Advanced Coding: E/M, Medicine, And Anesthesia

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1.   Anesthesia administered to a normal, healthy patient undergoing an esophageal procedure is coded as

A. 00500-P1.   B. 00502-P1.   C. 00500-P2.   D. 00506-P1.

 

2.   A new patient comes into the doctor’s office for her annual gynecological exam. During the course of the exam, she undergoes a screening cervical cytopathology smear, which is performed by an automated system under the supervision of a physician. What HCPCS code is assigned?

A. G0185   B. G7869   C. G7452   D. G0147

 

3.   A new patient is seen for a home visit that involves a comprehensive history, examination, and medical decision making of high complexity. What code should be assigned?

A. 99349   B. 99345   C. 99342   D. 99350

 

4.   A prolonged evaluation and management service before and/or after direct patient care for one hour is coded as

A. 99359.   B. 99358.   C. 99361.   D. 99360.

 

5.   A 57-year-old patient is admitted to the hospital for a hip arthroscopy procedure. The patient is a normal healthy patient with no systemic disease. What anesthesia CPT code should be assigned?

A. 01242-P2   B. 01202-P1   C. 01202-P3   D. 01202-P5

 

6.   Anesthesia for procedures performed on the larynx and trachea in an 11-month-old child would be assigned to code

A. 00620.   B. 00625.   C. 00326.   D. 00532.

 

7.   A patient returns for a follow-up office visit regarding the repair of her fractured knee. The office visit consists of a detailed history, detailed examination, and medical decision making of moderate complexity. What CPT code is assigned?

A. 99213   B. 99212   C. 99211   D. 99214

 

8.   Intramuscular nonhormonal antineoplastic chemotherapy administration would be assigned to code

A. 96402.   B. 96405.   C. 96406.   D. 96401.

 

9.   Home infusion with specialty drug administration during a 6-hour visit would be assigned what codes?

A. 99606, 99607 ×3   B. 99601, 99602 ×4   C. 99604, 99605 ×2   D. 99603, 99604 ×2

 

10.   A patient is seen for a psychiatric diagnostic evaluation. The physician obtains a complete history of the patient’s mental status and does a complete biological and psychosocial assessment along with a complete physical examination. The physician’s final diagnosis is recurrent episode of severe major depressive disorder, without any psychotic behavior involved. The patient also has a history of psychological trauma. What codes are assigned?

A. F33.2, Z91.49   B. F33.1, Z91.47   C. F34.2, Z91.49   D. F36.2, Z91.46

 

11.   A 17-year-old patient is diagnosed with a severe form of nutritional anemia. What ICD-10-CM code should be assigned?

A. D45.9   B. D53.9   C. D74.9   D. D65.9

 

12.   A 32-year-old patient receives anesthesia for spinal surgery. The anesthesia is complicated by utilization of controlled hypotension. What add-on anesthesia code would be assigned?

A. 99174   B. 92117   C. 99100   D. 99135

 

13.   Nursing facility discharge day management of 19.5 minutes would be assigned to code

A. 99317.   B. 99319.   C. 99316.   D. 99315.

 

14.   A patient is admitted to the hospital for leukemia. She has a comprehensive history, comprehensive examination, and medical decision making of high complexity. What CPT code should be assigned?

A. 99202   B. 99223   C. 99213   D. 99251

 

15.   A service that is rarely provided, unusual, variable, or new may require a

A. physician’s authorization.   B. patient’s authorization.   C. staged or related procedure.   D. special report.

 

16.   A new patient is seen for a prescription refill. During the visit, the physician obtains a problem focused history, problem focused examination, and medical decision making is straightforward. What CPT code should be assigned for this service?

A. 99214   B. 99215   C. 99213   D. 99201

 

17.   A 7-year-old child is brought to the clinic due to recurrent ear infections. The physician performs a bilateral tympanostomy under general anesthesia. What CPT code should be assigned?

