2023 Questions asked Discuss some common causes for coding errors and the preventative measures you can

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Nursing 2023 discussion post response

Questions asked Discuss some common causes for coding errors and the preventative measures you can 2023 Assignment

 Questions asked: 

Discuss some common causes for coding errors and the preventative measures you can use to avoid them.

2) What are some other measures you can add to the list that might not be in the course materials?

3) What is the Fraud and Abuse Control Program? What is the HHS OIG and what is it’s major concern?

Halle Pietras Week 3 :

             OIG stands for the office of inspector general, they are an oversite agency that works for the United States department of Health and Human Services (HHS.) There goal is to promote and protect our healthcare programs. That also means they look out for things like fraud and abuse when it comes everything, even coding and billing. 

When it comes to coding there is a lot to remember, but there’s also a lot left up to assumptions which is where people can get into trouble. There’s also a lot of “gray area’s” according to our book, which leaves things open to different interpretations. Those are hard things to combat but some suggestions and or rules help to eliminate them the best they can. One mandate to remember is that coding MUST be supported by a health record. Another one to prevent fraud would be to use outside auditors to review the claims and make sure things check out. Other basic things would be to monitor and double check the claims, to make sure everything is the most correct you can make it. Make sure you understand what you’re doing and if not ask someone who could advise you.

Reference

Aalseth, P. (2015). Medical Coding: What Is it and How It Works (2nd ed.). Burlington, MA: Jones & Bartlett Learning

Post 2 

 Richard Matos Week 3 – Discussion forumCOLLAPSE

Richard Matos

Professor J. Pryor

CPT Coding for Health Services Administration

Coders generally make two types of errors when making coding decisions; Performance errors and Systematic errors. Performance errors include misreading words, missing important details to the code assignment, failing to pull together details from various parts of the record and transposing digits in code numbers. Systematic errors include lack of sufficient medical knowledge to understand the documentation, lack of knowledge of or misapplication of coding rules.

To avoid errors coding departments should verify the patient’s insurance benefits and personal information, double check diagnosis and procedures codes, write clearly and implement an EHR billing system.  Conducting charts audits are also a good way to avoid submitting claims twice.  Proper training, care and attention to details is the best policy to avoid coding errors. also, managers should implement policies and programs to help staff better understand the importance of avoiding errors.

The U.S. Department of Health and Human Services established a Fraud and Abuse Control Program, effective January 1, 1997, to fight health care fraud, waste, and abuse.  The Office of Inspector General (OIG) carries nationwide audits, investigations, and inspections in order to protect the integrity of the HHS.  The OIG also has the authority to investigate hospitals, pharmaceutical manufacturers, third-party billing companies, ambulance companies, physicians practices, nursing facilities, home health agencies, clinical laboratories, hospices and companies that supply durable medical equipment, prosthetics, and orthotics.  The OIG also works with the FBI and other federal agencies in the investigation of fraud and abuse.

WC-262

Reference

https://www.m-scribe.com/blog/bid/291707/5-Tips-to-Help-Your-Practice-Avoid-Medical-Billing-Errors

https://www.cms.gov/newsroom/fact-sheets/health-care-fraud-and-abuse-control-program-protects-consumers-and-taxpayers-combating-health-care-0

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2023 EJ is a 28 year old female She is being admitted for Gastric Bypass Surgery She

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Nursing 2023 For Essays Guru – PN2 DQ

EJ is a 28 year old female She is being admitted for Gastric Bypass Surgery She 2023 Assignment

EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6” and 265 pounds. She has a history of Diabetes and hypertension, she is not on medications at the time.

  • What client education topics are important to reinforce for this client?
  • How will this client’s diet be advanced?
  • What complications can occur after this surgery?
  • What is Dumping Syndrome and what are some interventions to help prevent its development?
  • 300 WORDS

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2023 An older client was recently discharged from the hospital for evaluation of seizure activity His

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Nursing 2023 For Essays Guru – WK 9 PN2 ASSIGNMENT – SEIZURES

An older client was recently discharged from the hospital for evaluation of seizure activity His 2023 Assignment

An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus, which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD; levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for home care nursing follow-up.

