the City Council's Committee on Hospitals Wednesday that its new emphasis on community-based outpatient care would be "a welcome change for both patients and clinicians."

    Matthew Siegler, senior vice president for managed care, said the public health system's efforts to move toward a community-based outpatient model would enhance access to ambulatory care, address social determinants of health and help ease the shift to value-based payments by reducing unnecessary emergency department visits, hospitalizations and readmissions, Siegler said. He made the presentation on behalf of NYC Health + Hospitals' President and CEO Dr. Mitchell Katz,  who was busy seeing his own primary care patients that afternoon.

    His comments came after the health system released a five-point strategy on Wednesday morning for improving primary care and reversing the decline in outpatient visits. The plan calls for building strong relationships between patients and their primary care physicians, reducing common and costly no-show rates, improving clinic efficiency, reducing long wait times for specialty outpatient services and boosting revenue with new billing and coding practices.

    Siegler acknowledged long-term challenges in shifting more care from the hospital to outpatient settings. "That shift does require significant changes in staffing and culture of health care delivery systems," he said.

    The community-based outpatient model fits in with the larger goals of health care transformation to achieve better health outcomes, improve quality of care and lower costs, said Carlina Rivera, chair of the City Council's Committee on Hospitals, during the meeting.

    Reiterating Katz's past public statements, Siegler said H + H is recruiting more primary care providers to increase quick access to care for patients closer to home and is still not planning any layoffs.

    The health system is also in the process of improving data systems to better track physician availability, he said. About 30% of providers appointment slots are being left open to accommodate last-minute requests from patients so they can be seen within one to two days. The system is also ensuring patients consistently see their assigned primary care physicians, he said.

    New ambulatory clinics are also being designed to include services such as pharmacy, behavioral health care and imaging services in addition to primary care to make visits more valuable experiences for patients, according to Siegler.

    Today, H + H will hold a ribbon cutting to expand its adult primary care center at NYC Health + Hospitals/Bellevue. It features newly repurposed space that consolidates all primary care services under one roof to improve access and continuity of care and reduces wait times for an appointment, according to the health system. NYC Health + Hospitals/Bellevue sees 60,000 outpatient visits a year in Adult Primary Care services and 500,000 outpatient visits a year overall. —Jennifer Henderson

    NYU Langone Hospital–Brooklyn sees future in robotics

    The leadership team at NYU Langone Hospital–Brooklyn sees promise in expanding its new robotic surgery program. It is already exceeding expected demand and has benefits when it comes to a continued focus on value-based care, said Dr. Bret Rudy, executive hospital director and senior vice president.

    "There was no robotics program at the time of the affiliation between NYU and Lutheran Medical Center," Rudy said. But the Sunset Park campus seized on the opportunity to bring a surgical robot over from NYU Langone's Tisch Hospital in Manhattan a couple of years ago.

    In the past year, NYU Langone Hospital–Brooklyn performed more than 400 robotic surgeries in urology, gynecologic oncology and other fields, Rudy said. And Brooklyn patients have been able to undergo less invasive surgery for many conditions without traveling to Manhattan.

    To build on its initial success, NYU Langone Hospital–Brooklyn recently purchased a second surgical robot, the da Vinci system made by Intuitive Surgical, at a cost of $2.1 million.

    Rudy said the hospital wants to ensure it can serve both inpatient and outpatient demand for robotics as it makes plans for a new ambulatory surgery center.

    Robotic surgeries have enabled many patients to return home the same day rather than spending several days in the hospital, he said. That results in cost savings for the hospital and a better experience for patients. And there is less need for aggressive pain management after surgery, particularly important during the ongoing opioid epidemic.

    Fine control in dissection and working with tissues leads to less tearing and stress on the body as well as less bleeding, said Dr. Prashant Sinha, chief of surgery. —J.H.

    Feinstein researcher gets $1.3M to save soldiers lives in the field

    A researcher at Northwell Health's Feinstein Institute for Medical Research has landed a $1.3 million two-year grant from the U.S. Department of Defense to develop a new nerve-stimulation technology to resuscitate soldiers in the field after traumatic brain injury and severe hemorrhage.