A. 69436-50   B. 69536-50   C. 69426-50   D. 69736-50

 

18.   Code 00906 is assigned for

A. an angioscopy.   B. anesthesia for surgery performed on the bony pelvis.   C. an osteotomy.   D. anesthesia provided for a vulvectomy.

 

19.   A 25-year-old patient receives a Hepatitis A vaccination. The vaccine is administered intramuscularly in the clinic. What CPT codes should be assigned?

A. 90632, 90471   B. 90541, 90489   C. 90637, 90472   D. 90672, 90451

 

20.   A dark adaptation examination with interpretation and report is assigned to code

A. 92326.   B. 92284.   C. 92287.   D. 92325.

SCHOLARLY ACTIVITIES

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FOLLOW EVERY REQUIREMENTS..

I send my new Assignment, I also send you everything you need, you must guide yourself through the Scholarly Activity Summary to be able to perform the Assignment of 5 paragraphs, remember that it is a single activity.

Always all the projects you did were based on PROBLEMS OF HYPERTENSION,

Individual Success Plan (ISP), I send it to you ,if you need it in the last paragraph (Program Competencies Addressed) of the Scholarly Activity Summary

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.

LET ME KNOW IF YOU NEED ANYTHING ELSE..THANK YOU

Details:

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity.

You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to Turnitin.

Home Visit With Sallie Mae Fisher

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observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

  1. Identify,      prioritize, and describe at least four problems.( problems identify are as follows

Mrs. Fisher’s number one problem is dehydration. In the video her vital signs are: Heart rate 58, blood pressure 90/56, respiratory rate 24 and temperature 97.8F (GCU, 2017). Her physical assessment reveals poor skin turgor, tenting, dry mucus membranes, hypoactive bowel sounds, no bowel movement for three days and a 14 pound weight loss in one week (GCU, 2017). She admits to “not having an appetite.” She is taking Lasix, a diuretic further contributing to her fluid loss.  All of these finding are consistent with dehydration. Dehydration can lead to a kidney injury, seizures and hypovolemic shock (Mayo Clinic, 2017).

The next problem is an unsafe living environment. In in video we see a loose rug on the floor, prescriptions on the table and mail on the couch. This lack of organization and Mrs. Fisher’s age put at risk for a fall. The Center for Disease Control and Prevention (CDC) states, “One out of five falls in an older adult causes a serious injury such as broken bones or a head injury” (CDC, 2017).

Then we look at her lack of understanding surround her discharge. She is supposed to be on home oxygen but didn’t have it delivered because she thinks she will, “Be in the poor house” due to cost of her medications and medical supplies. The final problem is her depression. Mrs. Fisher explains her husband died. She now lives alone and, “doesn’t even care, is so lonesome and misses him so” (GCU, 2017).

  1. Provide      substantiating evidence (assessment data) for each problem identified.
  2. Identify      and describe at least four medical and/or nursing interventions.
  3. Discuss      your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

NRS410V.R.SallieMaeFishersHealthHistoryandDischargeOrders_Student_02-11-13.docxNRS410V.R.HomeVisitWithSallieMaeFisherGradingCriteria_Student_02-11-13.docx

CWV 101 Week 5 Assignment Benchmark – Gospel Essentials

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In this assignment you will summarize and analyze the essential elements of the Christian worldview and reflect on implications for your own worldview.

Write a 1,250-1,500-word essay using at least two course resources (textbook, lectures, the Bible) and at least two other sources from the GCU Library to support your points. Remember, the Bible counts as one reference regardless of how many times you use it or how many verses you cite.

Begin your paper with an appropriate introduction, including a thesis statement to introduce the purpose of the paper.

Organize your paper with the following sections using the seven underlined titles for subheadings.

The Christian Worldview: Describe the beliefs of the Christian worldview with regard to the following components corresponding to Topics 2-5. Write at least one paragraph for each component using the underlined title for a subheading.

God: What is God like? What are God’s characteristics? What is his creation?

