Bundle: Understanding Health Insurance: A Guide To Billing And Reimbursement, 14th + Law, Liability, And Ethics For Medical Office Professionals, 6th ... For Green's Understanding Health Insu
14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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Please code the E/M code and any other procedures for the following case from your CPT coding book and add modifier if applicable:
Location: Family medical center
Encounter Date: 9/7/xx
Provider: Snow Valley, MD
Patient: Heather Williams
Gender: F
Age: 43-year-old established patient
Chief Complaint: Rash, diabetes, HTN and shortness of breath after taking amoxicillin. Patient was placed in observation after an allergic reaction to the antibiotic. The amoxicillin was discontinued. Has severe dermatitis covering arms, stomach and legs. Patient was admitted to observation for further treatment and supervision. Later in the day the dermattis began fading and breathing became normal. Patient was discharged on the same date. Physician performed a detailed exam and a detailed history, and medical decision making was moderate.
Diagnosis: Localized dermatitis and shortness of breath due to amoxicillin.
A 9-year-old is receiving vancomycin 400 mg IV every 6 hours for a methicillin-resistant (Beta-lactam-resistant) Staphylococci aureus (MRSA) infection. The medication is diluted in a 100 ml bag of saline with instructions to infuse over one and a half hours. How many ml/hours should the nurse program the infusion pump? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
FORM ADPIE FROM THE FF SITUATION; (ASSESSMENT, DIAGNOSIS, PLANNING, INTERVENTION, EVALUATION)
based on the ff situation:
DRUG: Erythromycin
Age: 7
Sex: F
Educational status: N/A
Occupation: Pupil
Weight and BMI: 23 KGS/NORMAL
Blood pressure: 80/40
Heart rate: 90
Respiratory rate: 20
Temperature: 36.2
Diagnosis: Conjunctivitis, Left eye
Chief complaint: Red eyes, discharges in eyes
Prescription: Erythromycin 2% ointment in lower conjunctiva
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- Using the coding techniques described in this chapter, carefully read through the case study and determine the most accurate CPT code(s) and HCPCS code(s) and modifier(s), if appropriate. PROCEDURE: Needle-localized biopsy, right breast DESCRIPTION OF PROCEDURE: After proper consent was obtained, the patient (48-year-old female) was brought to the operating room and placed on the table in a supine position. Patient was given 2 mg of midazolam HCL, IV, titrated during the procedure; the nurse monitored Davida’s vital signs for a total of 15 minutes. The right breast area was prepped and draped in a sterile manner. Plain Marcaine 0.5% solution was injected for local anesthesia in the perioperative region. A curvilinear incision was made medial to the insertion site of the wire, as the wire was noted to pass medially in the breast. The preoperative localization films were reviewed, noting that the clip was posterior to the wire. The dissection was carried out with cautery to remove a…arrow_forwardWhat is most likely the diagnosis of the patient? Explain your answer comprehensively by citing at least 3 referencesarrow_forwardWrite a posting of at least 500 words that includes the following: An introductory paragraph that includes the following: The different PPE that need to be worn for: Standard Precautions Contact Precautions Droplet Precautions Airborne Precautions Read the profiles of the patients provided below and determine which patient is at the greatest risk of infection. Explain why this patient's risk is highest and provide 3 nursing interventions aimed at reducing the patient's infection risk based upon their specific risk factors. Patient A: A 53-year-old woman who takes prednisone daily for lupus. She is admitted to the hospital for routine post-op care following a routine hysterectomy. Her surgery was laparoscopic. Patient B: A 78-year-old man who takes Lipitor for high cholesterol. He was admitted to the hospital 2 days ago with cellulitis and has been on intravenous antibiotics for 24 hours. His condition is improving. Patient C: A 44-year-old man who takes metformin for type II diabetes.…arrow_forward
- Define the underlined terms in each case study.A 3-yr-old F/S golden retriever was presented with clinical signs of pruritus, abdominal dermatitis, and otitis. Skin scrapes were negative for external parasites. Ear cytology revealed a large number of yeast. The dog was referred to a dermatologist, who diagnosedatopy via intradermal skin testing. The dog was put on a hypoallergenic diet and was given hyposensitization injections. Medications were prescribed to control the pruritus and secondary pyoderma.1. pruritus _______________________________________2. dermatitis _______________________________________3. otitis _______________________________________4. skin scrapes _______________________________________5. dermatologist _______________________________________6. atopy _______________________________________7. intradermal skin testing _______________________________________8. hypoallergenic _______________________________________9. hyposensitization…arrow_forwardThe country is Nepal (apply sources used and information used from source) 1) Communicable Disease: Research a communicable disease that presents significant threat in your country of interest. The following information must be included in your submission. 1. Name of the disease or condition 2. Disease burden, including morbidity and mortality both locally and globally 3. Availability and access to treatment in the selected country 4. Ethnic or cultural beliefs and practices relative to the disease and/or treatment 5. Current efforts to treat/eradicate the disease including availability of nursing care 6. If there is not a significant nursing presence, who provides the care? 2) Noncommunicable Disease or Health Threat: Research a noncommunicable disease or condition (e.g. mental illness, injuries, cardiovascular disease, cancer etc.) that presents a significant threat in your country of interest. 3) Nursing and/or Multidisciplinary Interventions In a final paragraph, discuss what…arrow_forwardThe nurse is caring for a patient who has recently returned to the unit after hip replacement surgery. The physician has prescribed heparin 2500 units bid subQ. Pharmacy has provided heparin 5,000 units/mL. How many mL (s) should the parent administer per dose? Which size syring will be most accurate to use to administer this medication? What size needle should you use (gauge & lenght)? Where will you administer this medication( preferred site)arrow_forward
- This is a graded discussion: 0 points possible IV insertion Krystal Grant How does the choice of IV insertion site impact patient care and treatment outcomes? Discuss the factors you consider when determining the most appropriate site for IV placement and how you ensure safe and effective insertion in different patient populations. Share any experiences or insights you have regarding the selection of IV insertion sites in clinical practice. Q Search entries or author Unread Reply 2 Replies are only visible to those who have posted at least one reply. Q Search due- 11arrow_forwardThe nurse prepares to perform the initial assessment on a school-age client. The client has an open wound infected with methicillin- resistant Staphylococcus aureus (MRSA). Which precaution will the nurse take? O Wear gloves only. O Wear gown and gloves. Wear gown, gloves, and mask. O No precautions are necessary.arrow_forward
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