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Medical Billing and Coding Paper

Medical Billing and Coding Paper

 

To: JTalbot45@yahoo. com Subject: Meeting on July 27, 2009 Dear Joceyln Talbot, Mr. Bradshaw has asked to set up a meeting for next Wednesday the 27th of July at 2:00 pm. He would like to meet you at King Charles Hotel on River Street. The address is 345 River Street Franklin, Va 23673; if you need to put the address into your GPS. Inside the hotel there is a restaurant called Nomi’s that’s where the meeting will be held. Along with Mr. Bradshaw he is bringing the assistant manager, Rory Webster. This meeting is being held so you can share your ideas about the Tower Project.Medical Billing and Coding Paper

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I recommend you bring either a tape recorder or a pen and a notepad since you will need to remember some of the ideas. Please call if you cannot come to the meeting or you need to reschedule. Sincerely, Stephanie Persico perstep@lala. com (326)448-9327 To: IT DepartmentDate:September 20, 2010 From:Stephanie Persico Subject: Departmental training seminar There will be a one-day training seminar for the IT Department on October 2, 2010. It will be held in the dual conference room at the Gaylord Convention Center in Maryland. The address is 123 Harbor Blvd.Medical Billing and Coding Paper

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National Harbor, MD 12345 if you need to get directions. Dr. Melanie Dobler will be the guest speaker. The seminar will be held in the Deluxe Convention Room on the first floor. We expect around 150 to 160 people so that room is definitely big enough. Christina Smith said that she can loan us a computer and screen for a PowerPoint presentation. PartyCity Inc. has also loaned tables and chairs for the seminar. We are in need for someone to make photocopies of materials before the seminar so we can send them out so everyone is prepared for the seminar.Medical Billing and Coding Paper

We also need someone to help with snacks for the two breaks between the two major parts of the seminar. The schedule looks like this so far: 9:00 am—Sign in/Hand out materials if you didn’t get it in the mail 10:00 am—Begin seminar/Seating 10:15 am—Dr. Melanie Dobler Speech 10:45 am—Break 11:00 am—IT Training 12:30 pm—Lunch (casual) 1:30pm—Question and Answer 2:30 pm—Ask Dr. Dobler Question/Answer 3:00pm—Seminar is done If you have any questions or comments or if you can lend us things that you think we need please call me at extension 1235.

Please reserve your seat by September 30, 2010. There is a reservation sheet on my door just sign your name in one of the boxes. SMP 5490 King’s Hill Rd. Longwood, Virginia 29754 July 21, 2009 Mrs. Leah Certner Medi-Skill Incorporation 122 West Third Street Mayfield, NY 12117 Dear Mrs. Certner: I saw your help wanted ad for the Office Assistant in The Free Lance Star’s Sunday’s newspaper. Please consider me for the position. I went to Brooke Point High School and graduated Class of 2003; I received a degree in Advanced Studies.

I am close to graduating with a Certification in Medical Billing and Coding from Penn Foster Online College. Within this certification there is strong education in Business Administration. I have taken extra classes including typing courses and Business writing. As soon as I am done getting my certification I plan on going onto my Associate’s degree in Business Administration. Since starting my classes I have started a new job with Stafford County Sheriff’s Office doing data entry and administrative duties.Medical Billing and Coding Paper

My duties include receiving deputy reports and inputting the reports into the County system, putting traffic tickets into the County system, answering the phones and helping the public. I can type 55 words per minute and have the responsibility of handling the Sheriff’s correspondence on a daily basis. I am looking to change jobs because I want to do more administrative work and grow then what my current job can offer. With my experience and training I know that I can bring a lot to your office. If you need to reach me to schedule an interview please call me at (234)877-5432. Sincerely, Stephanie Persico Enclosure: Resume`Medical Billing and Coding Paper

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Skin and Medical Attention Essay.

Skin and Medical Attention Essay.