Questions:

  1. On the initial home visit by the nurse, what assessments should be made?
  2. The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
  3. During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?                  2 pages not including title page and reference page

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2023 Discussion 4 The topics we re discussing this week include Medical Billing and issues related to reimbursement NPI application as

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Nursing 2023 Discussion 4

Discussion 4 The topics we re discussing this week include Medical Billing and issues related to reimbursement NPI application as 2023 Assignment

Discussion 4

The topics we’re discussing this week include Medical Billing and issues related to reimbursement, NPI application as advanced nurses, as well as how EHR can be used to facilitate coding and billing. The assigned reading this week is the journal article posted below.

Prepare   examples of various coding and billing issues you have experienced in clinic   settings especially in Peds and women’s health. 

Read the following article:

https://journals.lww.com/jwocnonline/Fulltext/2012/03001/Reimbursement_of_Advanced_Practice_Registered.4.aspx

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2023 In the reading this week it is mentioned that in the next few years a

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Nursing 2023 instr-quest

In the reading this week it is mentioned that in the next few years a 2023 Assignment

In the reading this week, it is mentioned that in the next few years, a new government entity, the Patient Centered Outcomes Research Institute, may be developed to encourage care management programs.  How do you feel nursing leaders could fit into this new institute?  What types of care management issues will this institute face?

please cite references

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2023 Details Prepare this assignment as a 1 500 1 750 word paper using the instructor feedback from the Topic

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Nursing 2023 3-Please follow the instructions below

Details Prepare this assignment as a 1 500 1 750 word paper using the instructor feedback from the Topic 2023 Assignment

 Details:

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement 

Revise the PICOT statement you wrote in the Topic 1 assignment.

The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA 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 LopesWrite. Please refer to the directions in the Student Success Center.

NRS-433V-RS-Research-Critique-Guidelines.docx 

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2023 Assignment Both parts below into one APA paper Part 1 Continuing Education Part 1 should be at

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Nursing 2023 Continuing education and future of nursing

Assignment Both parts below into one APA paper Part 1 Continuing Education Part 1 should be at 2023 Assignment

 

Assignment: Both parts below into one APA paper

Part 1: Continuing Education (Part 1 should be at least 750 words and include 2 outside references plus the textbook.)

Continuing education units are required for renewal of license (in some states) and for recertification. Continuing education opens doors to job opportunities. Answer the questions:

  • Why is advancing your degree and knowledge important for nursing as a profession? Explain and give several reasons.
  • How would you respond to a nurse that states: “I only want to live and work in a state that does not require continue education credits and I never want to advance my degree?” Explain in detail what you would say and why.

Part 2: Future of Nursing (Part 2 should be at least 1000 words and include 2 outside references and the textbook.)

Review the author’s vision in the textbook (Chapter 25), of the future of nursing and complete your own research to include the Institute of Medicine’s (IOM) report. 

  • Do you agree with the authors or do you have a different vision of nursing? Explain and provide examples as to why you do agree or do not agree.

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2023 Reflection Artifact Please consider how you have developed the knowledge skills and attitudes that enable your achievement of the bachelor s master s

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Nursing 2023 Reflection Artifact

Reflection Artifact Please consider how you have developed the knowledge skills and attitudes that enable your achievement of the bachelor s master s 2023 Assignment

 

Reflection Artifact

Please consider how you have developed the knowledge, skills, and attitudes that enable your achievement of the bachelor’s/master’s level nursing competency/ies listed below. Then write a minimum of 1000 words in APA format describing how this course has helped you achieve these outcomes.

  • Analyze the impact of economic, demographic and technological forces on health care delivery, and the concerns relating to ethical, legal, and social issues that influence nursing practice.
  • Apply a solid foundation of research and theory, focusing on the interrelationships and application of these concepts to nursing practice, education, and leadership
  • Improve population health across the lifespan and across the continuum of healthcare environments through health promotion and disease prevention strategies
  • Explore leadership and management concepts that directly and indirectly influence the nature and functioning of the healthcare system and professional nursing practice
  • Assess health among a diverse patient population, devising strategies for the prevention and early detection of disease across the life span
  • Integrate professional values, attitudes, knowledge, and behaviors into nursing practice

Finally, chose one assignment that you feel best represents your learning in the course. Take a few minutes to revise it, according to comments from your professor. These can be submitted as two files.

Submit the assignments into the drop-box and save a copy of it in a folder on your personal computer.

