Chapter 5, Problem 7R

Medicare and other payers may consider a procedure to be non covered service when performed in an ASC for several reasons. List two  detail answer please typed

A scenario. Mary works in a hospital health information management department, and Maureen, her friend, comes one day to pick up the medical records of a patient who is a client of the lawyer Maureen works for. Maureen, however, has forgotten to bring the client’s signed authorization form, though she assures Mary the form, which she saw the patient sign, is at her office. Since Maureen’s need for the form is urgent and there isn’t enough time to return with the form today, Maureen hopes to take the records and return with the form another day.  In light of what the Code and HIPAA say, how might Mary and Maureen best resolve the problem? How might a code of ethics provide personal medical information more protection than HIPAA? In what ways, if any, does HIPAA protect personal medical information where codes of ethics do not?

TELEPHONE TRIAGE Scenario: You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call?  If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example. "Hello, I would like to make an appointment to see the doctor. I am having some chest pain, and find it a bit hard to breathe.”

This is for Ethics in Health Care Please answer both parts in a total of no less than 350 words or more than 450. 1. List and describe five material principles (criteria) according to which scarce resources might be distributed. How would the different theories of justice assess these as potential candidates for just distribution of medical resources? 2.You are on an ethics advisory committee that has been tasked with developing a policy for determining who receives organs through cadaveric organ transplantation. In your proposal address such questions as the relevant material principle(s) of justice that you are using (and their relative priority), as well as whether (or in what cases) citizenship is a relevant criterion for being admitted to transplantation waiting lists.

With the use of Electronic Health Records most healthcare facilities and offices no longer submit a paper claim form instead of the fields in the EHR translate in the background to an electronic format of the CMS 1500 (physician claim) or a UB04 (hospital claim) form. However, it is still essential that you understand how to complete a claim form properly. In reviewing the different Blocks on the CMS 1500 form, choose a section of Blocks (as discussed in the unit) and in your own words: List the Block Numbers (i.e., Blocks 1-8), Describe what information goes into the Blocks Discuss any formatting requirements for the Blocks and what happens to a claim if the formatting is incorrect. In the second document above, CMS discusses Incomplete or Invalid Submissions. Explain how the Part A/Part B Medicare Administrative Contractors (MAC) handles these types of claims. CMS also discusses the difference between a “clean claim” and “other-than-clean claims.” Explain in your own words the…

Note:- Do not provide handwritten solution. Maintain accuracy and quality in your answer. Take care of plagiarism. Answer completely. You will get up vote for sure.

Communication: Therapeutic/Nontherapeutic Video scenario Catherine: Hello Ron:hi Catherine:My name is catherine, and i'll be asking you some questions.could you please tell me your name and your date of birth? Ron: Yes, Ron Toledo. september 14th, 1958. Catherine: All right, Mr. toledo. Are we felling any better now? Ron: No, I i still think I'm having a nervous breakdown. I just can't get over loosing my job, and since my mother died, I just don't have anyone. I mean, she did everything for me. I just don't think i can do this. Catherine: And what exactly makes you say that? Ron: I just told you! she did everything for me! Catherine : Dont worry. Things will get better soon. I know exactly how you feel. I felt the same when i lost my father.Perhaps you should just focus on something else to get off your mind. Question: What nontherapeutic communication styles did the nurse use in this scenario? What therapeutic communication styles could the nurse have used instead? In your response,…