 

Suntans and Sunburns A Case Study in the Integumentary System By WH Cliff and AW Wright A Painful Winter Break On the first day after arriving in Australia for Christmas vacation, a University of Niagara student plays out in the sun for six hours. Later that night he notices that the skin on his trunk, legs and arms becomes red, swollen and extremely painful. By morning all of the afflicted areas have developed numerous blisters. These areas cover about 30% of the trunk (front and back) and 40% of the arms and legs. 1. What organ has been damaged? The skin has been damaged (Integumentary System) . What general types of tissue have been afflicted? The Epidermis and upper layer of the Dermis tissue have been afflicted (Stratified squamous epithelium, Areolar Connective tissue and Dense Irregular tissue) 3. What type of burn has the student received? Explain. The burn would be classified as a second degree burn due to the redness, swelling, pain and blisters associated. 4. What type of radiation has caused the burn? Ultraviolet (UV) radiation from the sunlight is the cause of the burn. 5. List ALL the layers of the skin that have been damaged? Epidermis: Stratum Basale

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Stratum Spinosum Stratum Granulosum Stratum Corneum Dermis: upper layer (Papillary layer) 6. List ALL layers that have been killed? All of the layers of the Epidermis were killed: -Stratum Basale -Stratum Spinosum -Stratum Granulosum -Stratum Corneum 7. What tissue repair process causes the blistering? The inflammation process (part of the healing process) causes the blistering. 8. Why is this type of burn so painful? A second degree burn is painful since the sensory receptors of the nerves were damaged. A burn is considered critical and should receive prompt medical attention if: gt; 25% of the body is covered by 2nd degree burns or > 10% of the body is covered by 3rd degree burns 9. What percentage of the total body surface has been burned? Show your calculations! 32. 4% of body surface was burned 30% Trunk (front and back): 36% – 30% .36 * . 30 =0. 108 =10. 8% 40% Arms and Legs: (36 ant/pos legs + 18 ant/pos arms = 54) 54% – 40% .54 * . 40 =0. 216 =21. 6% 21. 6% + 10. 8% = 32. 4% 10. Is the burn critical? Should the student seek medical attention? Yes the burn would be considered critical since more than 25% of the total body surface was burned.

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The student does need to seek medical attention immediately! 11. List all of the body functions that may be disrupted by such a burn. * The body’s Homeostatic mechanism may have been disrupted (Integumentary) * Inability to sweat which cools the body down (Nervous) * Cell regeneration may have been disrupted due to oxygen not being distributed properly (Respiratory) * Dehydration due to the lack of volume in the blood flow (Cardiovascular) * The inability to flush waste due to dehydration may have been disrupted as well (Urinary) * Muscle movement which produces heat along with joint mobility limits (Muscular) Proteins and other elements for the body’s immune system response system could very well be disrupted (Lymphatic) Recovery 12. After a few days the skin peels and the burned areas begin to heal. The student notices that the healing areas are more susceptible to injuries due to chafing or trauma. What has happened to the skin that would cause this increased susceptibility? Damage causes Elastin Fibers to clump which in turn can cause a leather type appearance. DNA changes of the skin cells can cause skin cancer and temporarily depress the immune system.Skin and Medical Attention Essay.

The skin layers that were affected by the burn are normally tough but since they were damaged, they are thin, likely susceptible to more injury. During the next week after the student returns to the States, his friend tells him that a sunburn prepares his skin for a deep tan. His friend encourages him to quickly begin tanning sessions at a local tanning salon before the effects of the burn wear off. 13. What would you advise him to do? Why? I would not advise the student to undergo tanning sessions because this could cause serious, extensive pigmentation changes.

I would suggest that he keep the burn cool (do NOT use cold water because this could cause further damage to the wound) and cover it with a gauze. Let the wound air dry if possible before applying gauze. I would also advise the student that he could take over the counter pain medications. The student may also apply prescription ointments if prescribed but do not use oils or butters. Definitely tell him to NOT break the blisters because it could cause infection to the open sore, not to mention scaring. Last, the student will need to get a tetanus shot if he has not had one in the past 5 years because burn wounds are more prone to tetanus.Skin and Medical Attention Essay.

Burned skin is only considered sterile the first 24 hours. The student will also need to keep an adequate diet. He will need thousands of nutrients and liquids to heal the body in order to replace those that were lost. 14. Is a deep tan a sign of skin that is healthy or severely stressed? Explain your answer. A deep tan is a sign of severely stressed skin. The deepness is a reflection of the overprotection of melanin to protect the bodies DNA of the skin. When repeat damage is done, melanin is compromised and considered useless.Skin and Medical Attention Essay.

