Advance Primary Care Iii

  

Discussion 1
Hi class,

Topics to review during our first week of the course:

· How Healthcare reform is impacting primary care https://www.ajmc.com/contributor/sophiabernazzani/2016/03/howhealthcarereformisimpactingprimarycare 

• Healthcare reform 101: What the health is going on in 2018? https://www.youtube.com/watch?v=cwTWhwWLzHQ  

• Healthcare Transformation and Changing Roles for Nursing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf 

Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. 

How do you think we can improve this understanding of the nurse practitioner role?

Please submit your initial response 09/07/19 by 11:59 PM.

Thank you

 
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Advance Role Of Nursing Practice Week 1 19399379

 

Based on your selected MSN program (Family Nurse Practitioner FNP) , write your first section of your ROLE paper using the following criteria:

For this assignment, you will research an advanced nursing practice role and summarize your findings in a 3- to 5-page paper (excluding the title page and references):

  • Focusing on the specialty for which you were admitted to South University, select an advanced nursing role to research. (It must be one offered by South University.)
  • Distinguish the role as clinical or non-clinical and how it promotes patient outcomes, ie safety, access to health care or health information relative to the ANP level
  • Apply an Advance Nursing Practice Concept to your chosen role
  •  Develop a minimum of ten questions that you would like to ask the advance practice clinician or non-clinician that you have chosen to interview.  Identify in the paper the individual by name, credentials, position and your planned date for the interview (Interview is due Week 3)
  • Support your findings with at least two research articles (study, design, sample and results must be discussed). Other peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; ieAmerican Association of College of Nursing. (2010)).
  • Format your paper, citations, and references using correct APA Style.
 
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Advance Role Of Nursing Practice Week 1

Instructions

Based on your selected MSN program, (Family nurse practitioner) write your first section of your ROLE paper using the following criteria:

For this assignment, you will research an advanced nursing practice role and summarize your findings in a 3- to 5-page paper (excluding the title page and references):

  • Focusing on the specialty for which you were admitted to South University, select an advanced nursing role to research. (It must be one offered by South University.)
  • Distinguish the role as clinical or non-clinical and how it promotes patient outcomes, ie safety, access to health care or health information relative to the ANP level
  • Apply an Advance Nursing Practice Concept to your chosen role
  •  Develop a minimum of ten questions that you would like to ask the advance practice clinician or non-clinician that you have chosen to interview.  Identify in the paper the individual by name, credentials, position and your planned date for the interview (Interview is due Week 3)
  • Support your findings with at least two research articles (study, design, sample and results must be discussed). Other peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; ieAmerican Association of College of Nursing. (2010)).
  • Format your paper, citations, and references using correct APA Style.

 
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Advance Roles Of Nursing Practice Week 1

 

Based on your selected MSN program (FAMILY NURSE PRACTITIONER) , write your first section of your ROLE paper using the following criteria:

For this assignment, you will research an advanced nursing practice role and summarize your findings in a 3- to 5-page paper (excluding the title page and references):

  • Focusing on the specialty for which you were admitted to South University, select an advanced nursing role to research. (It must be one offered by South University.)
  • Distinguish the role as clinical or non-clinical and how it promotes patient outcomes, ie safety, access to health care or health information relative to the ANP level
  • Apply an Advance Nursing Practice Concept to your chosen role
  •  Develop a minimum of ten questions that you would like to ask the advance practice clinician or non-clinician that you have chosen to interview.  Identify in the paper the individual by name, credentials, position and your planned date for the interview (Interview is due Week 3)
  • Support your findings with at least two research articles (study, design, sample and results must be discussed). Other peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; ieAmerican Association of College of Nursing. (2010)).
  • Format your paper, citations, and references using correct APA Style.

 
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Advance Week 8 Dis 1

 Portal Hypertension and effects of Portal Hypertension. 

 
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Advanced Clinical Inquiry And Systematic Reviews

 

Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four peer-reviewed articles you selected.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples. 
 
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Advanced Coding Em Medicine And Anesthesia

 

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. 

 
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Advanced Coding Integumentarycardiovascularsensory

Please answer all questions CORRECTLY, and return back to me.

 

1.   A 38-year-old patient is admitted to the hospital due to a lesion in her right breast, and a painful lump and nipple discharge from the left breast. The physician places a percutaneous needle localization device in the right breast under ultrasound guidance, excises the right breast lesion, and then excises the lactiferous duct fistula in the left breast. What CPT codes should be assigned?

   A. 19129-RT, 19284-RT, 19122-LT   B. 19125-RT, 19285-RT, 19112-LT   C. 19127-RT, 19283-RT, 19132-LT   D. 19122-RT, 19275-RT, 19142-LT
 

 

2.   A 92-year-old female patient experiences difficulty hearing in her left ear. She is prescribed a BICROS hearing aid that she can wear behind the ear. What HCPCS code is assigned?

   A. V5250   B. V5320   C. V5220   D. V5240 

 

3.   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 CPT code should be assigned?

   A. 01612-P1   B. 01402-P1   C. 01202-P1   D. 01312-P1 

 

4.   An 80-year-old patient is admitted to the hospital with congestive heart failure. What ICD-10-CM code should be assigned?

   A. K15.0   B. L50.5   C. K52.9   D. I50.9 

 

5.   A 44-year-old female patient comes to the hospital for removal of a 4 cm malignant lesion from the arm. During the course of the procedure, the patient undergoes a 14 sq. cm adjacent tissue transfer from the right leg, as well as a 20 sq. cm split-thickness skin graft from the left arm. What CPT codes are assigned?