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2023 Assignment Both parts below into one APA paper Part 1 Continuing Education Part 1 should be

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Nursing 2023 Future of Nursing

Assignment Both parts below into one APA paper Part 1 Continuing Education Part 1 should be 2023 Assignment

 

Assignment: Both parts below into one APA paper

Part 1: Continuing Education (Part 1 should be at least 750 words and include 2 outside references plus the textbook.)

Continuing education units are required for renewal of license (in some states) and for recertification. Continuing education opens doors to job opportunities. Answer the questions:

  • Why is advancing your degree and knowledge important for nursing as a profession? Explain and give several reasons.
  • How would you respond to a nurse that states: “I only want to live and work in a state that does not require continue education credits and I never want to advance my degree?” Explain in detail what you would say and why.

Part 2: Future of Nursing (Part 2 should be at least 1000 words and include 2 outside references and the textbook.)

Review the author’s vision in the textbook (Chapter 25), of the future of nursing and complete your own research to include the Institute of Medicine’s (IOM) report. 

  • Do you agree with the authors or do you have a different vision of nursing? Explain and provide examples as to why you do agree or do not agree.

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2023 4 Evidence Based Practice EBP is a problem solving approach to clinical decision making within a health care organization It

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Nursing 2023 2-Please follow the instructions below ,at least 250 words please

4 Evidence Based Practice EBP is a problem solving approach to clinical decision making within a health care organization It 2023 Assignment

  

4-Evidence Based Practice (EBP) is a problem-solving approach to clinical decision-making within a health care organization. It integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence. EBP considers internal and external influences on practice and encourages critical thinking in the judicious application of such evidence to the care of individual patients, a patient population, or a system. The level of evidence are as follows:

Level I
 Experimental study, randomized controlled trial (RCT)
Systematic review of RCTs, with or without meta-analysis

Level II
 Quasi-experimental Study
Systematic review of a combination of RCTs and quasi-experimental, or quasi-experimental studies only, with or without meta-analysis.

Level III
 Non-experimental study
Systematic review of a combination of RCTs, quasi-experimental and non-experimental, or non-experimental studies only, with or without meta-analysis.
Qualitative study or systematic review, with or without meta-analysis

Level IV
Opinion of respected authorities and/or nationally recognized expert committees/consensus panels based on scientific evidence.
    Includes:
         – Clinical practice guidelines
         – Consensus panels

Level V
 Based on experiential and non-research evidence.
    Includes:
      – Literature reviews
      – Quality improvement, program or financial evaluation
      – Case reports
      – Opinion of nationally recognized expert(s) based on experiential evidence.

According to U.S Department of Health and Human services, Evidence Classification Scheme for a Diagnostic Measure include:

Class I: A prospective study in a broad spectrum of persons with the suspected condition, using a ‘gold standard’ for case definition, where the test is applied in a blinded evaluation, and enabling the assessment of appropriate tests of diagnostic accuracy

Class II: A prospective study of a narrow spectrum of persons with the suspected condition, or a well-designed retrospective study of a broad spectrum of persons with an established condition (by ‘gold standard’) compared to a broad spectrum of controls, where test is applied in a blinded evaluation, and enabling the assessment of appropriate tests of diagnostic accuracy

Class III: Evidence provided by a retrospective study where either person with the established condition or controls are of a narrow spectrum, and where test is applied in a blinded evaluation

Class IV: Any design where test is not applied in blinded evaluation OR evidence provided by expert opinion alone or in descriptive case series (without controls).

References

Agency for Healthcare Research and Quality. (n.d.). Agency for healthcare research and quality: a profile. Retrieved December 3, 2018, from https://www.ahrq.gov/cpi/about/profile/index.html

Winona State University. (2018). Evidence based practice toolkit. Retrieved December 3, 2018, from https://libguides.winona.edu/ebptoolkit

 

 
 

5-Evidence based medicine uses evidence to make clinical decisions. There is a hierarchal system for classification of evidence. This hierarchy is known as the levels of evidence. Physicians are encouraged to find the highest level of evidence to answer clinical questions (Barnes, Rohrich, & Chung, 2012, p. 305). The higher the level the more strength the evidence has. Randomized controlled trials (RCT’s) are the strongest research designs for treatment or intervention studies because they exert the most control over the methods and the results are considered more trustworthy (Thomas, 2017). It is important to note that a high level of evidence for a treatment study may not be the highest level of evidence for a study for prognosis. The strongest levels of evidence are at the top of the hierarchy. Some examples put concepts into  practice from the different levels of evidence that may include practice alerts for revising current policies and instituting new practices.

