Evaluation and Management (E/M) and Management (E/M)

/in /by

PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding.

For this Assignment, you will review evaluation and management (E/M) documentation for a patient and perform a crosswalk of codes from DSM-5 to ICD-10. 

To Prepare

  • Review this week’s Learning Resources on coding, billing, reimbursement.
  • Review the E/M patient case scenario provided.
The Assignment
  • Assign DSM-5 and ICD-10 codes to services based upon the patient case scenario. 

Then, in 1–2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.

  • Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.
  • Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.
  • Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.   
By Day 7 of Week 2

Submit your Assignment. 

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK2Assgn1+last name+first initial.(extension)” as the name.
  • Click the Week 2 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 2 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn1+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:
Week 2 Assignment 1 Rubric

Assignment 2: Study Plan

Can you imagine an athlete deciding to run a marathon without training for the event? Most ambitious people who have set this goal will follow a specific training plan that will allow them to feel confident and prepared on the big day. Similarly, if you want to feel confident and prepared for your certification exam, you should create and follow a plan that will thoroughly prepare you for success.

In this Assignment, you will review the study plan that you developed in NRNP 6665, and revise your plan as necessary, which will serve as the road map for you to follow to attain your certification.

To Prepare
  • Reflect on the study plan you created in NRNP 6665. Did you accomplish your SMART goals? What areas of focus still present opportunities for growth?
The Assignment
  • Revise your study plan summarizing your current strengths and opportunities for improvement.
  • Develop 3–4 new SMART goals for this quarter and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.
  • Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study.

Reply 1 and 2 150 words each by 06/24/2021

/in /by

Reply1

Tracey Cash 1 postsRe: Topic 6 DQ 1

Topic 6 DQ 1

     Hospitals around the world were impacted by the Covid-19 pandemic. Early during the pandemic is was not clear how health care utilization and spending would change. Most expected health cost to increase during the pandemic but surprisingly statistics show that health care use and spending decreased dramatically in 2020 due to cancellations of elective care to increase hospital capacity and social distancing to help reduce the spread of Covid-19. The drop in health spending in 2020 reflects a decrease in utilization for non-Covid medical care. (Cox et al., 2021)

     As the health care industry maneuvered through the pandemic it became evident that the quality of nursing would be changed forever. Health care professionals had to make daily changes in the way they cared for Covid-19 patients. This in turned changed the quality of care. Health care professionals were forced to change their daily routines in how they cared for patients due to the limited supplies of personal protective equipment. Limiting bedside care to minimize possible nurse exposure to the virus.

     Although burnout in the health care professional began long before the Covid-19 pandemic, health care leaders will learn from the past and work toward implementing change, so it does not continue. Challenges that nurses have faced during and after the Covid-19 pandemic are burnout, compassion fatigue, depression, and post-traumatic stress disorder. With the already acknowledged shortage of nurses across the nation the psychological issues if not addressed will lead to nurses finding new careers. The clinical aspect of the health care industry continues to be deeply affected by this.

     My change project interventions will have a direct impact on the financial, quality, and clinical aspect of the health care industry.

  1. The health care industry cannot function without nurses and their knowledge and specialties. Each department of the hospital requires nurses to have special knowledge for the department to run smoothly and care for patients. Elective surgeries generate millions of dollars to a hospital therefore nurses and other health care professionals are needed to provide care and generate this type on income.
  2. As the health care industry makes strides to return to a “new normal” nurses will be able to conduct bedside care with less fear of being exposed to Covid-19.
  3. With support from administration my change project will have an impact on the mental health of health care professionals that have treated Covid-19 patients. With mental health support, telemedicine evaluations, and Chaplains on call for counsel and prayer psychological issues will be reduced, reducing burnout, stress, depression, compassion fatigue, and post-traumatic stress disorder.

     By offering health care professionals psychological support will indirectly affect overall hospital production, income, and patient satisfaction.

References

Cox, C., Amin, K., & Kamal, R. (2021). How Have Health Spending and Utilization Changed During The Coronavirus Pandemic? Health System Tracker. Retrieved June 22, 2021, from https://doi.org/https://www.healthsystemtracker.org/chart-collection/how-have-healthcare-utilization-and-spending-changed-so-far-during-the-coronavirus-pandemic/
Reply 2

Re: Topic 6 DQ 1

Financial aspect, quality aspect, and clinical aspect to consider for developing evidence-based change proposal.