Humanity: What is human nature? What is human purpose? What is the root cause of human problems?

Jesus: What is Jesus’ true identity? What did Jesus do? Why is Jesus’ identity and work significant for the Christian worldview?

Restoration: What is the solution to human problems according to the Christian worldview? What role do grace and faith play in Christian salvation? How do Christians think that the transformation of self and society happens?

Analysis: Analyze the Christian worldview by addressing each of the following questions:

  1. What are the benefits or strengths of Christian belief?
  2. What is troublesome or confusing about Christianity?
  3. How does Christianity influence a person’s thinking and      behavior?

Reflection: Reflect on your worldview by answering one of the following questions:

  1. If you are not a Christian, what similarities and      differences are there between your worldview and the Christian worldview?
  2. If you are a Christian, how specifically do you live      out the beliefs of the Christian worldview?

Conclusion: Synthesize the main points, pulling the ideas of the paper together.

References

Prepare this assignment according to the guidelines found in the GCU Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

What Do The Four Parts Of The Christian Biblical Narrative?

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What do the four parts of the Christian biblical narrative (i.e., creation, fall, redemption, and restoration) say about the nature of God and of reality in relation to the reality of sickness and disease? From where would one find comfort and hope in the light of illness according to this narrative? Explain in detail each part of the narrative above and analyze the implications.

Common Health Conditions with Implications for Women

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Common Health Conditions with Implications for Women

 

Select a patient that you examined during the last four weeks as a Nurse Practitioner. Select a female patient with common endocrine or musculoskeletal conditions, Evaluate differential diagnoses for common endocrine or musculoskeletal conditions you chose .With this patient in mind, address the following in a SOAP Note:

 

Subjective: What details did the patient provide regarding or her personal and medical history?

 

Objective: What observations did you make during the physical assessment?

 

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

 

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up appointment with the provider, as well as a rationale for this treatment and management plan.

 

Reflection notes: What would you do differently in a similar patient evaluation? And how can you relate this to your class and clinical readings.

 

 

 

References

 

Schuiling, K. D., & Likis, F. E. (2013). Women’s gynecologic health (2nd ed.). Burlington, MA: Jones and Bartlett Publishers.

 

 

 

Chapter 22, “Urinary Tract Infection in Women” (pp. 535–546)

 

Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.

 

Review: Chapter 8, “Primary Care in Women’s Health” (pp. 431–560)

 

Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

 

National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

 

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/

 

 

 

 

Factors Affecting Vulnerability and Assessment of Needs

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Factors Affecting Vulnerability and Assessment of Needs
This week’s second discussion forum will focus on two selected groups:

    • Vulnerable mothers and children
    • People affected by alcohol and substance abuse

Review the video segments titled “Premature Babies: Risks and Costs” (Vulnerable Mothers and Children group) and “Social Cost of Alcohol Abuse” (People Affected by Alcohol and Substance Abuse group) through the Films On Demand database or in the textbook.

    • For each segment, select three specific factors from Chapter 2 (e.g., age, gender, culture, ethnicity, education, and income) that are present.
    • Reflecting on your experiences and knowledge gained in previous courses, discuss how these factors relate to the group’s vulnerability.
    • Based on the selected factors, assess the health care needs that can be inferred for each group. Discuss which approach(es) to care from Chapter 4, Section 4.1 (i.e., preventive, treatment, or long term), might help address them.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by a minimum of two scholarly sources beyond your course text.  Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

 

Need Other Tutorials For HCA 430?

