Understanding Health Insurance: A Guide to Billing and Reimbursement (MindTap Course List)
14th Edition
ISBN: 9781337554220
Author: Michelle A. Green
Publisher: Cengage Learning
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Respond to the questions below use between 4-6 sentences in a paragraph form and grammar error free format.
The cardiology department of Smithville Community Hospital wants to expand the cardiovascular lab to include additional procedure rooms and equipment. Several cardiologists have mentioned that there seems to be an increase in the number of patients and number of cardiac procedures performed. The hospital CIO was asked to evaluate the request and provide an initial report to the Board of Directors. The CIO worked with the VP of clinical operations to write the report. Using the physician and procedure indices within EHR, the CIO and VP completed a 10-year historical analysis of all cardiac patients and procedures. They identified inpatient and outpatient procedures, documented the number of outpatients who were also cardiac inpatients at some point, and reviewed wait times for scheduling of procedures. Four years of historical data was available in the current EHR for wait-time…
Hello,
Can you help me with the analysis of the next case please? .
Analysis (Prioritizing Hypotheses): What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care? In order of priority, identify the top 3 client conditions.
I chose the next case but it can be any, just in case you have a better sugestion.
"Jameela was a successful lawyer in her 40s who visited a psychiatrist, explaining that for almost a year she had been feeling anxious. She specifically mentioned having a hard time sleeping and concentrating and increased feelings of irritability, fatigue, and even physical symptoms like nausea and diarrhea. She was always worried about forgetting about one of her clients or getting diagnosed with cancer, and in recent months, her anxiety forced her to cut back hours at work. She has no other remarkable medical history or trauma."
Thank you in advance!
Mary Dobos was admitted to Boca Raton Community Hospital in serious condition with an abdominal aneurysm. The hospital called upon Nursing Care Services, Inc., to provide around-the-clock nursing services for Mrs. Dobos. She received two weeks of in-hospital care, forty-eight hours of postrelease care, and two weeks of at-home care. The total bill was $3,723.90. Mrs. Dobos refused to pay, and Nursing Care Services, Inc., brought an action to recover. Mrs. Dobos maintained that she was not obligated to render payment in that she never signed a written contract, nor did she orally agree to be liable for the services. The necessity for the services, reasonableness of the fee, and competency of the nurses were undisputed. After Mrs. Dobos admitted that she or her daughter authorized the forty-eight hours of postrelease care, the trial court ordered compensation of $248 for that period. It did not allow payment of the balance, and Nursing Care Services, Inc., appealed. Decision?
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- Using the actual patient prescription below, create a script for your patient counseling scenario which aims to educate the patient with his prescription. - Directly write below, no need to discuss the steps involved in counseling, rather, write the actual counsel that you would deliver to the patient ( As if you are directly talking to him). Limit your script to at least not more than five minutes of conversation when delivered to the patients.arrow_forwardEllen Armstrong, cmas (amt), is responsible for all patient insurance billing procedures, Ellen has the following information: Total charges Allowed charges Office visit $150.00 $100.00 Return visit $80.00 $75.00 Deductible has not bee satisfied. Calculate the patient's correct billing if the provider accepts assignment. Calculate the patient's correct billing if the provider does not accept assignment.arrow_forwardIdentifying the patient's personal circumstances about what they need to know and how they will best receive this information is the patient-centered approach that is advocated within medical circles. Group of answer choices A.True B.Falsearrow_forward
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