Financial aspect

Implementation of evidence-based practice brings into action new ways of doing things. It’s a process which has monetary implication. This comes in when for example new infrastructure has to be put in place, staff have to be trained and retrained and or the institution has to bring on board more staff to ensure that what is proposed is implemented per protocol (Alex et al. 2020).

Quality aspect 

All communities deserve good services provision. One key aspect of this proposal is to ensure quality care is provided to target populations to prevent falls. Adoption of key quality measures is critical, and this has to be put into consideration.

Clinical aspect

A key clinical aspect is understanding staff composition and the various roles they play. All inpatient units have nurses, doctors, certified nurse assistant amongst other clinical staff. Different units are equipped based on the acuity of clients they care for and this needs to be considered while implementing evidence-based projects.

The proposal will impact on the above in various ways. One is on the quality of service provision. The project is focusing on prevention of falls by implementing evidence-based practices which have been tried and showed high impact. During this several clinical aspects such as clinical skills composition will be considered. Ultimately, to ensure recommendations are put into action, there will be financial implications during capacity building of staff and If the hospital will consider employment of more staff.

Reference. 

Alex R D, Marie R N, Peter M, Jane F S, Allison B S, David M, Beverly W F, Byron J P, Susan S, Daniel E, Douglas L and Peter M, 2020. A scoping review of strategies for financing the implementation of evidence-based practices in behavioral health systems: State of the literature and future directions. https://doi.org/10.1177%2F2633489520939980

discussion board a&p

/in /by

Prompt: You serve on a committee for a charitable foundation that will vote and decide how to fund grant requests for research on specific diseases. This research could lead to better understanding of disease mechanisms or new therapies/interventions. The applications for the grants have been narrowed down to 3 choices. 

Out of these choices, you may only choose one to vote for: 

Osteogenesis imperfecta

Duchenne muscular dystrophy

Amylotropic lateral sclerosis

Which option will you choose and try to convince others to vote for? There is no perfect choice available and all three choices have strong grant applications. 

Through this 2-part discussion with your classmates, you will state your choice, explain the disease, and why you chose to vote this way using appropriate and sufficient evidence. Your explanation should include the cause of the disease, impact on the anatomy and physiology of the body, demographics, symptoms, currently available research/treatments, and prognosis.

You will respond to your classmates’ posts to convince them why they should vote the same way as you. You may also be convinced by a classmate to switch your initial vote. In other words, you need to know why your choice is the best choice and why the other choices would not be. 

Remember, no answer is one hundred percent correct so you are not saying that others are wrong, but instead why your choice is optimal based on evidence. 

Initial Post (Worth up to 70 points)

Length: 250-500 words

12pt font

All sources (3 required) must be properly cited (see APA source citation below)

State and explain your choice. When stating the evidence, consider the challenges that others may have to your evidence and how you could counter those respectful challenges. 

APA Source Citation

You must use at least 3 reputable scientific references to support your post (not including your textbook- if you use your textbook, you must also cite it). Reputable 

1

sources= peer reviewed scientific journal articles, accredited websites, or books. Google, Wikipedia, etc. are not acceptable sources.

Your information must be credible, accurate, and well supported by evidence. The best sources of information are the research journals and the books as well as webpages maintained by professional societies and organizations. Search for articles and academic material should start with the electronic databases of libraries such as FTCC’s Paul H. Thompson Library (opens new window), PubMed (opens new window) or other such resources. When in doubt about material, use CARS checklist (opens new window) to see if it can be used in discussions and writings.

You must cite all sources, both as and work cited and in-text. Citation format must be APA (See examples below). If you need more information, visit the Purdue Owl Writing Lab (opens new window) for instructions on proper formatting.

Works Cited References

Website

Format

Lastname, F. M. (Year, Month Date). Title of page. Site name. URL

Example

Price, D. (2018, March 23). Laziness does not exist. Medium. https://humanparts.medium.com/laziness-does-not-exist-3af27e312d01

Scientific Journal Articles

Format

Author, A. A., Author, B. B., & Author, C. C. (Year). Title of article. Title of Periodical, volume number(issue number), pages. https://doi.org/xx.xxx/yyyy

Print Journal Example

Scruton, R. (1996). The eclipse of listening. The New Criterion, 15(3), 5–13.

Electronic Journal Example

Baniya, S., & Weech, S. (2019). Data and experience design: Negotiating community-oriented digital research with service-learning. Purdue Journal of Service-Learning and International Engagement, 6(1), 11–16. https://doi.org/10.5703/1288284316979

Book

Format

Author, A. A. (Year of publication). Title of work: Capital letter also for subtitle. Publisher Name.

