Ercp Case Study

How do you report an unconfirmed diagnosis? Provide an example of when additional diagnoses might be needed? Why do you think a coder needs to know this?

R.P. is a 74-year-old married Caucasian female that is a homemaker that lives at home with her husband. Reason for her care is due to a recent fractured left hip and left wrist. She stated that she slipped on a rug in her home and landed on her left side. R.P. reports pain being 10/10 and sharp and radiates all over body stating, “even the slightest touch of skin hurts so much”. It all began a few minutes after the fall. Pain is alleviated with narcotics (hydromorphone and morphine) and immobilization.

How can a low income sick person pay for an expensive treatment especially when they are not currently employed? There are individuals that have the resources to cover any medical expenses that they may encounter in life, but certainly not everyone has such funds. When people are diagnosed with end-stage renal disease (ESRD), the health provider sadly notifies them that they will not be able to perform most of the things that they were used to doing. ESRD patients must adjust to complete change of life styles due to deteriorating health, treatment timing, and transportation from home to dialysis facilities. In most cases, people with ESRD will more than likely lose their jobs because their work and treatment

Throughout the everyday job for a physician, health professional or even for me as an aesthetician we have to ask questions; these questions must have an answer. Hopefully, it will be the right answer. The reason is that the answers will accumulate in the patient’s records to provide a solution to the problem; the solution will be supported by the medical knowledge, either from school and practice experience or consulting a more experience colleague. There is not enough written information that can support the evidence except the knowledge and the practice itself.

The basic pillars of the health care system are established on trust between patient-health care workers’ relationships. Even though the challenging issues such as challenges of EOL care, education level, and professional experience of health care workers may impact the decision making capacity during EOL care and discourages the health care workers. Therefore, health care workers have to keep in mind about the fulfilling the aspirations of society by providing reasonable and trustworthy quality care for the patients. The primary theme throughout this paper has been ‘challenges faced by health care workers in dealing with EOL care’. The research questions were built with concern by challenges health care workers facing in EOL care and possible

There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.

Case management as described in the text, focuses on the person’s strengths, needs and personal concerns rather than a problem. When a case manager starts working with a client, one goes through a process of screening and assessment to create a social history (2015). This will help us understand our client’s specific needs, situation, and natural supports. After the assessment one can start working on developing an initial plan, this will address the issues indicated during the interview.

In order to ensure a successful EHR implementation, a health care organization must undergo all the phases of an information system development lifecycle: analysis and planning, design, implementation, and finally, support and evaluation. Without careful planning and project management by dedicated staff who are champions of the system, it is sure to be less than expected. For the purpose of this assignment, it is assumed that the organization is in the final stages of the design phase and is presented with choosing a vendor system from a selection of the five EHR systems listed in the table above. Although the information in the table was not acquired form requests for proposals as it would be if this were a formal system acquisition, but

After the gallbladder is surgically removed, bile pours out of the liver directly into duodenum. Surgical removal is carried out in two different ways. Accordingly these two methods are called laparoscopic cholecystectomy and open cholecystectomy. In the former, minor incisions are made in the abdomen of the patient and a laparoscope is inserted. A laparoscope is a tube which has a video camera attached to it. The doctor can see a magnified image of the internal organs on video monitor and accordingly use the tools to remove the gall

Two MPCN changes: (1) MPCN 001670581M PEC from CSAG-S to O&M and grade from GS-11 to GS-12 and (2) MPCN 001533331M PEC from O&M to CSAG-S. Justification: Restructuring one authorization within the Directorate of Personnel, Personnel Programs Division, with necessary performance standards to enable the organization to better meet daily mission requirements. Since there is a greater mission need in AFSC/DPPS, the AFSC/DP Director has made the decision to realign MPCN 001670581M from AFSC/DPPE to AFSC/DPPS. The GS-0201-12 duties (CPD 80939) are appropriate for the DPPS office. No adverse impact will occur to encumbered employee. Swapping PECs in AFSC/DPPE between MPCN 001670581M and 001533331M to balance funding within each branch of AFSC/DPP

There is a consensus among my sources that since the implementation of the NSFAD the number of new HIV/AIDS cases has decreased. Hughes and Stevens found that, “between 2000 and 2008, the number of cases of HIV reduced amongst drug users from 907 to 267 and the number of cases of AIDS reduced from 506 to 108” (1015). Hughes and Stevens rely on the IDT for their statistics, which only tracks new cases of HIV/AIDS for drug users in treatment (Laqueur 769). These statistics should be regarded as reliable because the independent EMCDDA points out on its website, “It (the IDT) plans, implements and coordinates drug demand reduction interventions, and collects, analyses and disseminates information on drug use and its responses” (EMCDDA). Essentially,

Laura has been referred to the EAP program from her corporate finance firm due to her reckless and unprofessional behavior during a business event. Laura’s boss has given her an ultimatum to complete the EAP program or she will be terminated from her employment. The purpose of this case analysis is to determine explore Laura’s background in order to get a better understanding of her substance abuse issues, find appropriate diagnosis, understand ethical and legal issues, and recommend effective interventions in order for her to return to her job.

During shadowing, I feel I work in ER because you never know what will happen in a second. Yet, I feel joy seeing those little kids playing free and safe. They are so cute. I never thought I will work with pediatrics because I usually work in a medical surgical unit, so I feel nervous, but I enjoyed working with them.

instrumentation of the biliary tree. A cannulation attempt was defi ned as sustained contact between

The project did not achieve desirable standards as far as customer requirements, scope, environment and execution were concerned. It was important that the project integrators to ensure customers do not escalate during the implementation of the project, being the first adopters of the software FoxMeyer should have exercised caution by adopting the software in phases rather than implementing the project directly, furthermore, execution was the biggest problem, despite knowing that the project needed skilled personnel FoxMeyer did not train staff during the early stages of the project and had to rely on consultants. Finally the company should have gained control over the project from the start to ensure that all the staff and management were involved but in this case despite knowing that the project would not work as envisaged the management did not take control or stop the implementation of the project.