Please answer questions A, B, and C under “Critical thinking” in Chapter 8 of the Health Insurance Today Workbook. Enter your answers into a Word document named “FederalPlansWorkbook”. 

A.Explain the difference between “categorically needy” and medically needy” and give example of individuals who fall into each group.

B.You are a health insurance proffessional employed by Generic Family Practice. On September 7, 20xx, Emily Carson brought her 4-year-old son, Cory, to the office. Cory, who is complaining of ear pain and a sore throat, is new to the practice. Ms. Carson, a single mother, states that she and Cory are on Medicaid. After greeting Ms. Carson, what is the first thing you should do?

C. Brice Sammuels, a 9-year-old girl, come to Generic Family Practice on a monthly basic for follow-up treatment for a serve case of asthma. Gina Petter, a temp who is filling in for you during an absence, not that Brice was eligible for Medidcaid every month for the past 2 years. Assuming that Brice is eligible for Medicaid benefits on this visit, Gina neglects to verify current eligibility.    

1. What, if any, possible problems could result from Gina’s failure to follow proper procedures?     

2. If Brice’s visits have been covered by Medicaid for the past 2 years, what possible reason might there be for Medicaid to discontinue benefits?

 Please answer Critical thinking questions A and B in Chapter 10 of the Health Insurance Today workbook. Put your answers into a Word document named “MilitaryPlansWorkbook” .

A. Patient Betsy Froman, who is enrolled in TRICARE standard, has been referred to you, the health insurance professional at Broamoor Clinic, with this question: ” I am scheduled for an outpatient echocardiogram at Broadmoor Meidcal Center next week. What, if anything, need to be done before I have this procedure?” What should you tell Ms. Froman? Will she need an NAS?

B. Assume  that the Broadmoor providers are nonPars for military claims and require patients to file their own claims. Patient Arnold Chessworth, a CHAMPVA-eligible patient, asks you for help in getting filing information. Generate an instruction sheet for military patients on where to find this information: include online sources and toll-free telephone number.

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

1. A      brief summary of the research conducted in the Evidence-Based Project –      Paper on Diabetes.
2. A      descriptive and reflective discussion of how the new tool or intervention      may be integrated into practice that is supported by sound research.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please

DQ 1

Identify a historical change or event that had significant impact on the development of nursing theory.  Discuss the effect of the change/event on nursing from that point forward, the contribution(s) to nursing that resulted, and how it relates now to successfully preparing the DNP for practice.

DQ 2

Provide one definition and an outline of the structure of theory. Debate the purpose of theory and your perspective on the role theory or the lack of theory in today’s nursing practice environment. What purpose (if any) does theory contribute to your area of nursing practice?

Assignment Details:

Perform the following tasks:

· To complete this assignment:

–  Review the case study and select one of the committee roles.

– Your selection as a member on the committee 

–  Identification one or more issues, related to your role on the committee

–  Identification of probable cause(s) of identified issue(s)

–  Proposed recommendations to resolve the identified issues 

–  Reference slide – list of academic references, using APA style 

 Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option. However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians. 

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician).

1. Business Ideas for Nurse Practitioner Entrepreneurs Presentation 

Nurse practitioners can practice in many locations and can be a clinical practice as well as a consulting business, educational business. Read through the list and use it to develop your own business plan presentation. The presentation must have no more than 15 slides including the title and reference page and must have the following headings:

A. Concept Statement: What are the benefits of your product or service? Presenting the practice idea, reason for selecting this area and summarizes the general plan. 

B. Marketing Plan: What is the target market and how will you penetrate it? Presents the need for the practice, who it will be marketed to and why that group. Present a sample of a marketing strategy (i.e. magazine, tv or radio ad)

C. Development: How will you develop and produce the product or service? What are the risks of the venture and what can you do to reduce these risks?

D. Finance & Accounting: What are the financial implications of the plan? What resources, including funding, are required to successfully create the business plan? Show how you will support the business (billing). Expenses, contracts, building space et.  

E. Legal Considerations: Identify any legal considerations the business team might foresee. Collaboration, protocols, state regulations, local regulation, licenses, certifications needed the business.

YOU CAN CHOOSE FROM ONE OF THIS IDEA