Nr361 Week 3: Standardized Terminology and Language in Informatics
Nr361 Week 3: Standardized Terminology. This week’s graded discussion topic relates to the following Course Outcomes (COs).
- CO3 Define standardized terminology that reflects nursing’s unique contribution to patient outcomes. (PO 3)
- CO8 Discuss the value of best evidence as a driving force to institute change in delivery of nursing care. (PO 8)
What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system?
- What are the implications for our nursing practice related to use of standardized terminology for documentation?
- How do evidence-based practice guidelines impact patient outcomes and necessitate improved practice care?
Nr361 Week 3: Standardized Terminology Answer
The repercussions of payment denial by the Centers for Medicare and Medicaid Services (CMS) can have severe implications for healthcare organizations, posing a significant threat to their financial stability. Consequently, there is an imperative to prioritize accurate and comprehensive charting, employing standardized terminology in adherence to CMS guidelines (Kornusky and Uribe, 2018).
CMS establishes specific standards of care, requiring meticulous completion and charting in a prescribed manner to ensure reimbursement for organizations. Payment denial not only jeopardizes an organization’s financial health but also complicates the ability to cover essential expenses, including staff salaries. The consequences of CMS payment denial extend beyond financial strain, impacting the overall operational capacity of healthcare organizations.
References:
Kornusky, J. R., & Uribe, C. L. (2018). A guide to the CMS hospital conditions of participation. American Health Information Management Association.
The adherence to CMS guidelines in charting and documentation is not merely a bureaucratic requirement; it is a fundamental element in securing financial viability and sustaining the essential functions of healthcare organizations. The effective utilization of standard terminology and meticulous charting practices is integral to navigating the complex landscape of CMS reimbursement regulations.
