CPT1 Task 1

For established patients receiving evaluation and management, providers may bill for these services using the CPT codes 99212, 99214. Choosing the correct code depends on the patient’s history, examination findings, and decision-making complexity. If complexity is found to be straightforward taking the provider less than 10 minutes, the billing code will be 99212 (Engle, 2014). If the history and examination findings result in moderate decision-making complexity, requiring more time from the practitioner and more diagnostic procedures the billing code will be 99214 (Engle, 2014). While, Ms. Trinidad does not encounter established patients in the emergency department, within my clinical hours, Ms. Rossow encountered several established patients of various levels of complexity. The billing code 99212 is appropriate to use for patients with low complexity, such as one of Ms. Rossow’s patients whose visit was due to elbow pain after a fall a week ago. Mrs. Rossow also managed the care of patients with a higher level of complexity such as a middle-aged male with a history of recent prostate cancer and a chief complaint of abdominal pain and fever.

The verbal order read back initiated by the hospital has improved with all but one department exceeding a 90% ratio. This will be a focus area for the Ortho department, as they will have a goal to reach of exceed 90% within the remaining accreditation period. We will continue to quantify the results of all departments monthly as well as evaluate the Orhto department to determine if there are any roadblocks to attaining the improvement goal. The second lowest score is currently being achieved by the surgical unit although they are doing well we will target this department for ongoing training. All departments will continue to receive documentation and training in this area.

The nursing supervisor has multiple issues to address in this scenario, the use of restraints and formation of a pressure ulcer are of a great concern, but I believe these are easily rectified with training and follow-up audits to ensure

Company S is a new manufacturer entering the scooter market. The company’s objective is to motivate dealerships as intermediaries. Company S wants the existing scooter dealerships to sell its product instead of the competitions. The company will motivate the dealerships as intermediaries through Incentive Programs, Profit Opportunities, Sales Quotas, Decision Making, and Frequent/Timely Delivery.

In the event a physician is prescribing a medication, he must prescribe in accordance with the size and weight of the patient. For example if the patient is a child the physician must facilitate the aspects of good practices as outlined in the English National Service (NSF) for Children, Young People, and Maternity Services (Caldwell, 2013).

Probably one of the most important issues when it comes to Family/Community Partnership is trying to get the families/community involved in what we are doing. By engaging parents, it will help us to see what we are lacking and what we need to do in order to have our families fully engaged. I feel that if our families/communities are not engaged in our program then we need to reevaluate in order to encourage their participation. By reevaluating our program we can further access what we need to work on. If parents/communities feel that they are not valued as part of our team, they won’t engage in our program. Both the parents and the community play a big role in the education of our children. Parents are their first teachers and the communities have valuable resources for the children.

Zwick was admitted to the short term acute hospital due to a stroke and it was necessary for her

Sandrae, your discussion board post covered all of the questions thoroughly and accurately. You provided a lot of detailed and well organized information, excellent job. The chart you provided was exceptional and the chart clearly highlights the differences between the structure, tasks, culture, and strategy of the learning organization and performance organization. Vertical and horizontal structures are very different. The horizontal structure eliminates the old school departmental boundaries of the vertical structure and the horizontal structure allows organizations to improve processes (Daft, 2013).

The nurse in the case study is faced with an ethical and professional, dilemma. How can she be an advocate for her patient Mr. E? Dr G. is proceeding on a course of action or plan of care that is directly contrary to the patients advance directive and his verbalized objections to the course of treatment proposed by the physician and that is concerning for her. There are multiple issues to consider. For the nurse, she needs to think about her code of ethics, her scope of practice and the legal issues regarding advance directives and Durable Power Of Attorney (DPOA). She also needs to consider the patients right to privacy and confidentiality. As with most areas and issues in modern healthcare the statues can be

The main audience a PT is writing to are people who have extensive understanding or are in the field. Their purpose is to use that information for billing and to help make medical decisions which both greatly impact the patient. Due to the potential impact of their understanding of the PT’s writing, the writing must be specific, descriptive, and contain jargon. A specific documentation layout named SOAP was created for PT’s to use to make sure all essential information is gathered.

I would advise the CEO that to better serve the company’s desire we would start with a strategic plan by setting goals and objectives. It would be best to elicit the opinions of every staff member on how they feel about the company’s goal. After listening to the staff opinions on how best to implement the goals, a plan is to be put in place detailing the steps by steps on how to achieve each tasks. I would emphasize to the CEO the importance of setting goals and communicating them effectively to the staff members, especially those who will be the managers. Additionally, the CEO is to consider the needs of each individual in the company. It is important to address both the task and the needs of the employees ( Phillips & Gully, 2014).

The careful documentation and subsequent billing process within the course of a patient’s care is an important piece within the healthcare system as a whole. Proper documentation in a patient’s chart relating to any service or procedure is not only important for this patient’s future medical care, but for the facility to receive an accurate reimbursement for the services provided. Reimbursement is affected by every department within the hospital. Healthcare is a business in the long run, and inaccuracies within the reimbursement process will affect the financial stability of the hospital. If a department is mismanaging reimbursement data it could result

The clinical department submits a recommended CFTE to the Office of Operations at the Medical College of Georgia. Along with the recommendation, the department submits the CFTE worksheet and any other supporting documentation. The administrative leadership works with the departments to ensure the CFTE reported is accurate and feasible. The Office of Operations validates the reason for change and

The outmoded coding professional’s role was to describe and apportion diagnosis, procedure, and other medicinal service codes using ICD-9-CM and HCPCS/CPT coding classifications while referencing the Coding Clinic for ICD-9-CM, Coding Clinic for HCPCS,

The CPT Editorial Panel is in charge of ensuring that CPT codes remain up to date and reflect the latest medical care provided to patients. To do so, the Panel maintains an open process and has meeting three times per year to solicit the direct input of practicing physicians, medical device manufacturers, developers of the latest diagnostic tests, and advisors from over 100 societies representing physicians and other qualified healthcare professionals.