Billing and Reimbursements Essay

0. 0. For this unit assignment, please respond to the following key activities related to billing and reimbursements. The information for these activities can be found in Chapter 7 of your textbook.
      1. Briefly describe the reimbursement methodologies.
      2. Select a payment system, discuss your selected payment system, and identify its role related to billing and
         

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         reimbursement.

      3. Discuss why a claim may be rejected and possible ways to prevent a claim from being rejected.

Your response should be at least two pages in length, not including the title and reference pages.

The purpose of this assignment is to allow you to recognize the policies and procedures to comply with the changing regulations among various payment systems for healthcare services such as Medicare, Medicaid, and managed care.

Mucormycosis Diagnosis

Mucormycosis (previously called zygomycosiss ) is a life-threatening fungal infection that occurs in immunocompromised patients.

These infections are becoming increasingly common, yet survival remains very poor. Fungi of the order Mucorales are causes of mucormycosis, a life-threatening fungal infection almost uniformly affecting immunocompromised hosts in either developing or industrialized countries. Mucormycosis Diagnosis

Mucor is mainly found in soil, digestive systems, plants   surfaces and rotting vegetable matter. It is a microbial genus of molds that   can cause infection to human  beings. Upon inhaling fungal spores from the environment, one can develop infections   in the lungs, sinuses, eyes as well as face. The infection can be developed through cutaneous routes, the fungi can enter the   skin via cuts, scrapes, puncture wounds, or other forms of trauma to the skin.

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In the hospitals this can happen through catheters and other invasive   procedures. It is noted that this infection is becoming more of a nosocomial   infection. Mucormycosis does not spread from person to person thus not   contagious. People suffering from diabetes, extensive burns, and immunosuppression symptoms associated with AIDS and other afflictions, organ transplants, or those who are intravenous drug users, appear to be most   susceptible to Mucor infections.

The genus Mucor contains several species. The most common   ones are Mucor amphibiorum, M. circinelloides, M. hiemalis, M. indicus, M.  racemosus, and M. ramosissimus. To cause disease, the agents of mucormycosis   must scavenge from the host sufficient iron for growth, must evade host phagocytic defense mechanisms. Mucor after gaining entrance to host, invades the alveoli.  Then the  spores begins to   penetration into spaces between the cells before spreading to adjacent cells. With   fungi in the lungs, the patient’s body reacts by activating its immune system resulting in an increase in leucocytes. The leakage of fluids from blood   vessels to alveoli results in pneumonia.

With pneumonia we are looking at impaired airway and gas exchange issues, so patient will benefit from oxygen therapy. Keep the head of the bed elevated for better oxygenation and aspiration precaution.  Frequent monitoring of vital signs and oxygen   saturation should be initiated.  Assess patient   for pain and discomfort and treat as ordered. Initiate use of incentive   spirometer as soon as   possible to aid in the recovery of the lungs.

The abnormal lab values include WBC- 15,200/mm3-indicating   infection, PH of 7.50, PaO2 of 59mg, HCO3 of 29, and PaCO2 of 25 -indicated the   body is alkaline but partially compensated – through hyperventilation and   Lymphocytes 10%- the patient is immunocompromised.

It is now clear that iron metabolism plays a central role in regulating mucormycosis infections and that deferoxamine predisposes patients to mucormycosis by inappropriately supplying the fungus with iron. These  findings raise the possibility that iron chelator therapy may be useful to  treat the infection as long as the chelator does not inappropriately supply the  fungus with iron. Recent data support the concept that high-dose liposomal amphotericin is the preferred monotherapy for mucormycosis.  These options include combination therapy   using lipid-based amphotericin with an echinocandin or with an azole (largely  itraconazole or posaconazole) or with all three. The underlying principles of   therapy for this disease remain rapid diagnosis, reversal of underlying   predisposition, and urgent surgical debridement. Mucormycosis Diagnosis

Lipid formulations of Amphotericin B deoxycholate (LAmB) are significantly less nephrotoxic and can safely be administered at higher doses for a longer period (Spellberg, 2010).

Amphotericin B deoxycholate (AmB) has been effective in treating mucormycosis and is more affordable than other drugs. Dosage is 1-1.5 mg/kg/d with a total of 2.5-3 g for the whole therapy.

Posaconazole 400 mg BID (total 800 mg/d). This has been effective in those patients who fail treatment with Amphotericin B or used conjunctively after the initial Amphotericin B treatment.

It is also important to address the predisposing condition of  the   susceptible patient. Those with diabetic ketoacidosis need insulin, hydration,   and sodium bicarbonate to reverse the condition.  Colony stimulating factors for those with neutropenia.  Weaning  off immunosuppressive drugs can help boost treatment.

Mucormycosis Diagnosis

Physician’s Practice Management: “Group Medical Practices in the U.S

According to the textbook, a comparison of several countries with different levels of income shows that quality of healthcare and life expectancy among these nations are similar. However, the cost of care in the U.S. is the highest among the nations in the comparison. Analyze the main specific factors that affect the cost of healthcare services in the U.S. and recommend one (1) way that physician practices can help reduce the overall cost of healthcare services in the U.S. Provide a rationale for your response.

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2. Assess the key different types of physician practices and evaluate three (3) administrative challenges that practice administrators face in providing quality services to the communities they serve. Support your analysis with specific examples.

Community Support Group Assignment

Purpose

The students will attend either Psychiatric Grand Rounds or a Community Support Meeting, enabling them to observe Mental Health concepts and techniques in a professional setting.