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Medicare in the Twenty First Century and Beyond Essay.

Medicare in the Twenty First Century and Beyond Essay.

 

Introduction Information communication technology is a tool that covers almost every aspect of modern day life and it is no wonder that the benefits derived are now ever present in the medical sector. Numerous contributions continue to be made on the subject as the use of communications technology gains a stronger foothold in the field of medicine. The spotlight focuses on issues with regard to its use by physicians and nurses alike and how it is has a significant impact on their respective professions as well as the patients.

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The digital age is providing opportunities that focus on early prevention as opposed to curative medical practice. There is also the advantage of accessibility where patients are able to seek medical attention from any part of the world and physicians together with nurses can provide medical attention efficiently. At the same time reservations persist about the benefits of technology in the medical field such as confidentiality, reliability, security and the patients’ ability to use the equipment as per requirements.

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Demand for nurses is on the rise and it is one of the ten fastest growing occupations in the United States. (Bureau of Labour Statistics, 2001) and with an ever increasing ageing population, every one of five people will be 65 years or older by the year 2030. (Federal Interagency Forum on Aging and Related Statistics 2000). This translates to the need for more nurses and physicians in the future. Digital Healthcare In the modern world digital healthcare is coming into its own. Cutting edge technology and communications are the key tools in service delivery, prevention and management of health conditions.

This is being facilitated through video conferencing, the Internet, store-and-forward imaging, remote monitoring, streaming media, terrestrial and wireless communications and robotics. (Stokowski, Healthcare Anywhere:The Pledge of Telehealth, 2008). Digital information and clinical diagnosis are transmitted from the client’s computer to medical facility and can be enhanced by relaying data real time especially for heart and brain disease as well as rehabilitation. This also covers biometrics.

Nursing applies the same methods in service delivery in monitoring and management of chronic diseases. There is a compendium of devices that transmit physiological data to nurses (Fairchild, 2008) which helps educate patients on how to cope with their medical conditions. Despite the challenges, overall efficiency is improved and the incidences of hospitalization are significantly reduced. The safety aspect increases because of constant monitoring and attention to the patient who is able to conduct tests on blood sugar, pulse rate and blood pressure.

According to Vasquez, it is important to refer willing patients appropriately to a telemonitoring program after being instructed on how to use the equipment. This also facilitates wound care management in remote areas. Electronic communication and telehealth is changing nursing through the use of applications. There is an increase in educational opportunities through the use of specilazed training and interaction with students all over the world. Less paper work allows the nurses to avail more time to the patients through the use of standardized reporting systems such as laptop computers.

This results in improved communication, improved workflow and improved utilization management (Kibbe, 2001) for example diabetes treatment and management data transmitted to Clombia University Web-based Clinical Information System. These solutions afford professionals right answers in th e right form at the right time or place (Detmer, 2001). Questions specific to a particular disease and questionnaires on health status assist in quick and accurate decisions including improved health.Medicare in the Twenty First Century and Beyond Essay.

There is increased patient input through partenships such as Setting Pririties for Retirement Years Foundation assist the aging on health, finances and independence. Patients are able to contact the nurses at any time resulting in mutual satisfaction and nurses are able to intervene early enough preventing emergencies. Some of the challenges that come with telehealth are physical set up of the system, informed consent, exchange of emails and the triage and handling of the email communication (Ohler).

The system should be based on the health and Institution Portability and Accountability Act of 1996 which takes confidentiality, location , sufficient personal details, prescription details and staff training into consideration. Another important factor to be kept in mind is response and reaction time. Access ahould be restricted to the parties concerned and legal accountability becomes sensitive when the nurse answers the call from a patient and issues advice on treatment.Medicare in the Twenty First Century and Beyond Essay.

There is also the grave risk of misunderstandings regarding dosage for prescriptions and licensure of nurses across different states. As in any pioneering technological approach, telehealth does have its shortcomings but the benefits far outway the few that exist. It is only a matter of time before the few remaining problems are solved. Finally, developing countries can now access medicare that has been lacking by coming to an agreement with countries like the United States in order to help eradicate, for example, HIV/AIDS pandemic.Medicare in the Twenty First Century and Beyond Essay.

