Discuss the tenets of nursing’s metaparadigm. Identify personal philosophy of nursing. 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Instructions

Consider the following scenario:

You have just been hired on as a new medical coding instructor at Hemingway College. Your program director at the college has asked you to fill in for the Introduction to ICD-10-PCS instructor. The program director informs you that the topic you will be teaching the students in that session is ICD-10-PCS structure, format, and table conventions. The program director tells you that the specific session that you will be teaching should meet the following objectives:

• Demonstrate how to build and apply the structure of the ICD-10-PCS.
• Demonstrate how to assign accurate codes for the ICD-10-PCS.

For this assignment, you are tasked with creating the material you would use to teach the students the two objectives. You can create and present the assignment using a format of your choosing:

• PowerPoint presentation
• Prezi presentation
• Word document
• Graphic
• Guide
• Website

There are many other formats that could be used. If you are unsure about your method, please check with your instructor.

By completing this assignment, you will be demonstrating that you know how to build and apply the structure of the ICD-10-PCS and that you can assign accurate codes for the ICD-10-PCS.

There is no minimum length for this assignment, but your assignment must be long enough to fully cover the topictopic

QUESTION 1

1. Opening refers to the stitching of a surgical site.True
   False

5 points   

QUESTION 2

1. Four components make up the approach of a procedure.True
   False

5 points   

QUESTION 3

1. Approach refers to the way in which the physician documents a procedure.True
   False

5 points   

QUESTION 4

1. An Intra-Uterine Device (IUD) is an example of an implant.True
   False

5 points   

QUESTION 5

1. Match each term with its corresponding definition. 
2. Bypass 
3. Control 

1. Dilation 
2. Detachment 
3. Drainage
4. Cutting off all or a portion of an upper or lower extremity
5. B.Altering the route of passage for the contents of a tubular body part
6. C.Stopping or attempting to stop postprocedural bleeding
7. D.Taking or letting out fluids and/or gases from a body part
8. E.Expanding an orifice or the lumen of a tubular body partDilation Detachment DrainageA.Cutting off all or a portion of an upper or lower extremityB.Altering the route of passage for the contents of a tubular body partC.Stopping or attempting to stop postprocedural bleedingD.Taking or letting out fluids and/or gases from a body partE.Expanding an orifice or the lumen of a tubular body part

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Instructions

For the Unit VIII PowerPoint Presentation, you will assume the role of a candidate interviewing for the director of medical billing at Columbia Southern Medical Group. The interview panel has provided you with five questions, and they would like you to create presentation slides with your response(s). Below are the five interview questions.

1. Columbia Southern Medical Group is an organization that prides itself on being on the forefront of innovation. By fulfilling this role as the director of medical billing, you would be expected to maintain knowledge on health insurance developments and new strategies in the field. What three recent developments in health care have influenced the climate of reimbursement the most, in your opinion? Be sure to detail each development. (two slides)
2. Some of your tasks as director of medical billing will lead you to be involved in Columbia Southern Medical Group’s medical coding procedures. Seeing that Columbia Southern Medical Group provides both inpatient and outpatient services, explain the types of medical coding that will be used in your department. Explain the relationship between the coding and billing departments, and identify some of the issues that could arise with incorrect coding/billing. (two slides)
3. Columbia Southern Medical Group does accept Medicare assignment in most cases, but there are two facilities owned by Columbia Southern Medical Group that do not participate with the Medicare program. With what you know about the Medicare Physician Fee Schedule (MPFS) and how it differs regarding participating providers versus non-participating providers, outline the differences in how these separate entities would conduct payments with this system. It may be a good idea to provide an example with the two different calculations describing how a service or procedure would be reimbursed under these scenarios. (two slides)
4. Being in compliance with healthcare regulations is of the utmost importance to Columbia Southern Medical Group, and it is imperative that all of its departments operate ethically and with integrity. One of your tasks as director will be to implement policies that will provide protection and security of all sensitive data housed in your department. Name safeguarding techniques that you will use to ensure privacy and security of patient information. Furthermore, describe regulatory standards and/or healthcare laws that will explain and enforce compliance measures. How do these measures help combat fraud and abuse? (two slides)
5. Columbia Southern Medical Group has always worked hard to create an atmosphere of continuous improvement as that has shown to lead to a more quality experience for the patient. By keeping up with current trends in the industry as well as ensuring that all regulatory and legal requirements are met, Columbia Southern Medical Group will continue to provide quality unmatched by others. One regulatory requirement that you will be tasked with as the director of medical billing is auditing. What are some healthcare third-party audits specific to medical billing and coding of which you will need to be knowledgeable? What are your thoughts on random self-audits? Do you think they can be helpful to you and your department if you were to obtain this position? (two slides)

Your presentation should consist of a total of 10 slides, not counting the title and reference slides.

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Payers’ Influence on the Healthcare Industry

Private insurance companies as well as the Centers for Medicare & Medicaid Services (CMS) have great influence over vital aspects of health insurance coverage in the United States. These third-party payers take on the responsibility to help improve a health insurance market undergoing a great deal of change right now.

In a three-page essay, answer the questions listed below.

• What are the new programs and initiatives that commercial insurance companies and the government are creating in order to help curb the rising cost of health care? Discuss these initiatives.
• How are these third-party payers impacting pricing in the health insurance industry?
• In your opinion, what are some strategies that could be utilized to help better control costs as well as reduce fraud and waste in the medical industry?

Be sure to include an introduction for your essay. This essay must be at least three pages in length and be double-spaced. You are required to use at least one outside source. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying APA citations.

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"