I NEED THIS DONE WITHIN THE NEXT 20 MINUTES. IT IS JUST ONE CASE STUDY QUESTION NOT A WHOLE ASSIGNMENT. 

After reading the operative report below, provide a complete response and codes to the questions that follow.
 

Findings:  The patient had a superficial wound dehiscence with exposure of his  leads. He had a small area of lead fraying on lead one. After the leads  were freed up from the scar and the pocket, that showed one area of lead  dropout on interrogation.
 

The patient was taken to the  operating room and placed in the supine position. General endotracheal  anesthesia was obtained. The patient had the usual monitors placed. The  patient was then rolled prone onto the Jackson OSI table. All of the  soft tissue areas were well padded. The patient had the usual monitors  placed. He then had the chest wound for the new generator site  identified with the incision identified using C-arm fluoroscopy in the  AP plane and the course of the lead was followed and the lead was  planned to be explanted at a new level and then reconnected to the  generator, which would be disconnected from the lead to the present  location pocket. The patient had a timeout done per protocol confirming  the correct patient, correct procedure, and all equipment that was  necessary from the Boston Scientific pacemaker rep. The patient then had  the incisions injected with local and the initial incision was made  over the area where the generator was. Sharp dissection was used to get  down to the generator layer, and bipolar cautery was used for  hemostasis. The leads were dissected free from the superficial aspect of  the incision and then the area of the generator was exposed, and the  generator was explanted and then it was disconnected from the leads, and  the temporary stoppers were placed in the lead holes on the generator  and secured and then the generator was placed in antibiotic solution.  The area of the leads was then inspected and noted to be markedly  scarred in the pocket where they had been positioned behind the  generator. These were dissected free using the Bovie cautery on cutting  mode and, once the leads had been freed up from all the scar, the new  pocket was made hemostatic and was irrigated out. The leads were then  exposed through the other incision for the new generator site. This was  placed approximately 5 in. above the present site and then, once the  leads had been identified in the depth of the new incision, they were  mobilized and dissected free and then mobilized up to the new incision  and then wrapped in an antibiotic soaked lap. The new pocket was created  using a Bovie cautery and the Army-Navy retractors and, once hemostasis  was obtained using the suction cautery, the area was irrigated out and  then the old generator site was irrigated out. Then the generator was  brought up after we had changed our gloves on the field and then the  generator had the stoppers removed and the leads were then placed in  their usual positions. The generator was placed halfway in the pocket  and then interrogated by the Boston Scientific rep, and the #1 lead was  noted to have one area of dropout but otherwise was functioning well.  This was consistent with a small area of fraying of the lead with the  bulk of the lead intact. The leads were then tightened and then  reinterrogated with otherwise good function noted, normal impedances,  and then the excess lead was placed behind the generator in the pocket.  Then the pocket was irrigated out again with Vancomycin antibiotic  solution and, once both pockets had been irrigated out, the wound was  closed in multiple layers and the skin was ultimately closed with  staples at both sites. The patient then had the wounds cleaned off and  dressed and the patient was then rolled supine and extubated and brought  back to the recovery room alert and moving all extremities.
 

Questions
 

•    Based on your review of the operative report, what is the objective of the procedures performed today?
•    Based on your review of the operative report, what two approaches are used for this report?
•    Based on your review of the operative report, identify the two codes needed to reflect the work performed on the leads.
•    Identify the code that would be used to report the insertion of the pulse generator.
•    Identify the code for the interrogation of the pacemaker. 

 

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Instructions

NCF:

This final project assignment is associated with the NCF (non-completion failure) grade. Failure to complete this assignment will result in the issuance of a grade of NCF if the course average would result in a failing grade in the course. Students should contact their Academic Counselor or Program Director if they have any questions regarding the NCF grade and its implications.

Introduction:

In order to properly code a bill for medical necessity, it is important to understand different plans and the requirements for billing each. It is true that they all use the ICD-10-CM diagnosis coding system, the CPT procedure coding system, and the CMS-1500 form, but each type of carrier has certain requirements for a clean bill.

