Patient Communication Letter

Clinical documentation Improvement (CDI) is the program or the training that is design to provide the good link between coders and health care providers that increase the accuracy and completeness of patient health care documentation. According to American Health Information Management Association (AHIMA) tool kit CDI is the program especially design for health care field for initiate concurrent and, as appropriate, retrospective review of patient health records for accurate, incomplete, or nonspecific provider documentation (Scharffenberger and Kuehn 2011). Most of the time patient health record review occur in inpatient location but it there is any confusion then the review can go through electronic health records too. CDI play a vital role solving complex case between coder and health care provider that result in easy and smooth operation of reimbursement process in health care organization for the service they provide to patient.

Journey’s intake unit completes all initial assessment to assess client for different level of care and accurately assign them to the most appropriate unit. The different level of care ranged from intensive inpatient care unit to medication only. As a practicum student, I worked in the outpatient services unit. The assessment was completed via an online program with an intake staff and the client, usually a week or two before the first scheduled appointment with a clinician. Therefore, once a client is assigned to me, I have access to review their file. The assessment are usually completed in a brief model format, and as the clinician assigned to work with a client, I am expected to use the first two sessions of therapy

The information in this memo pertains to the career of Medical Assisting. I will discuss the qualifications, future job outlook, typical salary, and career paths of Medical Assistants.

On 5/30/18 I met Mr. Reid at the office of Dr. Rampersaud. I explained that the insurance carrier is not getting the form filled out correctly regarding his narcotic medications. I asked his permission to meet with Dr. Rampersaud when they go back to the examination room and leave once we discussed the form. Mr. Reid agreed. He reports that since having the spinal cord stimulator battery replaced his pain is 60% better. He reports his pain level is a 6. He continues to have his legs give out unexpectable. He reports needing help from his wife to roll him over when he is in bed. He continues to use a wheelchair. Mr. Reid said he wanted to speak with Dr. Rampersaud regarding decreasing his medications at least for the summer. He feels the warm weather makes his pain more tolerable.

The carrier has denied coverage of an MRI of the cervical spine as not medically necessary. There is a letter to the member from the carrier dated 11/05/15. In the letter, the carrier states in part: “According to the American College of Radiology Appropriateness Criteria regarding MRI of the cervical spine, MRI may sometime be beneficial in patients with neck pain and no history of trauma and no neurologic deficits. If their neck pain is persistent and they have had findings of degenerative changes on plain radiographs and “following failure of conservative management only in select cases.” In this patient’s case, the patient has self directed her care, having seen specialists and chiropractors without a firm diagnosis

You're receiving this mail because you've signed up to shadow, but before i can schedule and confirm your shadowing date ill need you to send me a document with a picture, schools attended and previous shadowing experiences. I've attached a template on how it should be done, if you have any question please feel free to contact

The purpose of this memorandum is to recommend a series of changes in current routine vision service policies of the Centers for Medicare and Medicaid Services’ (CMS’) and the Affordable Care Act (ACA). The U.S. population is aging at a rapid speed, it is projected that by 2030 the population of adults over the age of 65 will be 72 million (Hooyman, N. R., & Kiyak, H. A., 2011, p. 15). Even more appalling is that adults over the age of 65 have a higher than normal risk to develop eye conditions, one in three of these adults have some form of vision-reducing eye disease such as glaucoma, cataracts or macular degeneration (Quillen, 1999, p. 99). In spite of this increase and possibility, vision healthcare restrictions persist. Currently, there is no service plan that is comprehensive and inclusive to everyone, despite health status. The lack of coverage holds many people back from acknowledging symptoms and seeking services. I propose that (CMS’) and (ACA) provide a 20/20 commitment by covering two annual routine eye examinations for all recipients to address preventative health care. In addition, prescribing eyeglasses, eye disease testing and two pairs of eyeglasses are to be covered per visit.

