1- I enjoyed reading your post. I would also like to add that assessing the teens situation will help in providing the right resources options. Finding resources are a great way for a nurse to suggest help for a teen. It should be geared towards adolescents and providing them with more options to be occupied and mentors.  Teenagers feel more comfortable in peer counseling, than talking to an adult for example having a faith-based outreach could give a foundation that they are missing. Other options, could be youth groups, volunteering, and working with shelters, animals or homeless. This can give the teen a purpose, making them feel needed, busy and important. 

2-Communicating with our children is very important, especially during the adolescence stage. Some adolescents struggle to balancing school work, sports, and trying to fit in society. I also believe that educating adolescents about depression/suicide is important. As parents we should make the teenage kids to be very comfortable sharing their concerns with us. We should avoid being over strict. Listen to them when they talk. Give them a chance to make choices and voice their view and even if we disagree, we need to look at things from their perspective. Help them build self-esteem.  Spent time with them but at the same time show respect when they need space.

3-Many depressed teens feel like their family, especially parents don’t understand what it is like to be a teen or can relate to current issues teens are faced with today. It could also be that the teen thinks the parents will scold them for engaging in a particular manner or participation in inappropriate behaviors. It depends on what cause the stressors and the relationship this teen has established with the parents. Some teens may be depressed because of bullying, not fitting in, or shamed for participating in the inappropriate activity. It was one participating incident occurred in my community where a young girl hung herself after being caught with a young boy in an improper act at school. It was less than 24 hours, and the young girl was deceased. I don’t know the circumstances, but I can imagine having to face others at school after it was discussed on face book. Think about how you could have encountered your parents after an incident like this. They believe the teens won’t speak with doctors because of confidentiality. They know the doctors are usually in good standings with the parents and already have developed a relationship with them. So they are not very forthcoming with information or seeking help.

Review Figure 10.1 on p. 239 and the Billing Workflow section on pp. 238-239 of Health Information and Technology Management.

Write a 150- to 350-word response to the following:

Discuss at least two components described in the Billing Workflow section in Ch. 10 of Health Information and Technology Management.

• How do these components affect health care reimbursement?

Billing Workflow

• 1. Providers of all types verify patient insurance eligibility with the health plan, either prior to or during the admission or visit. Medical offices collect and post copays at the visit.
• 2. The patient is treated and discharged or checked out.
• 3. As you learned in Chapter 9, the provider usually needs to bill a third party, the insurance plan, in order to receive payment. The insurance bill is called a claim. The first step in preparing the claim is to assign procedure codes for the services rendered and the supplies used and diagnosis codes representing the disease or medical condition.
• 4. Using these codes and the patient registration information, a computer program generates a paper or electronic claim to be sent to the insurance plan.Before the claim is sent to the insurance plan, an insurance or claim specialist reviews the claim to make sure there are no errors. Because of the volume of claims, a computer program is used to examine the claim data and identify problems. Once the claim is correct, it is sent to the insurance plan (usually electronically).
• 5. When the claim is received by the insurance plan, it is adjudicated. If the claim is correct, a payment is sent to the provider; this is called the remittance. A paper or electronic document is generated that explains the amounts that were paid. This is called the remittance advice or explanation of benefits(EOB).
• 6. When the remittance is received by the provider, the payment amount is recorded in the patient accounts system. Frequently, the amount billed does not equal the amount paid. This may be the result of a contractual agreement that stipulates that the provider will accept a discounted payment and/or that a portion of the charges is the patient’s obligation. An accounting entry called a write-down adjustment is posted to adjust the charge.
• 7. If the patient has a secondary insurance plan, a claim is next sent to the second plan. In certain cases the first plan will automatically forward the claim to the second plan. This is called a “piggyback” claim or coordination of benefit (COB) claim. For example, when a Medicare patient has a supplemental insurance policy with the fiscal intermediary who processes the Medicare claims, the company will sometimes process the secondary claim automatically. This eliminates the need for the provider to file a second claim. These are also known as crossover claims.
• 8. Most health plans require the patient to pay a portion of the medical bill. These payments are referred to as the copay, coinsurance, and deductible amounts. The copay amount is usually stated on the patient’s insurance card and collected during the patient visit. The coinsurance amount is usually a percentage of the allowed amount and is not known until the claim has been adjudicated. The EOB tells the provider what amount is the patient’s responsibility.When all the patient’s insurance plans have responded with remittance advice, a bill or statement is sent to the patient for any amounts due that are the patient’s responsibility. The patient statement should clearly show the amounts paid or denied by the insurance plans, any adjustments to the charges required by the plan contract, and the amount due from the patient.
• 9. When patient payments are received by the medical office or hospital, they are posted to the patient’s account. When the account balance is zero, no further statements will be sent.

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

• Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
• Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 4

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

Some of the sources might look the same from wk 3’s assignments. There are some repeats. Here are two websites. The first website is important. The rest are attached. 

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Discrimination in Employment Act

Age Discrimination in Employment Act

This assignment will help you understand the Age Discrimination in Employment Act of 1967.

The Age Discrimination in Employment Act prohibits employment  discrimination on the basis of age for anyone over the age of 40. This  kind of legislation, like other types of anti-discriminatory  legislation, will not end all discrimination. However, such laws clearly  state society’s values.

Using the South University Online Library or the Internet, research  about the Age Discrimination in Employment Act. Based on your research,  create a 4- to 5-page paper in a Microsoft Word document that includes  answers to the following questions:

• Which demographic groups are protected by this Act?
• Which types of discrimination are prohibited under the Act?
• Is the Act still relevant for seniors today? If yes, how? If not, why not? Provide examples.
• What amendments are required to the Act as more baby boomers age?
• Has this Act affected any of the minority groups in US? If no, why not? If yes, how?

Submission Details

• Support your responses with examples.
• Cite any sources in APA format

Select an article from a peer-reviewed nursing journal regarding an EBP process or implementation.

Write a summary of 750-1,000 words that includes the following criteria:

1. An introduction that explains the focus of the article.
2. A summary of key points of the article.
3. A list of the steps taken by nursing to develop and implement an EBP.
4. Application of the learned information to a practice setting where the student either identifies an EBP that has been applied to your setting or a practice problem that would benefit from the implementation of an EBP.
5. A clear and concise conclusion.

750-1000 words,  APA format, 3 references