    Assistant Professor Chunyan Li will use the FORwARD research grant to develop a novel non-invasive system for stimulating a major branch of the trigeminal nerve, the largest of the cranial nerves, to keep these patients alive long enough to be transported to trauma care. She mostly focuses on electrically stimulating the ophthalmic nerve, the first branch of the trigeminal nerve, located in the forehead.

    "It actually increases blood pressure and protects the brain," said Li. "In the military, most patients die before they can reach the hospital." The treatment is used in conjunction with IV fluids when blood pressure drops sharply.

    Traumatic brain injury and hemorrhagic shock are the leading causes of trauma-related death in the military. The nerve stimulation technique works by "turbo charging" the body's own protective mechanisms. Eventually the same technology, if proved successful, could help victims of car accidents and other traumas in civilian settings, Li said. "Long range, we see a big potential," she said.

    Dr. Raj Narayan, Northwell Health's senior vice president and executive director of neurosurgery services and a Feinstein Institute professor said in a statement that Li's approach "represents a paradigm shift in the way we treat severe hemorrhage, especially in the critical early hours after a traumatic brain injury," he said. —Robin D. Schatz

    School-based health centers to benefit from new law

    Gov. Andrew Cuomo signed a bill into law Wednesday that lets taxpayers donate to the state's cash-strapped school-based health centers by checking off a box on their personal income tax form. The law calls for the money to be directed to a fund that  the Health Department can use to help pay for the expansion of services at existing clinics and to establish new ones.

    The school-based clinics provide primary care, behavioral-health care, dental care, reproductive-health and preventive-health services to low-income pupils. New York leads the nation with 255 such centers, including 158 in New York City, providing care to more than 200,000 schoolchildren. They also help children manage asthma and other chronic health conditions.

    "As the operators of the state's largest school-based health center program, we applaud Assembly Assistant Speaker Felix Ortiz, and State Sen. Velmanette Montgomery for their efforts to get this legislation passed," said Larry McReynolds, executive director of the Family Health Centers at NYU Langone Health. "We also would like to thank the governor for signing it. School health dollars have been at risk before, and this will go a long way to help sustain critical health care services for children of working families throughout the state."

    Lawmakers estimated the tax-form checkoff could generate more than $2 million per year for the school-based clinics. —R.S.

    AT A GLANCE

    WHO'S NEWS: Mark Sparta is the new president of Hackensack University Medical Center. He will continue with his current responsibilities as the executive vice president of Population Health for Hackensack Meridian Health network. Sparta assumes this role after serving as executive vice president and chief operating officer, of the medical center. From November 2014 to June 2015, he served as acting CEO of Hackensack Meridian Health Pascack Valley Medical Center.

    AMBULATORY SURGERY SYMPOSIUM: Garfunkel Wild, P.C. will be hosting its 5th annual Ambulatory Surgery Center Symposium on Nov. 2 at the Marriott Marquis in Times Square. Speakers include representatives from managed care organizations, CMS, state and national ASC association leaders, hospitals and management company executives and leading consultants. Program is approved for AEU credits. To register, click here.

     VALUE-BASED DEAL: Humana and Heritage Provider Network on Wednesday unveiled a new value-based agreement that will bring the physician-led care organization into Humana's Medicare Advantage network, Modern Healthcare reported. Members of Humana's Medicare Advantage HMO plans and dual-eligibles in several central and southern California counties will be able to select Heritage providers as their primary-care physicians, giving them access to the network's integrated healthcare system and more than 10,000 specialists.  .

    HIGH DEDUCTIBLES: Companies are slowing enrollment  in high-deductible health plans and in some cases have reinstated more traditional plans as employees gain more leverage in a tight job market, Kaiser Health News reported. This year, 39 percent of large, corporate employers surveyed by the National Business Group on Health offer high-deductible plans, as the only choice for their employees. For next year, that share is set to fall to 30%.

