Medical billing and coding HIPAA

Medical billing and coding HIPAA

Write a 75- to 150-word response for each of the following questions. Use your own words and provide examples to support your answers.
1. How are the data elements in the Health Insurance Portability and Accountability Act (HIPAA) 837 claim form similar to the CMS-1500?
2. How does each form relate to the claims process?
3. In your opinion, do the similarities between HIPAA 837 and CMS-1500 complicate or simplify the claims process? Explain your answer

Write a 50- to 150-word response to each of the following questions. Be clear and concise, use complete sentences, and explain your answers using specific examples.
1. Explain the importance of complete and accurate completion of the claim form prior to claim processing.
2. Explain how the payment plan affects reimbursement.

 

Health care business

Health care business

Health care is a business as well as a delivery system. Business involves providing a product or service to customers for a profit. Health care businesses must define what their product or service is and who their customers are. The business may be legally organized as a sole proprietorship, a partnership, or a corporation. Regardless of form, the business will perform the key business functions of management, marketing, accounting, production, and information technology. Two external environments impact the operation and design of health care businesses: economic and political-legal. These environments are the frame of reference in which health care businesses make decisions. SWOT analysis can be used to integrate the decision-making process with conditions in the external environment.

CASE QUESTIONS:

If a manager cannot control changes in the external environment, why should the manager be concerned about those changes?
Do some research. What are the current interest, inflation, and unemployment rates in your region? Have those rates been improving or declining?
What activities could a health care business begin during an economic decline to improve the profitability of the business?

FORMAT:
Use a title page.
Font: Use Times New Roman, 12 point.
Place your name in the upper left hand corner of the page.
Each section of your paper should be headed by the bolded, capitalized item described above.
Insert page numbers bottom right.
Paper length should be four to six double-spaced pages not including title page, references, or illustrations and tables.
Use APA citations throughout the paper. If you are not familiar with APA citation, check out the tutorial APA Guidelines for Citing Sources at the end of the course syllabus, course overview and reference examples.
Include a separate Reference page at the end of the paper.

Capstone in Public Health

Capstone in Public Health

Paper Outline and Due Dates

Instructions:

You will choose a public health problem of significance and a specific population

that is impacted by that problem and compose a thorough review of the problem via a 25 page

paper.  You will use knowledge gained in this course and others you have taken to develop a

problem statement, include descriptive epidemiological data, analytical epidemiological data, a

program analysis and conclusion. The paper should be thought of as a means of going to a

community group to increase awareness of an issue in your community, while gaining buy-in

and proposing evidence-based solutions or promising practices.  You are also looking to get your

local governmental board to buy-in to this, so the paper should also include supporting policies

and examples of environmental and systems level changes as appropriate. Your paper should

utilize 12 point font, 1” margins, double spaced and in APA form

Part 2

Analytical Epidemiology

  1. What is the distribution of the public health issue you have chosen? 
  1. What social determinants of health could be contributing to the issue you have selected?
  2. Socioeconomic status
  3. Education
  4. Employment
  5. Housing

 

  1. What prevention efforts are currently being promoted related to the issue you selected?

 

  1. Are there screening efforts or recommendations?

 

  1. What surveillance efforts are being conducted related to the issue you selected?

 

  1. Research your issues and provide examples of different types of studies that have been conducted to inform work around your issue. Provide examples of what these studies have found related to your issue and the population you are focusing on:
  2. Case-control studies
  3. Meta-analysis
  4. Cohort study
  5. Are there any areas of additional research that need to be conducted to provide us with more information about this issue and the population you’ve selected?

 

Informatics and Nursing Sensitive Quality Indicators

Informatics and Nursing Sensitive Quality Indicators

Instructions
For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

You determine that you will cover the following topics in your audio tutorial script:

Introduction: Nursing-Sensitive Quality Indicator
What is the NDNQI®?
What are nursing-sensitive quality indicators?
Which particular quality indicator did you select to address in your tutorial?
Why is this quality indicator important to monitor?
Be sure to address the impact of this indicator on quality of care and patient safety.
Why do new nurses need to be familiar with this particular quality indicator when providing patient care?
Collection and Distribution of Quality Indicator Data
According to your interview and other resources, how does your organization collect data on this quality indicator?
How does the organization disseminate aggregate data?
What role do nurses play in supporting accurate reporting and high-quality results?
As an example, consider the importance of accurately entering data regarding nursing interventions.
After completing your script, practice delivering your tutorial several times before recording it.

Additional Requirements
Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
Length: 8–10 minute audio recording. Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.
Script: A separate document with the script or speaker notes MUST be provided.
References: Cite a minimum of three scholarly and/or authoritative sources.
APA: Submit along with the recording a separate Reference page that follows APA style and formatting guidelines. For an APA refresher, consult the Evidenjvzce and APA page on Campus.

Protected Health Information (PHI)

Protected Health Information (PHI)

Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices

Instructions
In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.”

You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action.

You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.