Example

Malory, T. (2017). Le morte darthur (P. J. C. Field, Ed.). D. S. Brewer. (Original work published 1469-70)

Data mining real world

/in /by

 select an organization that has leveraged Data Mining technologies in an attempt to improve profitability or to give them a competitive advantage.

Research the organization to understand the challenges that they faced and how they intended to use Data Mining to overcome their challenges. The paper should include the following sections each called out with a header.

• Company Overview: The section should include the company name, the industry they are in, and a general overview of the organization.

• Challenges: Discuss the challenges that limited their profitability and/or competitiveness and how they planned to leverage  Data Mining to overcome their challenges.

• Solution: Describe the organization’s Data Mining implementation and the benefits they realized from the implementation. What was the result of implementing Data Mining? Did they meet their objectives for fall short?

• Conclusion: Summarize the most important ideas from the paper and also make recommendations or how they might have achieved even greater success.

The paper must adhere to APA guidelines including Title and  Reference pages. There should be at least three scholarly sources listed on the reference page. Each source should be cited in the body of the paper to give credit where due.

Per APA, the paper should use a 12-point Time New Roman font, should be double spaced throughout, and the first sentence of each paragraph should be indented .5 inches.

The body of the paper should be 4 – 5 pages in length.

The Title and Reference pages do not count towards the page count requirements.

Some useful references

https://www.cs.umd.edu/~samir/498/Amazon-Recommendations.pdf
http://cs229.stanford.edu/proj2017/final-reports/5230053.pdf
https://cloud.google.com/blog/products/gcp/how-a-japanese-cucumber-farmer-is-using-deep-learning-and-tensorflow
https://data-flair.training/blogs/data-science-at-netflix/

Plagirisim report must

#2 WBS / Project Sequencing Evaluation

/in /by

 Use template attached and grading structure

Overview

A WBS is a critical project deliverable that organizes deliverables into manageable work tasks. It is a tree-like structure that indicates level of effort required to complete a deliverable.

Instructions

Part 1: WBS Development

From the project scope management plan you completed in Assessment 1, identify the major components to create a hierarchical diagram describing the tasks and activities for your selected project. Decompose the components to work package level. Complete the following:

  • Identify the major deliverables of your project.
  • Design a WBS that includes, at a minimum, four levels.
  • Develop WBS in a logical structure that supports project objectives.
Part 2: Project Sequencing Evaluation

Research and evaluate the following types of project sequencing:

  • Finish-to-start: The predecessor activity needs to finish before the successor can start.
  • Finish-to-finish: The predecessor activity needs to finish before the successor can finish.
  • Start-to-start: The predecessor activity needs to start before the successor can start.
  • Start-to-finish: The predecessor activity needs to start before the successor can finish.

Include the evaluation of each type of logical relationship, including:

  • Definition of relationship.
  • Advantages of logical relationship.
  • Disadvantages of logical relationship.
  • Graphical representation.

Update the Project Time Management Plan sections of the Project Management Plan Template:

  • Work Breakdown Structure.
  • Project Sequencing Evaluation.

Additional Requirements

Your assessment should meet the following requirements:

  • Written communication: Ensure written communication is free of errors that detract from the overall message. Complete assessments in a detailed, comprehensive, and error-free manner.
  • Number of resources: Include at least three current scholarly or professional resources for Part 2.
  • Length: Update the Project Time Management sections (Work Breakdown Structure and Project Sequencing Evaluation) of the Project Management Plan Template.
  • Font and font size: Times New Roman, 12 point.

lesson plan

/in /by

 

Two unit plans are required for this class. Each unit will consist of five lesson plans with scope and sequence following one of the four Generic Levels of Skill Proficiency. Chapters Thirteen through Twenty-six can be used for these units. The lessons MUST come from The Children Moving book! No exceptions will be given.

This is a lesson plan, I have attached the Microsoft  lesson plane template and the textbook below to do the lesson plane. 

open the textbook and go to chapter 26 in the textbook, the chapter is about volleying and dribbling. use the dribble, control level. use the Microsoft lesson plan to answer each of the question.

first lesson plan should be on Dribbling and travelling
second lesson plan should be on Dribbling and looking 

third lesson plan should be on Dribbling at different level 

fourth lesson plan should be Moving switches.

use a different Microsoft lesson plan template for each.

