Assignment 1: Evaluation and Management

Assignment 1: Evaluation and Management

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-TR to ICD-10.

Photo Credit: Getty Images/Tetra images RF

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-TR 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-TR 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.

Rubric Detail

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Name: NRNP_6675_Week2_Assignment1_Rubric

Name: NRNP_6675_Week2_Assignment1_Rubric

Assignment 2: Study Plan

Photo Credit: [Jacob Ammentorp Lund]/[iStock / Getty Images Plus]/Getty Images

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.

Rubric Detail

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Name: NRNP_6675_Week2_Assignment2_Rubric

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DISCHARGE TEACHING

CO 1: Demonstrate understanding of developmental, cognitive, psychosocial, cultural, and physiological life processes of the woman as she progresses from the onset of menses through the childbearing period and concluding with menopause. (PO 1)

CO 4: Initiate use of appropriate resources based on healthcare issues mutually identified with clients and their family units. (PO 2)

CO 5: Employ communication and therapeutic relationship skills with childbearing clients and their families during the perinatal period in acute care and outpatient settings. (PO 3)

CO 6: Demonstrate effective clinical decision-making concerning the nursing care of perinatal clients and their families based on critical thinking skills; legal, ethical, and professional standards and principles; and nursing research findings. (POs 4, 6, and 8)

CO 7: Develop a plan to meet personal, professional, and educational goals, including an investigation of healthcare organizations relevant to these clients. (PO 5)

CO 8: Provide nursing care using multiple nursing roles as appropriate to perinatal clients and their families, recognizing the holistic approach in facilitating healing. (PO 6)

Due date

Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment:

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

· Students can do this project either individually or in groups. Consult with your course instructor about the size of the groups or the number of individual projects that can be accommodated.

· As part of this project, you will select a teaching topic of your choice related to the course topics (i.e., women’s

health, newborn, maternity). Consult with faculty for approval of your selected topic.

· Complete an outline and submit to dropbox.

· Construct your project using a software tool or application you are familiar with (i.e., Google Docs, Microsoft Word 2010 or later, PowerPoint, Prezi, or a video platform).

These guidelines apply to each individual student and should be adjusted per size of the group. (For example, an individual would do five slides, and if there are three members in the group, the group should create a 15-slide presentation. Similarly, a three-member group would do a 4.5–6-minute video rather than a 2-minute video.)

· PowerPoint or Prezi:

· Five slides maximum, excluding title and reference slides

· Follow 7-point rule for PowerPoint

· Brochure

· Front and back, trifold

· 12-point font

· Video (i.e., commercial, public service announcement)

· Content 1.5–2 minutes in length

· Reference list must be provided to instructor by the due date

· Trifold Poster Presentation

· Reference list attached to back of poster board

The project will be graded on quality of the teaching project, accuracy of information, use of citations, use of Standard English grammar, sentence structure, creativity, and overall organization.

Follow the directions and grading criteria closely; your project will be graded on the criteria found in the rubric. Any questions about your project should be directed to your faculty.

The individual or group will synthesize the research information and develop a teaching project of their choice, which should include the following.

1. Topic – 5 points/5%

· Identification of selected topic presented to and approved by faculty, as advised (so other class members can select a different topic and avoid repetition).

2. Peer Review – 5 points/5%

· Submit copy of graded rubric and student evaluations. Student evaluated:

3. Outline – 10 points/10%

· Complete outline with details under each section. Include references. Outline must be submitted to dropbox.

4. Introduction to Topic and Reference One Statistic – 10 points/10%

· Describe the selected topic in the project and provide at least one statistic supporting the importance of the topic. This statistic must be from an original source.

5. Identification of Risk Factors and/or Benefits – 10 points/10%

· Compile 4-5 risk factors and/or benefits related to the selected topic.

6. Referral to Professional and Community‐Based Resources – 10 points/10%

· Provide one referral to each of the following:

· A professional organization

· A community-based resource

· Include contact information for these resources (i.e., phone number, e-mail, website, or link)

· Include a statement describing the role, resources, and/or services of the organizations or resources and their potential impact on the selected topic

7. Health Promotion Recommendations – 10 points/10%

· Report three evidence-based health promotion recommendations. Provide rationale from scholarly sources to support your recommendations.