   A. 14021, 15100-51   B. 14045, 15400   C. 14032, 15207   D. 14044, 15350 

 

6.   A patient has a breast localization device placed through the skin using stereotactic guidance in order to treat two lesions. What codes would be assigned?

   A. 19285, 19286   B. 19287, 19288   C. 19283, 19284   D. 19296, 19297 

 

7.   A 19-year-old patient is diagnosed with acne vulgaris. The physician performs laser dermabrasion of the facial skin. What codes are assigned?

   A. L50.5, 0HB1XZZ   B. L70.0, 0HD1XZZ   C. L70.5, 0HA1XZZ   D. L70.6, 0HQ1XZZ 

 

8.   Implantation of a patient-activated cardiac event recorder is assigned to code

   A. 33286.   B. 33282.   C. 33285.   D. 33284. 

 

9.   A 27-year-old patient is diagnosed with a chalazion on the upper left eyelid, which is excised using an external approach. What ICD-10 diagnosis and procedure codes are assigned?

   A. H04.16, 08BQXZZ   B. H02.14, 08BTXZZ   C. H00.14, 08BPXZZ   D. H07.19, 08BRXZZ 

 

10.   A 77-year-old patient is diagnosed with an ear infection. She receives an injection of 40 mg of gentamicin sulfate. What HCPCS code should be assigned?

   A. J1452   B. J1472   C. J1675   D. J1580 

 

11.   A patient undergoes a transcanal labyrinthectomy. What code would be assigned?

   A. 69930   B. 69915   C. 69955   D. 69905 

 

12.   A 92-year-old patient is diagnosed with senile cataracts and bilateral sensorineural hearing loss. The physician performs a bilateral cataract extraction. What ICD-10 codes are reported?

   A. H27.9, H90.3, 08KJ3ZZ, 08MK3ZZ   B. H26.9, H90.3, 08EJ3ZZ, 08LK3ZZ   C. H25.9, H90.3, 08DJ3ZZ, 08DK3ZZ   D. H21.9, H90.3, 08PJ3ZZ, 08NK3ZZ 

 

13.   Mr. Oliver is an elderly gentleman who has been having problems with his vision for the previous three weeks. He is diagnosed with keratoconus, as well as hypertension with stage III chronic kidney disease, and diabetes mellitus, for which he takes long-term insulin. The anesthesiologist provided general anesthesia for this patient with severe systemic disease. After the administration of anesthesia, the surgeon performs an endothelial keratoplasty. Prior to performing the endothelial keratoplasty, the surgeon performs backbench preparation of the allograft. Code this scenario (including the anesthesiology service).

   A. 65756, 65757, 00144-P3; H18.609, E11.65, R46.89, Z79.4   B. 65754, 65727, 00134-P1; H18.609, E11.40, I12.9, N18.4, Z79.899   C. 65756, 65757, 00144-P3; H18.609, E11.9, I12.9, N18.3, Z79.4   D. 65757, 65787, 00142-P2; H18.229, E11.51, I12.0, N18.9 

 

14.   A 47-year-old female patient is seen for a worrisome lesion on the back of her hand. What ICD-10-CM code should be assigned?

   A. L94.9   B. L98.9   C. L91.5   D. L97.4 

 

15.   Breast reconstruction with transverse rectus with a TRAM flap would be assigned to code

   A. 19370.   B. 19342.   C. 19369.   D. 19316. 

 

16.   Ms. Nelson comes to the emergency room due to sustaining multiple lacerations after being pushed into a glass door during a physical altercation with her husband at a hotel. She sustained a 5 cm laceration on her right hand and a 7 cm cut on her neck. She also has a 5.0 benign lesion removed from her left arm. The physician performs a simple repair on the lacerations on her hand and neck. Code this scenario.

   A. 11443, 12008-59; S61.209A, S31.652A, Y04.0XXA, W45.8XXA, V97.29XA   B. 11422, 12007-59; S51.809A, S61.351A, W86.8XXA, Y04.0XXA   C. 11409, 12005-59; S58.119A, S11.22XA, X19.XXXA, V95.13XA   D. 11406, 12004-59; S61.401A, S11.90XA, Y04.0XXA, W45.8XXA, Y92.29 

 

17.   Biopsy of the lacrimal gland is assigned to code

   A. 68520.   B. 68811.   C. 68815.   D. 68510. 

 

18.   A patient comes to the emergency room complaining of lightheadedness and difficulty hearing. The physician examines her and determines that she has Ménière’s disease. The physician performs an endolymphatic sac decompression (excision of the right inner ear using an open approach). What ICD-10 diagnosis and procedure codes are assigned?

   A. H81.03, 09BF0ZZ   B. H83.03, 09BK0ZZ   C. H81.03, 09BD0ZZ   D. H82.03, 09BG0ZZ 

 

19.   A physician performs a biopsy of the cornea. What code should be assigned?

   A. 65420   B. 65410   C. 65419   D. 65415 

 

20.   Injection of contrast medium for dacryocystography is assigned to code

   A. 68853.   B. 68854.   C. 68850.   D. 68851. 

 
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Advanced Family Practicum

How Healthcare reform is impacting primary care https://www.ajmc.com/contributor/sophiabernazzani/2016/03/howhealthcarereformisimpactingprimarycare 

• Healthcare reform 101: What the health is going on in 2018? 

https://www.youtube.com/watch?v=cwTWhwWLzHQ  

• Healthcare Transformation and Changing Roles for Nursing https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5266427/pdf/ornur3612.pdf 

Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. 

How do you think we can improve this understanding of the nurse practitioner role?

Please the discussion would have more than 300 word apart from the references

 
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Advanced Health Assessment And Diagnostic Reasoning

Case #3: 38-year-old Native American pregnant female living on a reservation

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

 
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