Course Outcomes-This assignment enables the student to meet the following course outcomes.

CO #1. Demonstrate knowledge of psychopathology and mental health principles when caring for individuals, families, and groups in acute care and community mental health settings. (PO #1)

CO #2. Collaborate with consumers and other mental health team members in health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities for psychiatric/mental health clients. (PO #2)

CO #4. Utilize critical thinking skills in clinical decision-making and implementation of the nursing process for psychiatric/mental health clients. (PO #4)

CO #5 Utilize available resources to meet self-identified goals for personal, professional, and educational development appropriate to the mental health setting.  (PO #5)

CO #7 Examine moral, ethical, legal, and professional standards and principles as a basis for clinical decision making. (PO #6)

CO# 8. Explain the rationale for selected nursing interventions based upon current nursing literature. (PO #8)

CO #9 Utilize research findings as a basis for the development of a group leadership experience.  (PO #8)

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Grading

(See end of document for grading rubrics)

Due Date

All parts of this assignment must be completed and submitted to both the drop box by                      Feb.  6, 2022                     .

Confidentiality & Professionalism

Client confidentiality remains of utmost importance, and you will remain compliant with and respect all concepts of client confidentiality when participating in this assignment in regard to any cases discussed or discussion observed.  You are a guest of the facility and/or group you attend. You are expected to abide by facility timelines, rules, guidelines, and expectations.  Professionalism should be included in every interaction including all phone, email and personal correspondence. Community Support Group Assignment

Guidelines

Community Support Group

Research local community support , 12 Step Programs groups in the Dallas Fort Worth  area. (For example: Alcoholics Anonymous, Narcotics Anonymous), There is a document with additional community services you may attend in Doc Sharing. You still need to request permission for any community service group. After gaining permission from the support group leader, attend the meeting (follow guidelines laid out below), and complete the accompanying written assignment related to the Community Support Group meeting.

• Registration/Permission: You must call ahead to gain permission to attend the meeting from the group leader or organizer. No more than 2 students may attend the same group at the same time.YOU MAY HAVE TO FOLLOW COVID GUIDES
• Dress code: You may wear appropriate street clothes ( no shsort, jeans , flip flops etc.) When gaining consent from the group leader, you should ask if this is appropriate. If the group requires you to wear street clothes, you should wear a Chamberlain shirt with black pants. 
• Proof of Attendance: You must arrive early and remain present for the entire meeting. At the end of the session you will provide the proof of attendance in the form to the group leader, moderator or coordinator and ask for their signature as proof of your attendance. You must submit this form as an additional attachment and place both your assignment and attendance sheet in the appropriate drop box.
• Written assignment: In APA format with appropriate grammar, submit a 2-3 page report (excluding title and reference sheet) including the following:
  • Description of the type of group attended, summary of groups purpose.
  • If the group has a mission statement, what is it?
  • Summarize the discussions – DO NOT write specific client information.
  • How can this experience be used in your own nursing practice, in Mental Health or in any other field of nursing when interacting with mental health patients?
  • How does this compare or contrast to your clinical experiences?
  • What reflections/observations did you have about this type of meeting and its impact on clients and yourself?
  • Utilize applicable and relevant outside resources (textbook, journal articles, etc.)- submit all references in APA format.

Go to Your Course, under Course Resources, See APA template, CCN Guidelines, etc to make sure you are following APA format. You have access to a librarian 24/7 in your course shell. Community Support Group Assignment

Attestation of Attendance

***This signed form must be signed, attached and submitted to the drop box with you written assignment.

This form is to attest that _________________________________________, Chamberlain College Student Nurse, has attended the below meeting.

Meeting Name:           _______________________________________________

Date Attended:            _______________________________________________

Time of meeting:         _______________________________________________

Signature of leader/moderator/organizer: _______________________________

Date:  ___________

MUST BE RETURNED WITH WRITTEN ASSIGNMENT

Grading Rubrics

Community Support Group Assignment

Logical Fallacies Identification Assignment

Required Resources
Read/review the following resources for this activity:

• Textbook: pp. 157-173

Instructions
For this assignment, complete the following:

• Review from the lesson and textbook readings the types of logical fallacies and examples.
• Locate three advertisements online that were posted no later than one year ago. The advertisements may be any of the following types, and they do not need to all be the same type:
  • Advertisements for products, such as for a beauty product or an automobile
  • Political campaign ads
  • Advertisements that pop up on your social media threads, like on Facebook or Instagram
    

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• Keep in mind that this assignment requires you to identify logical fallacies, so choose your three advertisements carefully, looking for those in which you do see clear and identifiable logical fallacies at work. Search until you have three advertisements that will work well for this assignment on logical fallacies.
• Create a PowerPoint presentation consisting of 11 slides:
  • An introduction slide with your name, the class, and the title of your presentation- don’t be afraid to get creative with your title!
  • On one slide, show and cite the advertisement.
  • On another slide, name the fallacy that occurs and define the fallacy. For example, if you see an Ad Hominem fallacy, you will note that there is an Ad Hominem Fallacy and offer a definition of “Ad Hominem” using your own wording. Do not simply copy the definition from the lesson or textbook.
  • On the next slide, explain how and why a specific portion of the ad represents this specific fallacy. Be thorough and clear.
  • Repeat the above process with your other two advertisements. You should have three slides for each advertisement, for a total of nine body slides
  • A References slide in which you provide full APA-correct references for your three advertisements. You should not have additional references because everything else in your presentation should simply represent your learning in this module. Logical Fallacies Identification Assignment