8. Audio/Visual Creativity – 10 points/10%

· Project is eye-catching, but graphics do not distract from the purpose of providing information.

· The font style and size are appropriate for the target audience.

· Information is logical, cohesive, and audience appropriate; appropriate use of terminology is shown.

· Audio must be clear and discernible.

9. Clarity of Writing – 10 points/10%

· Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate content.

10. APA format, grammar, and punctuation – 10 points/10%

· All information taken from another source, even if summarized, must be appropriately cited in the manuscript, and listed on the Reference page using APA formatting. Citations must be in-text and on the Reference page.

11. Final Presentation – 10 points/10%

· Speaker maintains good eye contact with the audience and is appropriately animated (e.g., gestures, moving around, etc.).

· Speaker uses a clear, audible voice; delivery is poised, controlled, and smooth.

· Good language skills and pronunciation are used.

· Length of presentation is within the assigned time limits. Information was well communicated.

For writing assistance, visit the Writing Center.

NR327 Maternal-Child Nursing RUA: Discharge Teaching Guidelines

NR327 Maternal-Child Nursing

RUA: Discharge Teaching Guidelines

© 2021 Chamberlain University. All Rights Reserved

NR327_RUA_Discharge_Teaching_Guidelines_v2_NOV21 2

© 2021 Chamberlain University. All Rights Reserved

NR327_RUA_Discharge_Teaching_Guidelines_v2_NOV21 1

Grading Rubric: Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

NR327 Maternal-Child Nursing RUA: Discharge Teaching Guidelines

© 2021 Chamberlain University. All Rights Reserved

NR327_RUA_Discharge_Teaching_Guidelines_v2_NOV21 3

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LEGAL ENFORCEMENT OF ETHICS IN HEALTH CARE: REGULATION OF ANTITRUST AND FRAUD

Required Reading

Department of Justice and Federal Trade Commission. (1996). Statements of antitrust enforcement policy in health care. Retrieved from  /orders/www.justice.gov/atr/statements-antitrust-enforcement-policy-health-care#CONTNUM_106

In the Matter of South Georgia Health Partners, et al., FTC Docket No. C-4100 (2003) Complaint:  /orders/www.ftc.gov/sites/default/files/documents/cases/2003/11/sgeorgiacomp.pdf Decision and order:  /orders/www.ftc.gov/sites/default/files/documents/cases/2003/11/sgeorgiado.pdf

Office of Inspector General, Health and Human Services. (2012, January 11). Compliance program basics[Video file]. Retrieved from  /orders/www.youtube.com/watch?v=bFT2KDTEjAk

Office of Inspector General, Health and Human Services. (2012, January 18). Tips for implementing an effective compliance program [Video file]. Retrieved from:  /orders/www.youtube.com/watch?v=w_g1bVT12Yg

Showalter, J. S. (2017). Competition and antitrust law. In The Law of Healthcare Administration (9th Ed., pp. 489-516). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

Showalter, J. S. (2017). Fraud laws and corporate compliance. In The Law of Healthcare Administration (9th Ed., pp. 567-590). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

Optional Reading

Chibbaro, M. J., & Colyer, C. (2000). Making corporate compliance programs work. Healthcare Financial Management, 54(5), 60-65. Retrieved from the Trident Online Library.

Lovitky, J. A., & Ahern, J. (1999). Designing compliance programs that foster ethical behavior. Healthcare Financial Management, 53(3), 38, 40-42. Retrieved from the Trident Online Library.

Module 3 – Case

LEGAL ENFORCEMENT OF ETHICS IN HEALTH CARE: REGULATION OF ANTITRUST AND FRAUD

Assignment Overview

There are various forms of fraud that can be committed in a health care setting. Fraud not only impacts funding organizations—typically the federal government and consequently, the taxpayers—but also can have an impact on the quality of care delivered to individuals. This Case Assignment examines health care fraud, the penalties that are associated with fraud cases, and the role of Corporate Compliance Programs as a deterrent for fraud within health care organizations.