Things to know about the lesson plan template _ TTW mean THE TEACHER WILL, TSW MEAN  THE STUDENT WILL.

Leave the  NASPE Standard(s),  Lesson Plan Components. I will do them myself. The first attached is the lesson plan template  example 

Have attached the lesson plan template example so you will know how to do it. Text me if you are interested 

NU500-8B-UNIT7-ASSIGNMENT

/in /by

 

Instructions

The purpose of the Theory Application Paper is to help you apply your selected nursing theory to your specific area of practice.

  1. Select a Nursing Theory- Select one specific nursing theorist and nursing middle-range theory that best fits your area of practice. Ex. Pender’s Health Promotion Model, Kolcaba’s Comfort Theory, Beck’s Postpartum Depression Theory, etc)
  2. APA Student Title Page– (No Abstract Needed)
    • Include the following information on the Student title page in 7th ed. APA format:
      • Assignment name in Bold Font: (Ex. Theory Application Paper: Swanson’s Theory of Caring in Obstetrics)
      • Skip a Line
      • Your Name
      • Name of University
      • Course Number and Name
      • Instructor’s Name
      • Date of Submission (Month, Day, Year)
  3. Introductory paragraph – Capture the reader’s attention (ex. Grabbing statistics) and introduce the rationale for selecting the specific nursing theory for your area of nursing over other nursing theories (Do not write in first person; Include a purpose statement of what you will describe in the paper as the last sentence of the introductory paragraph.) Next, begin the Body of Paper.
  4. Theory Description (Level 1 Header) Briefly describe the theory.Give overview of theory purpose, scope, concepts, structure, and unique focus.
  5. Rationale (Level 1 Header) Discuss the rationalefor selecting the theory for implementation in your specific practice setting. (Do not use first person)
  6. Implementation Plan (Level 1 Header) Describe a plan to implementthe theory in your area of practice for your entire department or organization.
  7. Barriers to Implementation (Level 1 or 2 Header, your choice) Discuss potential barriers or challenges to the implementation plan and how to overcome these barriers and challenges. 
  8. Conclusion (Level 1 Header) Conclusion paragraph with concluding statements to summarize the content and re-state or re-phrase the original purpose statement.
  9. APA Reference Page- Please be sure to support your paper with in-text citations. Please use 5 peer-reviewed resources.

Additional Instructions: Your assignment should be typed into a Word or other word processing document, formatted in APA style. Paper should be a minimum of 4-5 pages in length, excluding the title and references pages.  (You may increase the number of pages of the body of the paper up to 7-8 pages if needed).  This is a scholarly paper and should not be written in first person.  Paragraphs should have a minimum of 3 sentences.  Paraphrasing should be done using in-text citations.  Direct quotes should be rare and used only when the content can be said in no other way. If using direct quotes, you must include page or paragraph number. 

At-Risk and Struggling Readers

/in /by

 

Response to Intervention (RTI) is widely used for determining appropriate interventions for students who appear to be struggling with learning fundamental academic skills. RTI requires gathering and analyzing multiple forms of data, planning and implementing interventions, and assessing whether those interventions have helped the student.

A special educator must have the ability of using data to make appropriate decisions for students regarding reading interventions. Additionally, a skilled educator will use a child’s strengths and interests to help increase student engagement and success.

Review the following case scenario and complete the tasks:

Student: Marius

Age: 8

Grade: 3

Marius is a third grade student who transferred to Oakwood Elementary School late in the fall. His teacher, Mrs. Pfirman, has noticed that he seems to struggle with many independent reading assignments. When Mrs. Pfirman administered the mid-year universal screening measure, she was not surprised to see that Marius’ reading score was below the grade-level benchmark. Consequently, Mrs. Pfirman decided to begin Level 1 RTI by monitoring Marius’ reading performance once a week for seven weeks using measures to assess his decoding, phonemic awareness, and vocabulary skills. Marius’ mother indicates that he was on grade level prior to moving; however, records received from his previous school do not show this. In other subject areas, Marius excels. His math skills are above the benchmark for his grade level. His speaking skills and verbal vocabulary are also on or above grade level.

On the initial assessment, the Beginning Phonics Diagnostic Assessment, Marius scored perfectly on all consonants and uppercase letters. He was able to sound out all short vowel letter sounds, and all vowel-consonant (VC) and consonant-vowel-consonant (CVC) words with beginning and continuous sounds. However, he was unable to read four of the six words on the measure of CVC words beginning with stop sounds, and only read one of the words on the consonant-consonant-vowel-consonant (CCVC) words with beginning blends sub-test. He read no other words on the rest of the assessment correctly.