You may click on the links below to go to respective tutorial.
·         HCA 430 Week 1 Discussion 1 ( Understanding the Scope of Vulnerable Populations )

·         HCA 430 Week 1 Discussion 2 ( Factors Affecting Vulnerability and Assessment of Needs )

·         HCA 430 Week 2 Assignment ( Vulnerable Population Summary and Proposed Program )

·         HCA 430 Week 2 Discussion 1 ( Social Versus Human Capital )

·         HCA 430 Week 2 Discussion 2 ( Continuum of Care Evaluation and Analysis )

·         HCA 430 Week 3 Assignment ( Assessment of Community- Level Barriers )

·         HCA 430 Week 3 Discussion 1 ( Cost of Health Care )

·         HCA 430 Week 3 Discussion 2 ( Barriers to Care )

·         HCA 430 Week 4 Discussion 1 ( Economic Dynamics of Health Care Delivery Models )

·         HCA 430 Week 4 Discussion 2 ( Regulatory, Legal, Ethical, and Accreditation Issues in Research )

·         HCA 430 Week 5 Assignment ( Final Project )

·         HCA 430 Week 5 Discussion 1 ( Variations in Approaches to Care )

·         HCA 430 Week 5 Discussion 2 ( Making a Difference )

Public Health Disasters & Preparedness

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Public Health Disasters & Preparedness

Read through the emergency disasters below. Select one of these scenarios and then complete the following steps:

  • Scenario No. 1: “Dragon/Volcano Emergency Response”
  • Scenario No. 2: “Vaccine Gone Awry Emergency Response”
  • Scenario No. 3: “Tornado Scenario”
  • Scenario No. 4: “Tropical Cyclone and Flooding”
  • Scenario No. 5: “Zombie Apocalypse”

Imagine you are the director of FEMA using NIMS when this disaster occurs.

  • Develop a PSA (using either Screencast or video) that informs the population of what will be done to resolve the issue. Address these elements in your video:
    • Describe the nature of the situation.
    • Explain what FEMA and others are doing to mitigate the situation.
    • Explain what people need to do to stay safe and/or to get help in order to reduce panic.
  • Your vocal tone should be one that is meant to reduce panic and provide a solid explanation of the above elements.
  • Copy and paste the URL to your video or screencast within your discussion forum response. If you are unable to create a YouTube video for this discussion, you may use a screencast program. However, you do not need to develop a PowerPoint presentation. This discussion is meant to assess your communication abilities, therefore, the audio portion of the video and/or screencast is essential. If you elect to use the screencast option, you may simply use a picture of yourself reporting the above information in lieu of a PowerPoint.

Questions to think about while formulating your response to the public:

  • What are the issues you will address first?
  • Which organization is responsible for what? Where will you allocate your resources?
  • What public health concerns are the results of each of these events?
  • Which populations might be most at risk?
  • What are some of the long-term health effects of these events?
  • What other health concerns may arise from these events?
  • What will you say to the people, who are desperately awaiting your direction?

Scenario Response Due by Day 7: Imagine that you are the recipient of the public announcement made by your classmates. In responding to at least two classmates who used a different scenario than you, explain how you would respond and react to your classmates’ public announcement. Do you believe your needs were covered in what the FEMA director stated? What would you do or say differently?

 

THIS TUTORIAL INCLUDES TWO ANSWERS FOR THIS DISCUSSION QUESTION TO HELP YOU SCORE BETTER      

  

Links to other tutorials for HCA 415

Just click on Assignment/Discussion/Quiz name to go to respective tutorial.

Evaluate the theoretical perspective on which the study is based

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Article Review

1. The purpose of an article review is to provide the academic community with a description, summary, and evaluation of the completed work. For the article review, students will assume the role of an expert who is critically evaluating contemporary research in the field of psychology. Students will incorporate material from across the course, analyzing and applying theories and principles of psychology, into a cohesive and well-written article review. This learning activity will facilitate the development of research skills, critical thinking, and writing skills that are necessary to success in the field of psychology.

The article for review was chosen in Week Two of the course and must be used in this review. Carefully read the selected article, and then write the article review.

