Chapter 5, Problem 19R

Those who get to define the problem get to determine the solution. Explain what this means through a discussion of patient needs, the healthcare workforce, and the extent to which the U.S. has or does not have a physician shortage.

The LPN/LVN in the private practice of a health-care provider is assisting with a follow-up appointment for a patient being treated with oral antibiotics for a severe infection. The LPN/LVN notices that the infection site does not look improved. The patient states, some days I just forget my medication. “Which statement by the LPN/LVN would be most appropriate? Everyone forgets their medication sometimes. It is important to take your medication as ordered. Missing a dose makes the medication less effective. I am afraid your infection is not healing well.

Traditional Fee-For-Service coverage is selected by: A Small business employees Large groups of employees Individuals with no group plan None of the above

With the use of Electronic Health Records most healthcare facilities and offices no longer submit a paper claim form instead of the fields in the EHR translate in the background to an electronic format of the CMS 1500 (physician claim) or a UB04 (hospital claim) form. However, it is still essential that you understand how to complete a claim form properly. In reviewing the different Blocks on the CMS 1500 form, choose a section of Blocks (as discussed in the unit) and in your own words: List the Block Numbers (i.e., Blocks 1-8), Describe what information goes into the Blocks Discuss any formatting requirements for the Blocks and what happens to a claim if the formatting is incorrect. In the second document above, CMS discusses Incomplete or Invalid Submissions. Explain how the Part A/Part B Medicare Administrative Contractors (MAC) handles these types of claims. CMS also discusses the difference between a “clean claim” and “other-than-clean claims.” Explain in your own words the…

You are caring for a client with diabetes. You notice that the client is forcing his shoes on over very swollen feet and the shoes are extremely tight. He denies any discomfort. Is this a problem? How would you go about the situation?

Coordination of benefits (COB) includes:   Reimbursement when a patient is covered by more than 1 health plan    Reimbursement for non-covered services   Reimbursement for not medically necessary services   Reimbursement for diagnosis mismatch

I need help.

1.) A medical group has decided to develop an industrial medicine program for employers. This program would help in the treatment of on-the-job injuries, workers’ compensation requirements, health education, and toxicology analysis. The group has hired a new salesperson to approach a major furniture manufacturer about the program. In preparing for her first call, the salesperson makes a list of the possible members of the buying center. Prepare the list and explain each idea. Note-please do not list furniture manufacturers or companies!

Hello!Can you please help me with this assignment? As the nursing home supervisor, you recognize the need for a process improvement plan based on this data. After speaking to your staff about best practices related to care of the immobilized client, you discover your facility has not been stocking skin barrier cream, and the UAPs have not been repositioning the residents per policy. Instead of taking disciplinary action against the staff at this time, you elect to implement an intensive education effort for the entire facility. RNs, LPNs, and UAPs will attend the same training.  Research and devise a comprehensive education plan to address the frequency of pressure injuries at your facility. The teaching plan should include, at a minimum: The proper use of barrier cream (How and when is it applied? Who can apply it?)  A minimum of 6 specific complications of immobility (Do not list 'respiratory complications'. Be specific). A minimum of 6 interventions to prevent the complications…