Insurance Appeal Letters

 Your office has received a series of claim denials from one particular insurance carrier and you do not agree with the decision.  You should consider appealing the denial. Go back and review the patient’s insurance card and verification form  for coverage information. The explanation of benefits (EOB) letter from the health plan is the key to payment or denial status. If the coverage language supports payment, write an appeal letter describing the disorder and its medical nature, and reference the coverage policy paragraph that shows how your treatment fits coverage criteria.  You may have to investigate coverage on the insurance website.

  • attachment

    InsuranceVerification-MichaelWest.docx
  • attachment

    ExplanationofBenefits-MichaelWest.docx
  • attachment

    InsuranceVerification-ElizabethHill.doc
  • attachment

    InsuranceVerification_GuillermoG.doc
  • attachment

    ExplanationofBenefits-ElizabethHill.docx
  • attachment

    AetaSampleCards1.docx
  • attachment

    ExplanationofBenefits-Guillermo.docx

Evidence Based Practice Essay

My Topic:

High rate of fall during night shift in the ward for patient with dementia (700words)

For each article that you will be using need to have a checklist from  https://casp-uk.net/casp-tools-checklists/ (I’ve downloaded and attached the file below PLEASE USE IT)

DOWNLOAD ALL THE FILES AND READ THEM BEFORE ATTEMPTING THE ESSAY.

  • attachment

    Assignment.pptx
  • attachment

    Searchingforevidence.pptx
  • attachment

    CASP-Randomised-Controlled-Trial-Checklist1.pdf
  • attachment

    Rubrics.docx

Please Follow Instructions. Follow Rubric. Write 750 -1000 Words. Follow RUBRIC Please.

Write a 750-1000 word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

  1. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.
  2. How does the theory determine or influence each of their recommendation for action?
  3. What theory do you agree with? How would that theory determine or influence the recommendation for action?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

RUBRIC:

Determination of Moral Status

Theory/Theories are identified that determine the moral status of the fetus for all of the people listed in the case study, including a detailed explanation.

Recommendation for Action

Recommendation for action is present, with detailed explanation that shows a deep understanding of the subject.

Personal Response to Case Study

Personal response to case study includes if you agree or disagree and a detailed explanation that shows a deep understanding of the subject including how the theory determines or influences the recommendation for action.

Thesis Development and Purpose

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

  • attachment

    PHI-413V-RS-T2CaseStudy.docx

Implementation Plan

You are now in Phase 6 of your Capstone project. You have developed a comprehensive care plan for the aggregate. Over the next two weeks, you will develop an implementation plan for your aggregate.  The first step to effective implementation is planning. As you go about this task, answer the following questions: •What small group would you select (for example, three families with young children, a group of five AIDS patients, and so on)? What made you select this particular group? •What portion of the plan would you like to implement in the small group? •What health risk do you expect to tackle by implementing this intervention? •What results do you expect? •How do you plan to implement this intervention? Do you have any specific strategy in mind? What resources will you need? •How long do you think it will take for the results to be seen? •What resources do you need?  By the due date assigned, prepare a 1-2 page Microsoft Word document with your responses to the questions above and submit it to the Submissions Area.

Effective Communication

1. Is this essentially saying that genetics matter more than experience, or that family communication or shared experience is not one of its defining features?

2. Do you believe that a person should stay in a family with and violent parent? Or can the bonds of blood and genetics be broken if a parent mistreats other family members?

Chapter Summary

Read

chapter 16. Personal Health Record Managing Personal Health: in the course textbook: Bau, M.J., Hannah, K.J. Newbold, S.R., and Douglas, J.V. (2011). Nursing Informatics: When Caring and Technology Meet. 4th ed. Springer.

Write a two page summary of your findings regarding electronic medical records, electronic health records and other similar computerized records, and the role they have in the quality of care.

Notes: Specific examples from your own experience are welcome.

  • attachment

    chap16.265.jpg
  • attachment

    chap16.279.jpg
  • attachment

    chap16.274.jpg
  • attachment

    chap16.282.jpg
  • attachment

    chap16.271.jpg
  • attachment

    chap16.281.jpg
  • attachment

    chap16.277.jpg
  • attachment

    chap16.269.jpg
  • attachment

    chap16.275.jpg
  • attachment

    chap16.273.jpg
  • attachment

    chap16.283.jpg
  • attachment

    chap16.266.jpg
  • attachment

    chap16.268.jpg
  • attachment

    chap16.280.jpg
  • attachment

    chap16.270.jpg
  • attachment

    chap16.267.jpg
  • attachment

    chap16.276.jpg
  • attachment

    chap16.272.jpg
  • attachment

    chap16.278.jpg
  • attachment

    chap16.284.jpg

Cover Letter

You will find a job announcement of interest to you and write a letter of application to the job as ARNP ( nurse practitioner) Be sure to address the qualifications and job requirements that the employer is seeking in your letter. Market yourself to the employer by highlighting your experiences that will make you a good candidate for this job.