    PRIMARY CARE: In an article posted on the JAMA website Wednesday, Dr. Dave Chokshi, chief population health officer at NYC Health + Hospitals and Louise Cohen, chief executive  of the Primary Care Development Corporation, called for revitalizing a commitment to primary care ahead of the Global Conference on Primary Health Care in Kazakhstan, where there will be an expected focus on universal health coverage. But, they said, two other priorities are fundamental to improve primary care in the U.S.: "investing in primary care infrastructure and evolving primary care around a renewed repertoire of relationships that promote health."


    Roy Wilson, 1928-2018 | killexams.com real questions and Pass4sure dumps

    Roy James Wilson, 89, passed peacefully at University Hospital on Tuesday, June 5, 2018.

    A Gathering of Friends will take place 10:00-11:00 a.m. Saturday, June 16 at Memorial Cemetery with graveside service to follow at 11:00 a.m. in Memorial Park Cemetery.

    Roy was born Nov. 1, 1928 in Wyandotte, Okla. to Claud Leander and Lena Leota Crow Wilson.

    He attended Wyandotte High School from 1944-47. He then attended Northwestern Oklahoma A&M and then Oklahoma A&M where he received his bachelor of science in Agriculture-Animal Husbandry in 1951.

    Roy enlisted in the U.S. Army in July 31, 1951. He attained a military specialty of Water Supply Specialist. He was honorably discharged June 19, 1954 with a rank of Sergeant First Class.

    He returned to school at Oklahoma A&M where he obtained his Master of Science in Dairy Science in 1956. He then began work on his PhD at the University of Missouri from 1956-60 and worked as a graduate assistant in Dairy Production.

    Roy married Christine Mae Blackwell on June 31, 1959. They had no children of their own, but raised Christine’s three children, Sharon Kay Blackwell, Scott Anthony Blackwell and James Stone Blackwell.

    Roy went to work for the U.S. Department of Health, Education and Welfare as an Inspector of Food, Drugs and Cosmetics from 1960-1961.

    He worked for the Department of Ophthalmology at the University of Missouri from 1961-1962 at which time the family moved to California and Oregon from 1962-1969 where he worked in private industry.

    In 1969, he returned to Columbia and returned to the Department of Ophthalmology (Mason Eye Institute). During his tenure as Ophthalmic Photographer, Roy brought in the Iowa Imaging Coding system and cataloged over 265,000 images. Roy proudly noted he took over 135,000 images of children. He also was one of the first photographers in the country to utilize flash fundus photography. He provided photos over the years for the Diabetic Complications Clinical Trial. Roy retired as Assistant Professor on April 30, 1993 to provide care for his wife Christine. Christine passed away on Sept. 24, 1994.

    Roy enjoyed golf, hot air ballooning, fishing and traveling. He dearly loved his road trips to visit physicians who had been ophthalmology residents during his years at Mason Eye Institute and took great enjoyment in planning who he was going to visit along the way. He often van-camped as he crossed the country. Roy visited every continent including Antarctica and Patagonia.

    Roy’s easy-going nature allowed him to make friends quickly and he did just that as he began traveling. These friendships led to trips together to new and amazing places.

    He participated in an Earthwatch elephant survey in Kenya in 2001. His travels took him to Mongolia, Russia and China via the Trans-Siberian railroad with Martin and Stefan from Austria and Tony from Australia. He later visited Tony in Australia and New Zealand, Tonga and sailing with Norah, Brazil and a trip down the Amazon with Paul, Argentina, Chili, Uruguay, Machu Pichu, Ireland, England and many other wonderful places. Each trip had many adventures which he documented with photos.

    To those of you who shared adventures with Roy over the years, thank you. Roy is now on the greatest adventure of all. He is leaving with his passport in his pocket. We wish him safe travels....

    Roy will be missed by all including his adopted family of J.C and Gaye Baker of Columbia. Roy is survived by his step-daughter, Sharon Kay Mitchell (Ron) of Katy, Texas.

    Roy was preceded in death by his parents; four brothers and sisters, Ruby, Lena Mae, Claud Elmer and Thomas; and step-sons, Scott Anthony Blackwell and James Stone Blackwell.

    Friends may view photos and post online condolences at www.memorialfuneralhomeandcemetery.com.



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