It’s important to note differences in the Medicare Appeals Process. Download the PDF, Medicare Parts A and B Appeal ProcessPreview the document, and explore the process and its distinct characteristics.

Once you have read through the file, write one-to-two paragraphs, describing the following:

Differences in the process

Reasons why appeals are escalated from one level to the next

Questions you have about the process

Enter your work into a Word document named “MedicareAppealsProcess” 

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Introduction:

Commercial insurance ranges from individual health coverage to automobile liability coverage. All commercial policies have similarities and differences, and there are critical areas to address in billing for each type.

Tasks:

• Describe at least three commercial insurance programs.
• Provide the major features of each program.
• Discuss how these programs differ from each other.
• Briefly describe how to bill for each program.

Submission Details:

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Your initial posting should be addressed in 150–300 words. Submit your document to this Discussion Area by the due date assigned.

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A medical vocabulary chart that needs to be in order Word,Root,Meaning, Definition for 30 words

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In this course project assignment, you are presented with clinical notes for two different patients. These progress notes have been recorded as SOAP notes. A SOAP note is a common method of documenting a patient’s visit with a healthcare provider. These notes are saved in a patient’s medical record and will be used for treatment, billing, and other activities to monitor the patient’s health over time.

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. Each of these components is used to record a vital part of the patient’s visit.

• Subjective: Includes the patient’s complaints and states the patient’s symptoms in his or her own words
• Objective: Includes information that the provider can measure, such as vital signs, weight, or findings from a physical exam
• Assessment: Includes a differential diagnosis or summary of signs and symptoms
• Plan: Includes treatments performed, follow-up appointment information, referrals, or other orders

You will be exploring the medical terminology used in these SOAP notes and will be asked to interpret the meanings of various words and abbreviations.

To complete this assignment, do the following:

1. Download the clinical notes for the two patients:

   Kay Salisbury Clinical Notes  (I have attached it below)
   Virginia Thompson Clinical Notes (I have attached it below)

2. Download, complete, and submit the document below. This document contains questions you will answer regarding the clinical notes for each patient.

   Module 02 Course Project Assignment Template (I have attached it below)

PLEASE USE A BLANK WORD DOCUMENT TO ANSWER THE QUESTIONS ON THE COURSE PROJECT QUESTIONS DOCUMENT

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 DIS 3

Topic 1  Because of the pain medication, Gladys Gwynn may not be able to speak for herself. Since she has no relatives to help, is it appropriate for Dr. Johnstone to make the decision about surgery for her? Under the circumstances, is it possible that when Gladys moved into Sunny Meadows they had her sign a Health Care Power of Attorney to someone at the facility?

Topic 2  Because the accident happened when Sheri Smith was helping Mrs. Gwynn, do you think Sheri should be held responsible for the accident? Given that Sheri is an employee of Sunny Meadows, should that facility be held responsible?

Topic 3  The recovery time for internal fixation surgery is shorter than that following a total hip replacement. The surgery is also less expensive and has a less strenuous recovery period; however, Mrs. Gwynn probably will not be able to walk again. Given the patient’s condition, and the limited dollars available for health care, which procedure should be performed?

Topic 4  Would you have answered Question 3 differently if Mrs. Gwynn were your mother?

ESSAY

After visiting the Media Links for this chapter, complete this assignment by writing a 2 to 3 paragraph essay about something you learned from one or more of the web sites. Enter the essay in the submission box and submit it.

http://orthopedics.about.com/mlibrary.htm 

 http://www.nof.org/ 

http://www.arthritis.org/

DIS 4

Topic 1  On what basis do you think Aifreight determined that this was a safety violation?

Topic 2  Use lay terms to explain Sandor’s injury and the treatment that was required.

Topic 3  Sandor knows how to handle heavy loads safety; however, the crate may have slipped because he was busy thinking about his daughter’s birthday party and not about his work. Could the responsibility for this accident be considered negligence on Sandor’s part? Do you think Sandor should be held responsible or is blameless in this situation?

Topic 4  It was determined that Airfreight was not responsible for the accident. Therefore, do you think the company should take away Sandor’s job if he does not return in 30 calendar days?

ESSAY

SAME AS ABOVE DIS 3

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