Based on this incident’s severity, your organization has established a task force with two main goals:

Educate staff on HIPAA and appropriate social media use in health care.
Prevent confidentiality, security, and privacy breaches.
The task force has been charged with creating a series of interprofessional staff updates on the following topics:

Social media best practices.
What not to do: Social media.
Social media risks to patient information.
Steps to take if a breach occurs.
You are asked to select one of the topics, or a combination of several topics, and create the content for a staff update containing a maximum of two content pages. When distributed to interprofessional team members, the update will consist of one double-sided page.

The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topic(s):

What is protected health information (PHI)?
Be sure to include essential HIPAA information.
What are privacy, security, and confidentiality?
Define and provide examples of privacy, security, and confidentiality concerns related to the use of the technology in health care.
Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:
How many nurses have been terminated for inappropriate social media usage in the United States?
What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?
What have been the financial penalties assessed against health care organizations for inappropriate social media usage?
What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?
Notes
Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so that you are able to meet the page length requirement. Include need-to-know information. Leave out nice-to-know information.
Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.
Also supply a separate reference page that includes 2–3 peer-reviewed and 1–2 non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.
Additional Requirements
Written communication: Ensure the staff update is free from errors that detract from the overall message.
Submission length: Maximum of two double-spaced content pages.
Font and font size: Use Times New Roman, 12-point.
Citations and references: Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update’s content. Current mean no older than 5 years.
APA format: Be sure your citations and references adhere to APA format. Consult the Evidence and APA page for an APA refresher.

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

Please read the question below and write a paper with 500 word abstract answering the question in detail.

How does the Health Insurance Portability and Accountability Act of 1996 (HIPAA) protect patient privacy? Give an example.

Voluntary Sterilization

Voluntary Sterilization

Please read the question below and write a paper with 500 word abstract answering the question in detail.What are some of the ethicjvzal issues surrounding voluntary sterilization?

Individual Screening Diabetes Type 2

Individual Screening Diabetes Type 2

Individual Screening

Directions

Review the clinician provider guidelines and recommendations of the United States Preventive Services Task Force A and B Recommendations. https://www.uspreventiveservicestaskforce.org/Page/Name/uspstf-a-and-b-recommendations/

For the MSN prepared nurse, knowledge of epidemiology and its application to preventive screening guidelines is important in many clinical areas:  administrative, education, and nurse practitioner fields. Consider you are working in a clinic and need to order a preventive screening on a patient for one of the conditions listed below. (While this is a preventative measure, it also can be a diagnostic tool in other circumstances. For this Assignment the screening is a secondary prevention measure.)

Please select one screening. Your screening methodology must come from the United States Preventive Services Task Force guidelines.

  • Diabetes Mellitus II

Find the Final Recommendation Summary for the screening you are evaluating. Explain the guideline, the correct application of the screening, and the epidemiology behind the guidance. Content should include epidemiologic data such as statistical information as available ex. morbidity, mortality, incidence, and prevalence of condition. Identify the methodology and measures for screening. Include the risk factors, risk assessment, testing interval, description of the patient population, screening test recommendations and other factors relative to the guideline. Discuss the guideline’s support in a critical analysis, based on the outcomes of studies used in the screening guidance publication. What key factors are supported by evidence, such as age, methods, measures, and intervals? Consider using the rubric sections as level one headings within the paper.

Master’s-prepared nurse educators, leaders, nurse practitioners and all specialty nursing fields are contributors to health promotion in populations across the life span. You will demonstrate understanding and correct interpretations of preventive screening guidelines. You should be able to apply this knowledge to your specialty focus as it relates to health promotion and epidemiology.

This paper should be 3–4 pages, excluding your title page, and references. This paper should adhere to appropriate APA formatting and citation style.

The following below is to be used as headers for the paper.

   
   
   
Condition and screening Condition and type of screening methodology is clearly defined.
 Epidemiology of Condition  Epidemiology of condition is well addressed; comprehensive and appropriately
Methodology Methodology is properly applied to a specific population addressing risks and related factors. Measures of testing are included and supported
Guidelines followed United States Preventive Services Task Force guidelines are identified correctly and are relevant to the screening methodology.
Critical Analysis Provides appropriate literature support, derived from nursing scholarly journals and other social science literature, as evidence for their chosen screening. Discussion demonstrates critical analysis of strengths and weaknesses of the chosen screening methodology and guideline support.
Literature support Provides 4 or more scholarly sources for literature support.

 

 

 

Capstone in Public Health

Capstone in Public Health

 

Research on the issues around health reform in the US since passage of the Affordable Care Act

Research on the issues around health reform in the US since passage of the Affordable Care Act

reply to these questions:
-How would the health care market in the US change? Would it be more or less
competitive?
-What is one advantage and one disadvantage for providers to adoption of universal
health coverage in the US?
-What is one advantage and one disadvantage for patients to adoption of universal health
coverage in the US?
-What is one advantage and one disadvantage for the US economy to adoption of
universal health coverage in the US? Would health care as a proportion of GDP continue
to increase, would it level off, or maybe even decline?