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Psy 410 Week 2 and 3 Matrix of Disorders Essay.

Psy 410 Week 2 and 3 Matrix of Disorders Essay.

 

Anxiety, Mood, and Dissociative Disorder Matrix Abnormal Psychology Disorders| DSM-IV-TR Criteria| Examination of Classifications and Symptoms| A. Anxiety Disorders:| | | 1. Generalized Anxiety Disorder (GAD)| A. Excessive anxiety and worry (apprehensive expectation) about two (or more) domains of activities or events (for example, domains like family, health, finances, and school/work difficulties)B. The excessive anxiety and worry occur on more days than not for three months or more (APA, 2000) Examination of Classifications and SymptomsC. The anxiety and worry are associated with one or more of the following symptoms: 1.

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Psy 410 Week 2 and 3 Matrix of Disorders Essay.

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Restlessness or feeling keyed up or on edge2. Being easily fatigued3. Difficulty concentrating or mind going blank4. Irritability5. Muscle tension6. Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)D. The anxiety and worry are associated with one or more of the following behaviors:a. Marked avoidance of situations in which a negative outcome could occurb. Marked time and effort preparing for situations in which a negative outcome could occurc. Marked procrastination in behavior or decision-making due to worriesd. Repeatedly seeking reassurance due to worries E.Psy 410 Week 2 and 3 Matrix of Disorders Essay.

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The focus of the anxiety and worry are not restricted to symptoms of another disorder, such as Panic Disorder (e. g. , anxiety about having a panic attack), Social Anxiety Disorder (e. g. , being embarrassed in public), Obsessive-Compulsive Disorder (e. g, anxiety about being contaminated), Separation Anxiety Disorder (e. g. , anxiety about being away from home or close relatives), Anorexia Nervosa (e. g. , fear of gaining weight), Somatization Disorder (e. g. , anxiety about multiple physical complaints), Body Dysmorphic Disorder (e. g. , worry about perceived appearance flaws), Hypchondriasis (e. . , belief about having a serious illness), and the anxiety and worry do not occur exclusively during Posttraumatic Stress Disorder. F. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. G. The disturbance is not due to the direct physiological effects of a substance (e. g. , a drug of abuse, a medication) or a general medical condition (e. g. , hyperthyroidism) and does not occur exclusively during a Mood Disorder, a Psychotic Disorder, or an Autism Spectrum Disorder. APA, 2000)| Lifetime Estimated Prevalence of Anxiety disorders in the populationGAD = 5% populationPD = 1-2% populationPhobias = 9-24% populationOCD = 1-2. 5% populationPTSD = over 8% population(Hansell & Damour, 2008). | 2. Panic Disorder| A. Both (1) and (2):1. Recurrent unexpected Panic attacks. 2. At least one of the attacks has been followed by 1 month (or more) of one (or more) of the following:a. Persistent concern about having additional attacksb. Worry about the implications of the attack or its consequences(e. g. , losing control, having a heart attack, “going crazy”)c.

A significant change in behavior related to the attacksB. The presence (or absence) of AgoraphobiaC. The Panic Attacks are not due to the direct physiological effects of a substance (e. g. , a drug of abuse, a medication) or a general medical condition (e. g. , hyperthyroidism). D. The Panic Attacks are not better accounted for by another mental disorder, such as Social Phobia (e. g. , occurring on exposure to feared social situations), Specific Phobia (e. g. , on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e. g. on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e. g. , in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e. g. , in response to being away from home or close relatives). (APA, 2000)| Lifetime Estimated Prevalence of Anxiety disorders in the population:PD = 1-2% population (Hansell & Damour, 2008)| 3. Phobias| A. Both (1) and (2):1. Recurrent unexpected Panic Attacks 2. At least one of the attacks has been followed by 1 month (or more) of one (or more) of the following:a. Persistent concern about having additional attacksb.Psy 410 Week 2 and 3 Matrix of Disorders Essay.

