DDB Case Study

From the above example it is clear that Brook controlled DHB solely and without any interference from any one. He had few of the employees as his allies in the wrongdoings. If anyone tried to interfere then they were threatened or were thrown out of the organisation.

21. Report any unusual or major changes in your patient’s health, cleanliness, physical care, actions and

If there is an error in the billing or health insurance information, the patient could potentially suffer monetary distress, as medical services tend to be expensive and not everyone can afford to pay out-of-pocket. Once the patient has been checked in and the staff is ready to see them, they are escorted into the examination room where the medical assistant performs the clinical element of a routine appointment; this includes taking their vital signs and gathering data about their reason for visiting. The MOA asks about previous conditions, symptoms, allergies, and other relevant information and makes note of the answers in the medical record for the physician to review before seeing the patient. These details must be accurate because mistakes in this area can be extremely detrimental to the client’s health.

On 03/11/2016 SC met with Pa in her apartment for a RA visit. Pa 's Agency Model PAS aide was not present while SC was there. The Pa appeared poorly groomed and dressed in dark color clothes. The apartment was dirty and cat litter and feces on the table and floor. All utilities are in working order. The Pa reported numerous hospitalizations between Temple University and Episcopal University. The Pa did know the exact dates of admission and/or discharge. However, the Pa stated that reasons for admission were either asthma exacerbation; COPD and/or fluid around the Lungs. The SC placed call to Temple University Hospital medical records department and inquiries about Pa admission and discharges. The SC was placed on hold for a long time and when the SC did speak with the receptionist she stated that most of the Pa admission was at Episcopal Hospital Temple University and she did not have the time to go over every admission she provided the SC with the medical records department telephone number for Episcopal. The SC thanks her for her time and end call. The dates of ER visits and hospital admissions are as follows: 11/2015, 12/2015, 3/1/2016-3/4/2016, 3/5/2016-3/6/2016; and two ER visits 2/29/2016 and 3/7/2016 at Temple University. SC reviewed Pa’s services and per Pa he is receiving services in the type, scope, amount, frequency and duration as specified in the ISP. But the SC reasons to doubt that the Pa is receiving service according to the ISP. The SC arrived at the Pa’s

This writer agreed to meet with the patient as she missed group and her scheduled individual session with this writer. The patient apologized to this writer for her absence and then reports about transportation issue. This writer discussed with the patient about her MVA this month on the 18th and the status of obtaining a police report. The patient reports, " I can get the police report by the next appointment. I just have to go to my insurance company that isn't too far from where I live to get a copy of it."

Dr. Navato said on this particular case she was contacted by phone and advised of the serious condition of this patient. Dr. Navato said that she received a phone

The patient arrived on for his counseling session. Reports stability on his current dose and denies the need for a dose increase or decrease when offered by the writer. The patient was made aware that he will be reassigned to counselor, Scott effectively immediately as his new assigned counselor will schedule his next session. The patient reports of no update with his medical pertaining to a referral to another PCP as he is currently still seeing the same medical provider.

The DDS proposes allowance for this claimant with an EOD of 8/1/2014. The evidence in file shows a later onset date is warranted and the claimant was not insured for title II benefits at the time the disability began.

SC received called from Pa on 5/6/2016. SC completed monitoring phone call with the Pa. The Pa reported that last month he was brought to the ER at Penn Presbyterian Medical Center by ambulance. The Pa reported the he fell and hit his head and he called for help and was taken to the hospital. He reported that after he was examined by the doctor, he was sent home with instruction to take OC pain killer for pain. The Pa reported no recent hospitalization, change in health status or medication. SC informed the Pa that his nutritionist from DaVita Dialysis called the SC and expresses concern that he is not getting adequate nutrition from his meal intake and suggest that he gets HDM. The Pa stated that he had met with the nutritionist early in the

a determination of whether the provider has received any educational training from the MCO regarding the allegation;

Patient was here with cousins to be seen. This occurred at end of the visit approximately 1:15 pm. I was called by Madelyn Ramirez (PCT) that there was an incident in the exam room. I spoke to the mother, she said he was fine that he did not hit his head. No injuries noted, mother decline being evaluate by provider. But, patient was evaluated by Dr. Ritchin after fall.

SC met with Pa, for scheduled RA HV in Pa's home on 03/1/2016. The completed both the LCD and CMI assessment. Pa appeared clean, appropriately dressed in PJ's and sitting on the couch SC in the home. Present in the home were the Pa visiting nurse Scott from Millennium home care. He was on the phone trying to order the Pa medicines. Also Pa’s aide was present from the agency aide. Pa appeared weak and in discomfort. The SC asked Pa if she okay and she reported that she is in a lot of pain. The SC asked if she is taking her medications and she reported that she ran out that’s why the nurse is helping now. The SC asked the Pa how did that happen and she stated that when she saw her PCP in January for her post hospital and rehab discharged he

D-According to the patients she has a surgery on 04/22/2016 for stems in both legs. The patient signed an ROI for Dr. Vandisht for this writer to contact the doctor to obtain a letter stating that the patient can inf fact dose on the day of her surgery. The patient showed this writer with some improvement of her hand with a condition she is unfamiliar that her dermatologist gave her an ointment that cleared her skin. The patient is scheduled to see her dermatologist on 04/29/2016. The patient spent the session discussing an issue with her Fern Manor and its staff members. The patient then signed a ROI for her Pulmonary Doctor. There's still no communication with her older daughter, but the patient still reaches out to her daughter.

More documentation is required from this patient. The three components of an encounter are (history, examination, and medical decision making). The nature of the presenting must also be documented. An established patient is a person who has been seen by the physician or group member within the last three years. Only two components of the three key components and the nature of the presenting problem must be documented in the established patient's medical record (Andress,

Two pt verifier name and dob confirmed. Pt is requesting her profile for her knees and left shoulder be renewed. Pt states that she is schedule for her MRI in Oct. Informed the pt that request be sent to her provider and will call her with his recommendations. Pt agrees and verbalizes