Resume/Cover Letter

A resume is a personal document whose purpose is to promote one in a positive manner. This resume will be a current true representation of you as a professional Nurse practitioner. You can focus it as if you were applying for your current position. Each section in the resume should have a heading. Design should be uniform throughout the document and power words should be included. All sections must be flawless for spelling, punctuation, grammar, truth, etc. This resume should be accompanying by a cover letter. The cover letter formally introduces you and creates a critical first impression Should be specifically tailored to a specific position and company. Use professional vocabulary and style. Highlight relevant experiences / qualities as they relate to the position.

Quantitative Research

This is a Quantitative Research assignment. Please use the following article to prepare this assignment.

Record: 1

Title:Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of FallsAuthors:Phelan, Elizabeth A.
Aerts, Sally
Dowler, David
Eckstrom, Elizabeth
Casey, Colleen M.Source:Frontiers in Public Health. Sept 8, 2016Publisher Information:Frontiers Research FoundationPublication Year:2016Subject Terms:Primary health care — Research
Evidence-based medicine
Medical research
Medicine, ExperimentalDescription:Author(s): Elizabeth A. Phelan, Sally Aerts, David Dowler, Elizabeth Eckstrom, Colleen M. Casey A multifactorial approach to assess and manage modifiable risk factors is recommended for older adults with a […]Document Type:Author abstract
ReportLanguage:EnglishISSN:2296-2565DOI:10.3389/fpubh.2016.00190Rights:Copyright 2016 Gale, Cengage Learning. All rights reserved.
COPYRIGHT 2016 Frontiers Research FoundationAccession Number:edsgcl.462848439 Persistent link to this record (Permalink):http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.462848439&site=eds-live Cut and Paste:<a href=”http://prx-usa.lirn.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.462848439&site=eds-live”>Adoption of Evidence-Based Fall Prevention Practices in Primary Care for Older Adults with a History of Falls</a> Database:Academic OneFile

Purpose

The purpose of assignment is to provide experience and feedback with critical appraisal of a quantitative research study. This assignment is intended to allow you to show evidence of achievement of:

CLO 1: Evaluate existing scientific evidence to be used in decision making related to practice, leadership, or education. (ILO and PLO 3, ILO and PLO 7).

TASK

Use the provided template to critically appraise a quantitative study. Apply the grading rubrics to make sure that your submission is up to par with the requirements. Additionally, refer to the all unit resources (e.g., readings, recordings, announcements, etc.) to facilitate your process. Please make sure that you are choosing a quantitative study for your appraisal in a timely manner. Therefore, it is suggested to reach out one of our consultants from the USA library.

Requirements

This assignment is due at the end of week 7 at 11 p.m. A template is provided which describes the expectations for each section. In addition to submitting this template, also MUST submit a PDF of the study that you chose to appraise. If you do not submit the PDF of the study, your assignment is incomplete and a late penalty will apply. The study that you choose should be a study that you will be using for your synthesis project. It must be a quantitative research study (not a systematic review or a qualitative study) or you will receive a 0 for this assignment. No rewrites or resubmissions will be allowed. Graduate level writing is expected. First person is expected because this is your appraisal of the study. The following rubric will be used to score this assignment.

Quantitative Research Critical Appraisal (Template)

Attached Files:

  • attachment

    unit5QUANTITATIVERESEARCHAPPRAISALTEMPLATE3.doc
  • attachment

    UNIT5CRITICALAPPRAISALOFQUANTITATIVERESEARCHASSIGNMENTDESCRIPTIONandRubric3.docx
  • attachment

    Adoption_of_Eviden

Nursing Theorist

Based on the following theorist and theory, Kurt Lewin __Change Theorydescribe:

1. Background of the theorist

2. Description of the theory

3. Assumptions of the theorist

4. Comparison to your personal philosophy of nursing

5. Application to a clinical situation

Presentation style and creativity