Worry about the implications of the attack or its consequences(e. g. , losing control, having a heart attack, “going crazy”)c. A significant change in behavior related to the attacksB. The presence (or absence) of Agoraphobia. C. The Panic Attacks are not due to the direct physiological effects of a substance (e. g. , a drug of abuse, a medication) or a general medical condition (e. g. , hyperthyroidism). D. The Panic Attacks are not better accounted for by another mental disorder, such as Social Phobia (e. g. , occurring on exposure to feared social situations), Specific Phobia (e. g. on exposure to a specific phobic situation), Obsessive-Compulsive Disorder (e. g. , on exposure to dirt in someone with an obsession about contamination), Posttraumatic Stress Disorder (e. g. , in response to stimuli associated with a severe stressor), or Separation Anxiety Disorder (e. g. , in response to being away from home or close relatives). (APA, 2000)| Lifetime Estimated Prevalence of Anxiety disorders in the population Phobias = 9-24% Population(Hansell & Damour, 2008)| 4. Obsessive-compulsive Disorder| A. Either obsessions or compulsions:Obsessions as defined by (1), (2), (3), and (4):1.

Recurrent and persistent thoughts, impulses, or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress2. The thoughts, impulses, or images are not simply excessive worries about real-life problems3. The person attempts to ignore or suppress such thoughts, impulses, or images, or to neutralize them with some other thought or action4. The person recognizes that the obsessional thoughts, impulses, or images are a product of his or her own mind (not imposed from without as in thought insertion)Compulsions as defined by (1) and (2):1.

Repetitive behaviors (e. g. , hand washing, ordering, checking) or mental acts (e. g. , praying, counting, repeating words silently) that the person counting, repeating words silently) that the person feels driven to perform in response to an obsession, or according to rules that must be applied rigidly2. The behaviors or mental acts are aimed at preventing or reducing distress or preventing some dreaded event or situation; however, these behaviors or mental acts either are not connected in a realistic way with what they are designed to neutralize or prevent or are clearly excessiveB.

At some point during the course of the disorder, the person has recognized that the obsessions or compulsions are excessive or unreasonable. Note: This does not apply to children. C. The obsessions or compulsions cause marked distress, are time consuming (take more than 1 hour a day), or significantly interfere with the person’s normal routine, occupational (or academic) functioning, or usual social activities or relationships. D. If another Axis I disorder is present, the content of the obsessions or compulsions is not restricted to it (e. g. preoccupation with food in the presence of an Eating Disorder; hair pulling in the presence of Trichotillomania; concern with appearance in the presence of Body Dysmorphic Disorder; preoccupation with drugs in the presence of a Substance Use Disorder; preoccupation with having a serious illness in the presence of Hypochondriasis; preoccupation with sexual urges or fantasies in the presence of a Paraphilia; or guilty ruminations in the presence of Major Depressive Disorder). E. The disturbance is not due to the direct physiological effects of a substance (e. . , a drug of abuse, a medication) or a general medical condition. (APA,2000)| Lifetime Estimated Prevalence of Anxiety disorders in the population OCD = 1-2. 5% population(Hansell ; Damour, 2008)| 5. Post-traumatic Stress Disorder| A. The person has been exposed to a traumatic event in which both of the following were present:1. The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others2.Psy 410 Week 2 and 3 Matrix of Disorders Essay.

The person’s response involved intense fear, helplessness, or horror. Note: In children, this may be expressed instead by disorganized or agitated behaviorB. The traumatic event is persistently re-experienced in one (or more) of the following ways:1. Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: In young children, repetitive play may occur in which themes or aspects of the trauma are expressed. 2. Recurrent distressing dreams of the event. Note: In children, there may be frightening dreams without recognizable content. . Acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur on awakening or when intoxicated). Note: In young children, trauma-specific reenactment may occur. 4. Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event5. Physiological reactivity on exposure to internal or external cues that symbolize or resemble an aspect of the traumatic eventC.

Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by three (or more) of the following:1. Efforts to avoid thoughts, feelings, or conversations associated with the trauma2. Efforts to avoid activities, places, or people that arouse recollections of the trauma3. Inability to recall an important aspect of the trauma4. Markedly diminished interest or participation in significant activities5. Feeling of detachment or estrangement from others6.Psy 410 Week 2 and 3 Matrix of Disorders Essay.

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