On the Acadience Reading third grade beginning of the year assessment, Marius scored intensive. His scores on this assessment for weeks 5, 6, and 7 were 22, 27, and 33. The benchmark that would be expected after the 7 weeks of interventions is 30 and the expected criteria is 1.6. In addition, Marius’ rate of growth was 1.4.

On a Peabody Picture Vocabulary Test, he scored in the 84th percentile, which is well above average.

Marius is extremely interested in dinosaurs, Minecraft, and science. He has two dogs that he is extremely fond of and shares stories about these dogs in school. He is sometimes off task, pretending to be a dinosaur or a character from Minecraft. He knows just about every dinosaur by name, geographical region found and era. He knows what they all eat, how they lived, and when they were killed. He has seen all of the Jurassic Park movies (according to his self-report anyway) and is eagerly hoping to one day bring the dinosaurs back using DNA like they do in the movies.

Marius is from a single parent home and appears to move frequently. His mother does have a good job, though, and he appears to have other strong family ties, including some visitations with his dad. Marius is from a bi-racial couple who never married and do not live together, although they maintain a good parenting relationship.

Compose a 500-750 word evaluation of Marius incorporating the following:

  • Determine whether Marius is responding adequately to Tier 1 instruction, rationalizing your response.
  • Based on your determination above and additional research, what tier of instruction would you recommend for Marius?
  • What do you recommend Marius read, based on his interests and background? List three titles you would suggest.
  • Determine what cultural and linguistic factors his teacher must consider when planning an intervention for him, given the scenario and data.
  • In what learning environments do you think Marius would learn best? Why? Justify your choices with information from the scenario and your research.
  • For next steps, would there be any reasons to simply wait and see how Marius does in the next quarter or do you believe immediate intervention is necessary? Explain your answer.

Finances – Scenarios – Case

/in /by

1. Calculate the expected cash flows (using template provided and display results)

2. Calculate the NPV

3. Calculate the IRR

4. Calculate the Payback

–

Evaluate:

1.  What are viable signings in economic terms?

2.  What is the signing that creates more value?

3.  Suppose we consider solely the risk factor, that is, EGARA FC descending to Second Division. Based on this single criterion, which player do you think should be signed?

4.  Make your recommendation on which player should be contracted, bearing in mind all the given information.

Scenario 1:

5.  To what amount should the price of his signing be lowered for it to be viable? 

6.  To what amount should the price of his signing be lowered for it to be more equal to the signing with the highest NPV? 

7.  To what amount should the price of his signing be lowered for it to be equaled to the signing with the highest IRR? 

Scenario 2:

5.  To what amount should the salary be lowered in order to be the signing with the highest IRR? 

Scenario 3: 

6.  To what amount should be paid within three years before the signing was feasible?

7.  Make a recommendation again about what signing must be done bearing in mind the information explained in the whole case 

Human Resources Paper

/in /by

  

Research Paper Instructions

This research paper assignment is intended to provide an opportunity for you to explore management issues that occur in our current business environment. 

It is important to note that this Blackboard submission will be subject to a plagiarism checker which will be Details of the requirements for the assignment include:

· The paper should be at least 7 pages of research content. The cover page, abstract page, and reference page(s) are additional pages and should NOT be counted as part of the 7 page requirement. 

· It should consist of at least 2 empirical research articles from reputable management journals (acceptable journals include: Academy of Management, Journal of Management, Business and Economics Journal, International Journal of Economics & Management Science). 

· Inclusion of materials from popular magazines or the web can be used in the paper, but do not count toward the empirical research article requirement. You should strive to find articles within the last 5-10 years. 

· The paper will be written using guidelines from the Seventh Edition of the APA Publication Manual. 

· Things to do list:

1. Try to find review articles and other basic information to use for background (outside of what is provided in textbook)

2. Find 2 empirical articles (papers have method/results sections)

3. Writing the paper

a. Research, question/hypothesize the background information of the topic

b. Describe/summarize empirical articles

c. Critically analyze topic; synthesize findings from articles

d. Propose future directions/research (be as specific as you’d like)

e. Provide your own “take” on the topic in the form of a critique and future research ideas. You MUST show that you have gone beyond a summary, and have critically thought about the topic.