Clinic Case Summary

The two ethical dilemmas that stick out to me in the case are patient autonomy, and distributive justice. Patient autonomy is the patient’s right to make decisions about their care, including whether to accept or decline treatment (Taylor, 2014). Because the patient did not fully understand the information relayed in the consent form or the procedure, her patient autonomy may have been violated. This also may mean the consent form may not be valid. A signed consent form from a patient affords the hospital with an assumed duty to care for that patient (as cited Taylor, 2014). And the patient has given the medical professional permission to provide treatment. Therefore, it is important that the patient fully understands and can communicate that understanding when consenting to

Art Beaumont, the newly hired president of MediSys Corp, created a core team in August 2008 in order to accelerate the IntensCare project. Team consisted technically competent employee in six areas: research and development, engineering, software design, production, marketing and regulatory affairs. Jack Fogel, a senior production manager was assigned the project leader. IntensCare project was very important to the success of Medisys but the team had very tight schedule. However, differences started to emerge soon after which obfuscated the future of IntensCare project.

There are many governmental agencies within the healthcare system. One of most interesting and heart-wrenching agencies is a local governmental agency called Terrell State Mental Hospital. This agency is well known in the state of Texas for its carefree healthcare. They have a longstanding relationship with the families of its patients and are a major contributor to the city of Terrell’s financial windfall. They produce over ten million a year for the city of Terrell, which allows this city to take care of its mental inpatients and make sure they have the best treatment possible.

13). The clinical services department within the hospital is responsible for the accurate charting of any procedure or service that was provided to the patient. This process begins with patient registration and verification. The healthcare provider then will perform their job as necessary and will indicate what billable tasks were performed which can later be processed. The patient accounts department is responsible for going through the patient’s chart and recording the patient’s bill by use of the hospital’s chargemaster to send the bill to the payer by the health information department. In this department the initial coding of the patient’s medical record is done. Once overviewed for the sake of accuracy, the final coding is done and sent to the payer. Any inaccuracies by any of these departments could directly impact the hospitals reimbursement process through a slowing for the process or simply by failing to bill for a procedure performed, ultimately hurting the hospital’s financial stability. The patient financial services (PFS) department is responsible for ensuring compliance within the billing and coding policies through training and with quality assurance checks and regular audits. This ensures that the revenue and reimbursement cycle continues without any inaccuracies in patient charges. It is especially important to have quality management within this department, as it has the potential to affect the entire organization, reflective of the institutes financial situation. Poor PFS management can lead to a loss in revenue and can lead to a loss in budget if the hospital is losing too much as a result. Ensuring compliance with medical coding and billing guidelines and policies ensures a more accurate representation of the hospitals financial and budgetary situations, while

The agencies post surveillance on the practice and for several days taking notes to see if the patients were getting treatment. Medicaid received claims for 3 of those days for the defendant children’s which were working those days and did not receive treatment.

As stated in Joseph A. Carrese’s article “Refusal of Care: Patient’s Well-Being and Physicians’ Ethical Obligations,” introduces the fundamental principles and responsibilities that physicians have in order to preserve the welfare of their patients in any circumstances. On the other hand, Debbie Dempsey, author of “Refusing Treatment: Practical, Legal, and Ethical Issues,” strongly supports the patient’s right to make their own medical choices, whether it be to accept or decline any help. W.D Ross solidifies the dependent yet incompetent patient to not refuse care and treatment because the physician has a duty of fidelity, beneficence and a duty to

Mr. Ortiz spent ample time on the physician suspension process and procedures on how to work with the physicians to resolve the issue. One way he is able to help is by assigning most of the deficiency components of the patients chart to their residents for completion other than signatures. I have heard stories of how bad an encounter can go with an angry physician, but Luis reassured me that it depends on you and how you choose to handle it. If we were to dissect conflict between people and get to the root of it, it would lead to how we react to an angry person. Our reaction to a hostile person will make a difference in what their next reaction will be. “You can decide to ignite the fire or put it out”, I am a strong believer in this philosophy. Luis had a lot of work waiting for him so he rapped things up and took me to the coding area to introduce me to the coder I will be shadowing for the latter part of my

The healthcare system is faced with many ethical dilemmas on a daily basis. There are basic principles in health care that every health care worker should practice to ensure safety and to protect the rights of others. This begins with confidentiality. Providing patient privacy and confidentiality are essential to promoting a bond between patients and his or her practitioners as well as preserving the patient’s dignity (Edge & Grove, 2007). Under some circumstances, patient’s personal information is retrieved without their consent. While some may view this as not an issue, others lose trust in the people they look toward to care for them in critical times, and this can lead to legality troubles.

Gadsden is located in the northeastern corner of Alabama and is the county seat of Etowah County. It is 60 miles

The billing process is essential to the existence and overall financial health of any medical practice or facility, whether it is a private setup or run by the government. It is how a medical service provider pays its employees. Therefore, it is of utmost importance to have first-hand knowledge of patient insurance information, social security numbers, complete address,

Prior to the passage of the Medicaid and Medicare bill of 1965, the government had little interest in physician billing or referring patterns. After the bill became into effect, however, several laws were implemented to restrict fraud and abuse of Medicaid and Medicare. 1 In turn, interest rose

In the medical billing and coding process there are several steps. In the medical billing process physicians prepare and sign documentation of the patients visit. The next step is to post the medical codes and transactions of the patients visit in the practice management program and to prepare claims. The process used to generate claims must comply with the rules imposed by federal and state laws as well as with payer requirements. Claims that are correct help to reduce the chance of an investigation of the practice for fraud and also the risk of liability if an investigation does occur (Valerius, Bayes, Newby & Seggern, 2008). Most physicians depend on their personnel to process their medical bills without looking at the bills before

This article researched patients with swallowing functions over the first six months after acute stroke. They identify the important clinical factors that associated with an increased risk of swallowing dysfunctions and complications. The studies relied on bedside clinical examinations to diagnose dysphagia and assessed swallowing function for two weeks after the patient’s stroke.

In the health care system, a multitude of errors occurs on a daily basis. Doctors, nurses, orderly’s, etc., everyone in health care settings has responsibilities that warrant careful attention. This was exhibited in the case study titled ‘An Extended Stay’. In this case study, we are introduced to a middle-aged man in his 60s named Mr. Stanley Londborg. He presented with several health conditions, including a seizure disorder, hypertension (also known as high blood pressure), and Chronic Obstructive Pulmonary Disease (COPD). Londborg was no stranger to the hospital and was known fairly well by faculty members. Londborg paid a visit to the Emergency Room at the hospital complaining of wheezing and breathing complications. The physician that examined Mr. Londborg yielded his symptoms as an acute worsening of

One challenge I was faced with while on CE I, was while working with a patient she was talking badly about one of the receptionist. The patient calling the receptionist incompetent, since the receptionist had messed up the patient’s appointment time for the second time in two weeks. I was put in an uncomfortable position because I did not want to be rude to the patient, but also did not want to be apart of the patient talking badly about my coworker.