Homework Case Assignment

New Orleans woman sentenced to prison for role in $3.2 million health care fraud and kickback scheme. (2018). Retrieved from  /orders/www.justice.gov/usao-edla/pr/new-orleans-woman-sentenced-prison-role-32-million-health-care-fraud-and-kickback

Sixteen individuals charged in $60 million Medicare fraud scheme. (2017). Retrieved from  /orders/www.justice.gov/usao-ndtx/pr/sixteen-individuals-charged-60-million-medicare-fraud-scheme

Miami-Dade psychiatrist sentenced to prison for his participation in various fraud schemes. (2016). Retrieved from  /orders/www.justice.gov/usao-sdfl/pr/miami-dade-psychiatrist-sentenced-prison-his-participation-various-fraud-schemes

For this module’s Case Assignment, choose one of the cases of Medicare or Medicaid fraud listed above. Discuss the elements of the case and the decision that was reached by the court; and identify the type(s) of fraud and the law/s that was/were broken. Analyze the penalty for the perpetrator and whether the outcome was appropriate.

Discuss how a Corporate Compliance Program can help minimize the risk of fraud for a health care organization.

You may research to find additional information on each case, as well as for general purposes for this assignment, but be sure to use only reliable sources

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your report.

2. Limit your response to a maximum of 3 pages (title and reference page is not included in page number count).

3. Support your paper with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals: Angelo State University Library. (n.d.). Library guides: How to recognize peer-reviewed (refereed) journals. Retrieved from  /orders/www.angelo.edu/services/library/handouts/peerrev.php

4. You may use the following source to assist in formatting your assignment: Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from  /orders/owl.english.purdue.edu/owl/resource/560/01/

5. For additional information on reliability of sources, review the following source: Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from  /orders/www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

6. This assignment will be graded based on the content in the rubric.

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Faculty Name

Assignment Due Date

Subjective:

CC (chief complaint):

HPI:

(include psychiatric ROS rule out)

Past Psychiatric History:

· General Statement:

· Caregivers (if applicable):

· Hospitalizations:

· Medication trials:

· Psychotherapy or Previous Psychiatric Diagnosis:

Substance Current Use and History:

Family Psychiatric/Substance Use History:

Psychosocial History:

Medical History:

· Current Medications:

· Allergies:

· Reproductive Hx:

Objective:

Diagnostic results:

Assessment:

Mental Status Examination:

Differential Diagnoses:

Reflections:

Case Formulation and Treatment Plan:

Assignment: Family Assessment

Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues.

To prepare:

Review this week’s Learning Resources and reflect on the insights they provide on family assessment. Be sure to review the resource on psychotherapy genograms.

View the Mother and Daughter: A Cultural Tale video in the Learning Resources and consider how you might assess the family in the case study.

The Assignment

Document the following for the family in the video, using the Comprehensive Evaluation Note Template:

Chief complaint

History of present illness

Past psychiatric history

Substance use history

Family psychiatric/substance use history

Psychosocial history/Developmental history

Medical history

Review of systems (ROS)

Physical assessment (if applicable)

Mental status exam

Differential diagnosis—Include a minimum of three differential diagnoses and include how you derived each diagnosis in accordance with DSM-5-TR diagnostic criteria

Case formulation and treatment plan

Include a psychotherapy genogram for the family

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Assignment 2: Practicum Experience Plan

Assignment 2: Practicum Experience Plan

Assignment 2: Practicum Experience Plan

Master of Science in Nursing  

Practicum Experience Plan

Overview:

Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.

As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.

Complete each section below.

Part 1: Quarter/Term/Year and Contact Information

Section A

Quarter/Term/Year:

Student Contact Information

Name:

Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:

Fax:

E-mail:

Preceptor Contact Information

Name:

Organization:

Street Address:

City, State, Zip:

Work Phone:

Cell Phone:

Fax:

Professional/Work E-mail:

Part 2: Individualized Practicum Learning Objectives

Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.

