For each of the four scenarios, distinguish whether it is an ad hoc representation, a standard representation, an informal standard, or a formal standard. In support of your reasoning for each of the four scenarios, provide at least one additional example of that type of distinction (ad hoc representation, standard representation, informal standard, or formal standard) that you have identified through a targeted literature review of this aspect of the classification and representation of health information. Scenario #1 A significant portion of the U.S. population receives health care coverage under the federal government’s Medicare and Medicaid programs. The Centers for […]
Create a policy which explains when to and when not to assign secondary diagnosis codes according to Uniform Hospital Discharge Data Set (UHDDS) guidelines. Also include in your policy, guidelines for Present on Admission Status (POA) assignment . Be sure to include at two examples in your policy.
Please answer ALL multiple choice questions! 1). For a fluid restricted patient, an appropriate formula to select for use would be ____ kcal/mL/ a. 0.8 b. 1 c. 1.2 d. 1.5 2). The most important technique for prevention of aspiration in an enterally fed patient is: a. To position the patient at a 45-degree angle for feeding b. To use a calorically dense enteral formula c. To use a large bore feeding tube d. To administer feedings at a slow rate 3). Which one of these routes of parenteral access is considered long term? a. Peripheral intravenous catheter b. Peripherally […]
– Why is proper documentation important for reimbursement in health care? 2 – Are Medicare Part A therapy services that are provided by a PT or a PTA student in an outpatient setting reimbursed? 3 – Are Medicare Part A therapy services that are provided by a PT or a PTA student in an inpatient setting reimbursed? 4 – Can a PTA with 1 year experience be a clinical instructor for a PTA in any setting? 5 – What are the Uses of the PTA under Medicare for the following facilities? CORF HHA Inpatient hospital Outpatient hospital Private Practice Physician […]
Read the Chapter 4 Pressure Ulcer case study in your textbook and answer the discussion questions. Your paper should be two to three pages in length, excluding the title and reference pages, and formatted according to APA guidelines as outlined in the Ashford Writing Center. In addition to the textbook, utilize a minimum of two scholarly sources to support your points. Case Study Discussion Questions: What are the steps of the practice-based evidence (PBE) process related to this case study? As the informatics specialist working with the clinical team in the four long-term care facilities, identify the following: elements to […]
You are now representing the insurance company. Your goal is to question the hospital’s ability to find competent doctors. Are they covering their bases? Should the hospital be considering other factors when granting privileges to doctors? If this hospital does grant privileges to incompetent doctors, your job is on the line. Why? Because you provided the hospital with a policy, and it will have to pay on a malpractice suit if one of their doctors is negligent. So be thorough!
The Vice President of Human Resources has briefed you on the employee-related provisions of the new law. Although there are very few provisions that require the hospital to make significant changes to policies and procedures, there is a concern about the number of agencies that now have an added emphasis on the hospital providing high quality health care to the patients. Vice President of Human Resources has also provided some additional information regarding how the Department of Health and Human Services, Medicare, and Medicaid have increased their oversight of all hospital operations, especially regarding the receipt of all due reimbursements. […]
What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.