  • Begin with a well-written introduction to the article that:
    • Analyzes the article and identifies the professional area of psychology it represents
    • Assesses the roles of psychology professionals within this area and describes whether or not the article clearly and correctly represents these roles.
  • Evaluate the theoretical perspective on which the study is based
  • Detail the hypotheses presented in the study or the relationship of interest
  • Describe the sample(s) presented in the study (how participants were obtained, selected, sample size, etc.)
  • Discuss where the study was conducted: university setting (lab), organization (field), etc.
  • Examine the ethical concerns in the study using the APA Ethical Principles and Code of Conduct as a guide.
  • Summarize the results of the study. Be certain to specify the findings and whether or not the hypotheses were supported.
  • Analyze the strengths and weaknesses of the study (usually found in the discussion section of the article).
  • Evaluate possible contemporary applications of the results within the article
  • Create a conclusion that includes a synopsis of professional insights about the study.

In the creation of the Article Review, it is paramount to include information in the form of peer-reviewed research to support any statements made. A minimum of five peer-reviewed articles, not including the article chosen for this assignment, are required for this paper.

Attention Students: The Masters of Arts in Psychology program is utilizing the Pathbrite portfolio tool as a repository for student scholarly work in the form of signature assignments completed within the program. After receiving feedback for this Article Review, please implement any changes recommended by the instructor, go to Pathbrite and upload the revised Article Review to the portfolio. (Use the Pathbrite Quick-Start Guide to create an account if you do not already have one.) The upload of signature assignments will take place after completing each course. Be certain to upload revised signature assignments throughout the program as the portfolio and its contents will be used in other courses and may be used by individual students as a professional resource tool. See the Pathbrite website for information and further instructions on using this portfolio tool.

Writing the Final Paper
The Final Paper:

  • Must be three to five double-spaced pages in length and formatted according to APA style as outlined in the Ashford Writing Center.
  • Must include a title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must begin with an introductory paragraph that includes an analysis of the article and identification of the professional area of psychology it represents, as well as an assessment of the clear description of the roles of psychology professionals within the area presented.
  • Must address the topic of the paper with critical thought.
  • Must end with a conclusion that includes a synopsis of professional insights about the study.
  • Must use at least five peer-reviewed sources, including a minimum of two from the Ashford University Library. The article being reviewed will not count toward this total.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
  • Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.

 

Carefully review the Grading Rubric for the criteria that will be used to evaluate your assignment.

Nursing Psychodynamic Therapy

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Assignment: Applying Current Literature to Clinical Practice

Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice.

Learning Objective

· Evaluate the application of current literature to clinical practice

To prepare:

· Review and evaluate the psychodynamic therapy article attached in the file and reflect on the insights they provide.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

· Provide an overview of the article you selected.

· What population is under consideration?

· What was the specific intervention that was used? Is this a new intervention or one that was already used?

· What were the author’s claims?

· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5-10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

BELOW ARE THE ARTICLE TO SELECT FROM

Select one of the following articles on psychodynamic therapy to evaluate in your Assignment:

Aznar-Martinez, B., Perez-Testor, C., Davins, M., & Aramburu, I. (2016). Couple psychoanalytic psychotherapy as the treatment of choice: Indications, challenges, and benefits. Psychoanalytic Psychology, 33(1), 1–20. doi:10.1037/a0038503

Karbelnig, A. M. (2016). “The analyst is present”: Viewing the psychoanalytic process as performance art. Psychoanalytic Psychology, 33(supplement 1), S153–S172. doi:10.1037/a0037332

LaMothe, R. (2015). A future project of psychoanalytic psychotherapy: Revisiting the debate between classical/commitment and analytic therapies. Psychoanalytic Psychology, 32(2), 334–351. doi:10.1037/a0035982

Migone, P. (2013). Psychoanalysis on the Internet: A discussion of its theoretical implications for both online and offline therapeutic technique. Psychoanalytic Psychology, 30(2), 281–299. doi:10.1037/a0031507

Tummala-Narra, P. (2013). Psychoanalytic applications in a diverse society. Psychoanalytic Psychology, 30(3), 471–487. doi:10.1037/a0031375