As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

Objective 1: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

· (for example) Develop professional plans in advanced nursing practice for the practicum experience

· (for example) Assess advanced practice nursing skills for strengths and opportunities

Objective 2: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

·

Objective 3: <write your objective here> ( Note : this objective should relate to a specific skill you would like to improve from your self-assessment)

Planned Activities:

Mode of Assessment: (Note: Verification will be documented in Meditrek)

PRAC Course Outcome(s) Addressed:

·

Part 3: Projected Timeline/Schedule

Estimate how many hours you expect to work on your Practicum each week. *Note: All of your hours and activities must be supervised by your Preceptor and completed onsite. Your Preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.

Part 4 – Signatures

Student Signature (electronic): Date:

Practicum Faculty Signature (electronic)**: Date:

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

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Module 3-Discussion

Module 3-Discussion

Required Reading

Department of Justice and Federal Trade Commission. (1996). Statements of antitrust enforcement policy in health care. Retrieved from  /orders/www.justice.gov/atr/statements-antitrust-enforcement-policy-health-care#CONTNUM_106

In the Matter of South Georgia Health Partners, et al., FTC Docket No. C-4100 (2003) Complaint:  /orders/www.ftc.gov/sites/default/files/documents/cases/2003/11/sgeorgiacomp.pdf Decision and order:  /orders/www.ftc.gov/sites/default/files/documents/cases/2003/11/sgeorgiado.pdf

Office of Inspector General, Health and Human Services. (2012, January 11). Compliance program basics[Video file]. Retrieved from  /orders/www.youtube.com/watch?v=bFT2KDTEjAk

Office of Inspector General, Health and Human Services. (2012, January 18). Tips for implementing an effective compliance program [Video file]. Retrieved from:  /orders/www.youtube.com/watch?v=w_g1bVT12Yg

Showalter, J. S. (2017). Competition and antitrust law. In The Law of Healthcare Administration (9th Ed., pp. 489-516). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

Showalter, J. S. (2017). Fraud laws and corporate compliance. In The Law of Healthcare Administration (9th Ed., pp. 567-590). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

Optional Reading

Chibbaro, M. J., & Colyer, C. (2000). Making corporate compliance programs work. Healthcare Financial Management, 54(5), 60-65. Retrieved from the Trident Online Library.

Lovitky, J. A., & Ahern, J. (1999). Designing compliance programs that foster ethical behavior. Healthcare Financial Management, 53(3), 38, 40-42. Retrieved from the Trident Online Library.

Homework Assignment- Antitrust and Fraud Cases: Implications for Health Care

· After reviewing this module’s readings and conducting your own research, share an example NOT from the reading of either an antitrust or fraud case.

· Discuss the impact that fraud and violations of antitrust policy can have on the quality of health care.

· Also discuss how these infractions violate basic ethical principles.

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Pathways Mental Health

Psychiatric Patient Evaluation

Narrative Answers

References

Delete instructions and placeholder text when you add your citations.

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 Team Presentation: Nursing Theory

Goal:

Identify the tenets and application of a nursing theory. Discuss the impact of the identified nursing theory on evidence-based practice.

Your presentation should include the following:

– Identify the nurse theory selected.
– Provide an overview of the concepts of the nursing theory.
– Analyze the application of the selected nursing theory for evidence-based practice.
– Provide recommendations for application of selected nursing theory

Submission Instructions:

• Presentation is original work and logically organized in current APA style.  Incorporate a minimum of 4   current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide.

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Professional Development Goals And Objectives

Post an explanation of the differences between goals and objectives as well as the relationship between the two. Next, explain the differences between project goals and objectives and professional goals and objectives. Then, explain how achieving professional goals may assist in career transitions. Based on the professional development objective listed below, list three professional development goals and explain how you intend to achieve these goals.

–> Use the ANA Scope and Standards of Nursing Informatics Practice as a guide to creating the professional goals and objectives.

Professional Development Objectives – Nursing Informatics focused:

Objective 1: By June 24th, 2022, learn the Electronic Health Record (EHR) upgrade project implementation process and training requirements.

Objective 2: Taking new responsibilities and performing tasks and activities for the EHR upgrade project within the scope of a Nursing Informatics student by July 8th,  2022.

Objective 3: Able to execute the leadership roles of correspondent, EHR system intellectual, and decision-maker within the organization by July 22nd, 2022.

Please provide references and in-text citations in APA format.

Page length – 2 pages

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