Case Study Kim Budke

1. There are a few boundary issues that need to be addressed. The social worker developed a personal relationship with Bea. Bea was in need of additional income, she wanted to find a female to rent her spare room to. The social worker had a friend, “a woman who might be interested” renting the room (Hoffman, & St. Clair, 2003, p. 46). She asked for permission to let her friend know of the room, asking to releasing Bea’s information was appropriate. The boundary issue is that the social worker should have not even offered her friend as an option to rent the room. This situation becomes a conflict of interest and cross the boundaries of social worker and client (NASW, 2008, p. 7). In addition to this situation the social worker admitted to having

Many nursing homes assume in error that if a patient has stopped making progress towards recovery then Medicare coverage should end. In fact, if the patient needs continued skilled care simply to maintain his or her status then the care should be provided and is covered by Medicare.In fact, patients often receive an array of treatments that don 't need to be carried out by a skilled nurse but that may, in combination, require skilled supervision.Even in cases where the SNF initially treats the patient as a Medicare recipient, after two or more weeks, often, the SNF will determine that the patient no longer needs a skilled level of care and will

Documentation and communication are constant challenges that healthcare providers face when seeking continuity of care for their patients. Every time a patient moves from a hospital to a nursing home, or from a skilled nursing facility to home health or hospice, the staff that cares for the patient is at risk for a gap in patient care and communication. Home health and hospice agencies rely heavily on Medicaid and other insurance for reimbursements in order to continue to provide care for their patients and keep the doors to their agencies open. Thorough and timely documentation is the key to ensuring proper reimbursement for nursing services and other therapies provided from insurance agencies. This same

In the implementation phase of this regulation, it was faced with myriad of political, economic, technical, ethical and legal challenge and the end result of universal access to high quality healthcare which was far from assured. He further argues that nursing facilities in the additional public disclosure requirements, long time service and support (LTSS) were not a pressing priority of ACA drafters and its proponents. The LTSS was for people who needed assistance in order to perform daily activates over a long period die to chronic illness or disabilities in community based and institutional

Julie Gurnick is a broadcasting major at Point Park University from Jeannette, commuting an hour to campus each day. She was interested in Point Park University because it offered a good program in communications. Gurnick also holds an associates degree in business communications form Westmoreland County Community College. After graduating from Point Park University Gurnick aspires to become a sports caster. Gurnick is currently a free-lance employee for the Tribune Review as well as a dietary aid at St. Anne Home.

On September 21, 2012, ACEDS Case Action Update/Display documented by Social Service Representative, Richard Gordon stated that Ms. Williams arrived to the agency to apply for Supplmental Nutrition Assistance Program (SNAP) benefits, and Medicaid for her child only. During the visit, CARE interface revealed that Ms. Williams had an open Medicaid case in Maryland (#47403882500). Maryland Social Services also reported that she was employed by CPR Medical as of August 9, 2012, and paid bi-weekly $850.00. Ms. Williams also reportedly received unearned monthly income from SSI in September 2012 in the amount of $440.34, and in October 2012, in the amount of $370.54. As a result, Ms. Williams was denied expedited Foodstamps pending paystubs and her application was marked as "pending."

On this date worker visited Shadescrest NH, for the purpose of case monitoring. When worker arrived Mr. Hopson was lying in bed sleeping. He was appropriately dressed with good personal hygiene. During visit worker was unable to wake Mr. Hopson. Worker spoke with charge nurse and learned Mr. Hopson was doing well. Mr. Hopson became long-term Medicaid approved in Sept. beginning in August.

On this date worker visited Walker Rehabilitation Center in Carbon Hill, for the purpose of monitoring Ms. Blankenship's placement. Worker spoke with Ms. Ana Dyer and learned the family was getting assistance with housing and transportation from a local church. Ms. LaVone Yarbrough and her husband run a ministry that helps family reunite. However, Ms. Dyer is concerned about discharging Ms. Blankenship to the home with narcotic and according to Ms. Dyer, Crimson's boyfriend lives with them. Worker has not been able to conform. Ms. Dyer stated when Ms. Blankenship discharged from the NH she would need a doctor and transportation to the doctor appointments. The nursing home would only discharge Ms. Blankenship with enough for medicine for a few

High school, a stressful time in any teenager’ slife, copious amounts of homework, quizzes and tests, figuring out what to do after high school, and where relationships are made and often broken. Oh! And sometimes murders...Wait…January 13, 1999, Woodlawn High School, MD, the day where a 17 year old girl named Hae Min Lee is reported missing by her parents. A month later, she is found dead in a shallow grave in Leakin Park by a maintenance guy who was looking for a place to use the restroom. Weeks later, police arrest Adnan Syed, ex-boyfriend of Hae, on the account of first degree murder by manual strangulation and he has be in prison ever since. Even to this day, Adnan’s case is a huge mystery as to if he truly did kill her or not. There is

In home health care, the patient is assessed to determine what types of services are needed such as skilled nursing care, therapy, home health aide services, and medical social services. The case mix adjustment is based on this assessment along with the patient's current condition. There are 153 case-mix groups that the patient can be classified under. In a skilled nursing facility the case-mix adjustment is assigned based on the resident's assessment along with the relative weights staff time data associated with their care. In a skilled nursing facility the PPS also allows for a geographical adjustment based on the hospital wage index for the facility's location. There is also a three-year transition adjustment that is part of the PPS for skilled nursing facilities. This a blend of the facility-specific payment rate and the federal case mix adjusted rate. Home health care PPS does not allow for this transition adjustment or the geographical adjustment. Instead there are adjustments for outlier payments, beneficiaries who only need a few visits, and beneficiaries who are readmitted within the 60-day episode. If a beneficiary only requires four or fewer visits during the 60-day episode, the PPS will be based on a standardized, service-specific per-visit amount that is multiplied by the number of

Research has been completed for Leslie Bryan. The plan selection is Care Improvement Plus Dual Advantage RPPO SNP that requires full Medicaid for enrollment, selected as no the the application. If the client does not have full Medicaid a new application is needed for the correct plan in reference to having a chronic condition. If further assistance is needed, please contact the Producer Help Desk at

As mentioned earlier contacting a news channel is an ideal to get attention and have the parish under scrutiny. I was thinking Lee Zurick with Channel 8 new is an ideal contact. He is an investigative reporter that has uncovered many unlawful acts in the Louisiana area. His email address is lzurik@fox8tv.net and phone number is (504) 486.6161.

Instead of providing the care they thought they would be providing, they were reigning in members to a program with the promise of improved health while they felt their own health was being neglected or jeopardized due to added stress, no time for breaks or guaranteed family time. Corporate compliance was called anonymously with complaints of working conditions and a state wide meeting was held with the RN case managers to gather information. Staff was assured that their concerns were being heard and efforts would be made to improve the current state of affairs.

Per the Dispute Resolution Unit, a new NCB will be required before the amendment of the Purchase Order (below is the email). For the NCB documentation, you may submit the copy of the Invoices and the attached excel document.

On the issue of HCBS denial, RH, the PA IEB Representative, explained that that the PA IEB in conjunction with the Mont. Co. AAA denied the Appellant’s application for HCBS services because he does not meet nursing facility level of care criteria for any of the waiver programs they administer. It is the PA