Tasks:

• Create a billing manual constructed of summaries of each type of insurance.
• Include the major requirements for billing for each type.
• Note inpatient or outpatient differences where appropriate.
• Explain how to determine from the patient which type they subscribe to.

Submission Details:

• Submit this topic as an 8- to 10-page Microsoft Word document. Use APA standards for citations and references.
• Cite a minimum of three outside peer-reviewed sources to support your assertions and save it as SU_HCM1201_W5_Project_LastName_FirstInitial.doc. Submit the report to the Submissions Area by the due date assigned.
• Cite any sources using correct APA format on a separate page.

 

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Read the these 3 articles and write response paper. 

These will be need to be written from an ethical stand-point towards one of the cases that we have discussed in the time period leading up to the due date. You may write on any of the cases that have been covered in class up until the time of the due date, even those that were covered before a previous due date. However, you cannot write on the same case-study more than once. These must be a thesised response, in other words you must tell me from what ethical perspective you are addressing the case study and what your ultimate reaction to this issue is. You must use one of the following ethical theories to support your thoughts: Divine Command Theory, Divine Natural Law, Secular Natural Law, Social Contract Theory, Utilitarianism, Categorical Imperative (Kantian Ethics), Virtue Ethics, Feminist Care Ethics.

 

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For this assignment, you will analyze the current health care problem or issue of interest to you (MEDICAL ERRORS THAT HAPPEN BETWEEN PROVIDERS AND PATIENTS, PHARMACISTS, AND PATIENTS ALONE (PATIENT MISUNDERSTANDING)). 

To explore the chosen topic you should use the first four topics of the Socratic Problem-Solving Approach Media for critical thinking These are also linked in the resources of this unit. Start by defining the health care problem or issue on the health care topic of your choice, then provide details about the problems or issues that are part of the chosen topic, and identify causes for the problems or issues. Identify at least three scholarly or academic peer-reviewed journal articles about the topic you are discussing.

Use scholarly information to explain the health care problem or issue you chose. 

1. Assess the credibility of information sources.
2. Assess the relevance of the information sources.
3. Analyze the problem or issue. 
   1. Describe the setting or context for the problems or issues.
   2. Describe the reasons that make the problems or issues important to you.
   3. Identify groups of people affected by the problems or issues.
4. Discuss potential solutions for the problems or issues. 
   1. Describe potential solutions
   2. Provide the pros and cons for one of the solutions you are proposing.
5. Analyze the ethical implications if the potential solution was implemented. 
   1. Describe what would be necessary to implement the proposed solution.
   2. Provide examples from the literature to support the points you are making.
   3. Discuss the pros and cons of implementing the proposed solution from an ethical principle point of view.

 

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Assume that you are leading a clinical operations team at GW Medical Center. As you answer each question, think about how you would behave in the workplace. For example, the first question is “When assigning tasks, I consider people’s skills and interests.” As a manager, would you do that very often, often, sometimes, rarely, or not at all?

Go to: Mind Tools Editorial Team. How Good Are Your Leadership Skills? https://www.mindtools.com/pages/article/newLDR_50.htm

Complete the leadership skills questionnaire. After you answer all questions, click on the “Calculate My Total” button. You may have to set up a free account in order to get your total. 

After you get your total score, scroll down to see how you scored on each Personal Characteristic:

Self-Confidence

Positive Attitude and Outlook

Emotional Intelligence

Providing a Compelling Vision of the Future

Motivating People to Deliver the Vision

Being a Good Role Model

Managing Performance Effectively

Providing Support and Stimulation

Write a one-page report answering the following questions:

Based on the description provided what does your score mean in terms of leadership skills?

Which personal characteristics did you score highest?

Which personal characteristics did you score lowest?

What suggestions for improving your leadership skills, did this website provide for you? 

By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

 

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