DDS Case Studies

FAMILY HISTORY OF MENTAL ILLNESS: The client reports that when he was two months, his father named was Edward. The father got into an accident that he went to his ex-girlfriend house that lead into an argument and the ex-girlfriend end up murdering the father. Meanwhile, the mother was at prison when this happen and the mother never went to claim Antwone Fisher once she was done with

The victim was court ordered to be admitted at the Specialized Treatment Facility by Harrison County Youth Court on 04/27/16; he will be admitted for six months and the expected discharge date is 10/27/16. The reporter stated John was has been diagnosed with bipolar disorder, ADHD, marijuana abuse, mood disorder, severe mood swings, disruptive behavior, border line dyslectual disorder, basic personality disorder, mental incompetance; John is unable to function on his age level and has a very low IQ; John is unable to read, write, and count. Mr. Young stated John will never be able to live on his own and will always need assistance. During a session with John on 04/28/16, he disclosed that his father punched him in the face but that the details

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."

As you know, this case is established for the low back with an average weekly wage of $578.90. The claimant has been classified with a permanent partial disability and payments are continuing to him at the marked rate of $289.45. By Notice of Decision filed on 01/10/2007, Section 15(8)(d) was established in this case.

The medical form was not totally in compliance with the “Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), even though the claimant had a written notice there was no effort put forth in order to secure an approved medical authorization and

This 66 year old is filing a DIB claim alleging disability due to stroke, fatigue, headache, mixed hyperlipidemia, hypertensive heart disease, benign heart failure, cerebrovascular left hemiparesis, allergic rhinitis, pollen induced, acid reflux disease, depression, benign hypotrophy, PTSD, elevated PSA, abnormal glucose, and a Vitamin D deficiency of 04/11/2014.

The carrier has denied coverage of continued occupational therapy from 07/29/2015 - forward as not medically necessary. There is a letter from the carrier to the member, dated 03/29/2016, which states in part:

This 59- year old is filing a DIB claim alleging disability due to diabetes, high blood pressure, high cholesterol, arthritis, amnesia and right eye problems as of 06/01/2015.

EMPLOYMENT UPDATE: Client is WECARE/FEDCAP exempt from work. Client submitted doctor note stating she cannot work due to medical problem.

You assert discrimination based on disability as you report having Post-Traumatic Stress Disorder (PTSD) and were not granted a reasonable accommodation to be interviewed at the DHS office when requested on October 8, 2015 in an alleged phone call with (SU) around noon. You assert that LEA presence at your home caused increased anxiety when they arrived with DHS to conduct an interview with you.

Mr. Gonzalez states after he became aware of the claimants intentions to file a workers’ comp claim regarding 2-21-15 could have not occurred, since the plant was closed that Saturday. He did alleged that he saw the claimant for work the day prior to the DOI, on 2-20-15 and found the claimant appeared to be Ok did not appear to be in any pain or discomfort.

Wife reported his multiple providers shared their notes. Mrs. Overman reports 4 year ago when his father died, Mr Overman became depressed and started to abuse opiate and other pain pills. She reports his PCP as recommended him to attend substance abuse treatment. He is not currently attending any outpatient services for substance abuse. Mrs. Overman states out of the 15 year she has known him he has not attempted to harm himself. She reports At the time of the assessment Mr. Overman currently denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He denies any mental health history or attempts to harm himself. He reports attending substance abuse treatment at 2X Bethal Colony. He reports yesterday his friends gave him something to take for his pain. Mr. Overman reports going to Walmart with all his medication and his

Client is a potential 2010E. Client was a transferred from Tillary Women’s Shelter and CM contacted Ms. Mary Wrights/CM Tel#718-855-7485 and requested copy of the client psychosocial and psychiatric evaluations. Client also reported she used to live in a SRO and she give up because she couldn’t afford the rent.

The birth mother was brought to the attention of the DCFS in regard to her sons, Caleb and Brayden Lane. She left the home she and her sons shared with her mother for extended periods of time, without giving her mother permission to consent for the boys' medical treatment or attending to paperwork regarding the boys' financial supports. The birth mother was twice asked to submit to an urinanalysis by the DCFS, which she refused; she indicated that she has been smoking marijuana on a regular basis for the past six months. The birth mother reportedly failed to return to her mother's home on the 14th and 19th of March to provide care for her sons as requested by the DCFS. The birth mother was indicated for 74-Inadequate Supervision of Caleb and

Just looking at this claim form can be a bit intimidating if you have never dealt with them before. But if you were to take a moment to glance over the form and get a feel for what information is pertinent and needed to complete this claim form. This form to me is one of the easiest claim forms that will have to filled out and submitted in the medical office setting. Upon the first time filing this claim form it is important to have all the correct and updated information from the patient, and that the physician or hospital has included all the correct codes and the correct information to be able to file this claim. As with any claim, without the correct information and correct, the claim could be rejected and denied for reimbursement. That not only will delay the payment for services rendered, but will always add more to the medical office administrator work load. With a rejected claim, the medical office administrator will have to go over that claim form again to find the errors and then resubmit the claim. Having to do this, on top of the work load he or she may already have could put them behind on the daily duties already on the