  • Meta-Analysis  A      systematic review that uses quantitative methods to summarize the results.
  • Systematic      Review         An article in which the authors have systematically searched for,      appraised, and summarized all the medical literature for a specific topic.
  • Critically      Appraised Topic          Authors of critically-appraised topics evaluate and synthesize multiple      research studies.
  • Critically      Appraised Articles  Authors of      critically-appraised individual articles evaluate and synopsize individual      research studies.
  • Randomized      Controlled Trials  RCT’s include a randomized      group of patients in an experimental group and a control group. These      groups are followed up for the variables/outcomes of interest.
  • Cohort      Study       Identifies two groups (cohorts) of patients, one which did receive the      exposure of interest, and one which did not, and following these cohorts      forward for the outcome of interest.
  • Case-Control      Study       Involves identifying patients who have the outcome of interest (cases) and      control patients without the same outcome and looking to see if they had the      exposure of interest.
  • Background      Information / Expert Opinion   Handbooks,      encyclopedias, and textbooks often provide a good foundation or      introduction and often include generalized information about a      condition.  While background information presents a convenient      summary, often it takes about three years for this type of literature to      be published.
  • Animal      Research / Lab Studies  Information begins at the      bottom of the pyramid: this is where ideas and laboratory
         research takes place. Ideas turn into therapies and diagnostic tools,      which then are tested with lab models and

References

Barnes, P. B., Rohrich, R. J., & Chung, K. C. (2012, July 1). The Levels of Evidence and their role in Evidence-Based Medicine. Plastic Reconstructive Surgery, 128(1), 305-310. https://doi.org/doi:  [10.1097/PRS.0b013e318219c171]

Thomas, C. J. (2017, May 23). What Does “Levels of Evidence” Mean in Evidence-Based Practice? Nursing Education Expert. Retrieved from https://nursingeducationexpert.com/levels-of-evidence/

 

6-In attempting to prove the accuracy of a case study or other
investigation, various levels of evidence are utilized in associating well
reputed and accurate sources and data collection methods (Petrisor & Bhandari,
2007). These evaluations grade the overall validity of the study, and help to
show whether or not the evidence is accurate in its findings (Petrisor &
Bhandari, 2007). These levels of evidence are generally seen on seven levels,
with the first being the most valid and the seventh being the least valid. The
first level is gathered through a systematic review of randomized control
trials (RCT), and due to the wide range of its data is the most accurate and
can be used as a basis for broad changes in practice methods (Burns, Rohlich
& Chung, 2011). The second level is gathered through a single RCT that
could be applied to a wide range of practice changes, such as determining intervention
method effectiveness (Darrell W. Krueger Library, 2018). The third level of
evidence is similar to the second, but the participants to groups are not
assigned randomly. This form of evidence can be used in detecting extraneous
variables in a study by examining a particular factor (DWKL, 2018).

           The fourth
level of evidence consists of cohort and case-control studies which compare two
different outcomes between similar studies retrospectively, such as those with
and without a disease to determine outcomes. The fifth and sixth levels relate
to descriptive and non-quantitative studies, with the fifth level examining
numerous studies, and the sixth only examines one (DWKL, 2018). These studies
can be used to describe personal experiences. The final level of evidence is
based off of expert opinions, which are worth exploring for new ideas, but not
scientifically valid (DWKL, 2018).

References

Burns, P. B., Rohrich, R. J., &
Chung, K. C. (2011). The levels of evidence and their role in
evidence-based medicine. Evidence-based Medicine Toolkit, 128(1),
94-96. doi:10.1002/9780470750605.ch15

Darrell W. Krueger Library. (2018, September 18). Evidence based
practice toolkit. Retrieved from
https://libguides.winona.edu/c.php?g=11614&p=61584

Petrisor, B. A., & Bhandari, M. (2007). The
hierarchy of evidence: Levels and grades of recommendation. Retrieved from
www.unm.edu/~unmvclib/cascade/handouts/PICOTpyramidofevidence.pdf

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