As per medical report dated 4/19/16, a lumbar MRI with and without contrast was requested to evaluate for a discogenic and/or facetogenic etiology for pain. MRI would also allow evaluation of conditions such as spinal stenosis.

The review of the appeal request for denial of an acute inpatient stay, date of service on December 19, 2016 to December 22, 2016, based on medical necessity, has been completed by Oneka Pratt, PA-C under the oversight of Dr. Teresa Homan.

Thanks for responding to my main post. It is awesome that you have maintained good grades as well. I don’t really like the collages in my home town. I really have enjoy online school it is more convent with my work schedule and I don’t have to e-mail all my instruction to let them know that I am sick and can’t make it to class, which can be stressful because showing up is also part of a grade. Thank you for your support. Happy we both made it to the end of the medical assistant courses and good luck on your final exam.

Hello Future me, I am writing this letter because I have to, it counts as a quiz grade, so therefore it might be eye opening or a complete disaster. Right now I am using my laptop to follow the guidelines to paragraph one while using my phone to create my sentences. I am wearing a white long sleeve Los Angeles sweater with white pants and white and red Jordans, as well as wearing my Shaderia name plate and Apple Watch. At the moment my hair is short and I always put the sides of my hair behind my ears. I feel like it’s more girly that way so I can shows off my stud earrings.

As healthcare providers, maintaining a patient’s confidentiality, human dignity and privacy is expected at all times. Nurses are faced with maintaining patient confidentiality on a daily basis. The Coded of Ethics for Nurses is the framework of nonnegotiable ethical standards and obligations that all nurses are to uphold. Nurses are to be accountable for their actions and are expected to advocate and strive to protect the rights, health and safety of patients (American Nurses Association, 2011).

Dr. Adams reviewed the MRI films. The family found a man who makes custom cervical collars in Florida and they asked for a order so they could try and have one made. Dr. Adams said he is more concerned about the Kyphosis. He asked if the collar had been removed. Mr. Messing said he thought the collar could be removed, Ms. Messing said it has not been removed. Dr. Adams said a custom collar is not the solution, he feels she needs a Halo. He said he doesn’t do those any longer. He recommends Henry Ford, Beaumont or the U of M hospital. He ordered a new ct scan to be done. While were in the exam room Mr. Messing called his daughter a nurse practioner and Dr. Adams spoke with her. She will speak with the neurosurgery department at her hospital and find the appropriate doctor. I spoke with Gail after the appointment as she had requested and provided her with an update. Gail had requested an open claim letter so she could make arrangements for her mother to see her neurologist and her PCP but needs a open claim letter. The letter was obtained and faxed to Dr. Kala

Thank you so much for your reply. Unfortunately I do not have any medical confirmation that I can provide you but I can tell you her previous stated condition is true. If you choose to honor her request her favorite Spur would actually be the entire team not one player in particular. She just loves watching them play basketball. Thank you again for your consideration!

The main focus of the article is to look at the absolute value of patients’ confidentiality. Blightman et al. look at the pros and cones of breaking patient’s confidentiality and conclude that a breached of confidentiality is in order when it is necessary to obtain consent, as required by law, or when it is in the best interest of the public. The article is useful to my subject, since it examines in details the main issues involving the safeguard of patients’ information. In addition, the authors define confidential information, looks at breaching confidentiality for consent, audits, protection of children, disclosure to family and friends, statutory disclosure, prevention of crime, public interest, public safety, public health, and disclosure to the media. The paper publication is Continuing Education in Anaesthesia, Critical Care & Pain, which s a joint publication of the British Journal of Anaesthesia and The Royal College of Anaesthetists in the UK. It is also the official journal of The Faculty of Pain Medicine and The College of Anaesthetists of Ireland. Publication in such an esteemed journal requires utterly scrutinized of reliability and credibility of the information provided. I found the article educational and thorough in its coverage of aspects of breach of patient information. It is also well written and easy to understand.