ASSIGNMENT OVERVIEW This assignment introduces basic HCPCS Level II codes commonly used in outpatient and professional settings. The focus is on recognizing common supplies and services and selecting the correct HCPCS code. INSTRUCTIONS For each case: Assign the correct HCPCS Level II code Assign a modifier only if clearly needed Briefly explain your choice (one sentence) Use HCPCS Level II 2026 guidelines. CASE SCENARIOS Case 1: Crutches A patient is seen in the emergency department for a minor ankle injury. The patient is provided with pair of crutches to use at home. What to code: • HCPCS code for crutches Case 2: Wheelchair A Medicare patient requires a standard manual wheelchair for use in the home. The wheelchair is provided by a medical equipment supplier. What to code: • HCPCS code for the wheelchair Case 3: Injection Supply During an office visit, the provider administers an intramuscular injection of vitamin B12 (cyanocobalamin), 1,000 mcg. The medication was supplied by the office. What to code: • HCPCS code for the medication Case 4: Ambulance Transport A patient is transported by basic life support (BLS) ambulance, non-emergency, from home to the hospital. What to code: • HCPCS code for BLS ambulance transport Case 5: Simple Compliance Check A supply item is billed using a HCPCS code, but the medical record does not document that the item was provided. Answer: • Is this billable? (Yes or No) • One sentence explaining why SUBMISSION REQUIREMENTS List each case separately • Include HCPCS code(s) • One-sentence explanation per case GRADING CRITERIA Correct HCPCS code selection • Clear, simple rationale • Completion of all cases STUDENT TIP If you can clearly identify what item or service was provided, you can usually find the correct HCPCS code quickly.
read all instructions Group Presentation Assignment Overview Select a Nursing Theorist: Florence Nightingale’s Environmental Theory Submission Details: Format and Length: Your presentation should consist of 15 to 20 slides in total [excluding cover slide and reference slides]. Submit as a PowerPoint Every slide must include recorded audio that explains or expands on the content-each student records their portion into the single slide deck. Add script for each slide to present The PowerPoint must be formatted according to APA guidelines. Required Slides and Content: Your presentation must include the following slides: Title Slide: Include the presentation title, your name, your school's name, course number and title, professor’s name, and the date. Also, list all members of your group. Introduction of the Nursing Theorist: Give a brief background of the chosen theorist. Explain their significance in the field of nursing. Classification of the Theory: Identify whether the theory is a Grand Theory, Middle Range Theory, or Practice-Level Theory. Theoretical Overview: Discuss the model or core concept of the chosen theory. Explain its main ideas and how it is structured. Applicability to Nursing Practice: Provide clinical or professional examples to show how this theory is applied in actual nursing practice. Implications for Nursing Research: Explain how this theory can contribute to advances in nursing practice and research. Conclusion: Summarize the key points of your presentation. Reference Slide: Include all references formatted in APA style. Use at least 8 scholarly EBP references- not older than 5 years old Grading Considerations: Make sure you follow the provided grading rubric closely. Your presentation should meet all the content and formatting requirements outlined above, and every slide must have accompanied audio narration. By understanding and following these instructions carefully, your group will be able to create a comprehensive, well-organized, and academically rigorous PowerPoint presentation. Make sure your slides are visually clear and not overcrowded with text, since the audio will serve as the primary vehicle for your detailed explanations. Good luck and collaborate effectively to showcase your understanding of the chosen nursing theory! Ensure your review the rubric for the assignment. REFERENCES Must have DOI Numbers for me to look them up-
For this assignment, you will explore the economic and political factors that shape health decisions. Read the following article: Politicians, Power, and the People's Health: US Elections and State Health Outcomes, 2012–2024. After reading the article, design an educational PowerPoint presentation that answers the following questions: What eight health outcomes were explored by the researchers? Define these and describe the parameters in which they were assessed for political influence. What were the four political metrics examined by the researchers that described their relation to the research conducted? What were the key findings in relation to political and economic influence on the health outcomes assessed? What is the difference between causation and correlation as it relates to this article Describe how economic and political factors can influence health policy and health outcomes. Indicate ways in which you can use this information in health promotion and program development. SLP Assignment Expectations Length: 7 slides. Title slide, one for each question, and a resource slide. Be sure to put speaking notes that fully address each question in the notes section of the PowerPoint as if you were presenting them to an audience. Use slides for summary and bullet points.
Required Textbooks: Shi, L., & Singh, D. A. (2017). Delivering health care in America: A systems approach (7th ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 978-1284124491 Recommended Textbooks: Matthew, D. B. (2015). Just medicine: A cure for racial inequality in American healthcare. New York: New York University Press. ISBN-13: 978-1479896738 Please do not use AI.
REFLECTION QUESTION: Current public health surveillance research shows an increasing risk of mortality in childbirth for American women, a trend which continues to worsen over the years. In fact, the maternal mortality rate for women in the United States is nearly three (3) times the rate than in other developed nations – 24 deaths per 100,000 live births (Commonwealth, 2022). For Black women, the maternal mortality rate in the United States is even more dire, with the maternal mortality rate being almost three (3) times higher than the rate for Caucasian women (Commonwealth, 2022). What are some of the social, political, and environmental factors that help to account for these higher rates? What role do you think that racism and oppression might play in these disparities? APPLICATION QUESTION: Begin by reading the following article: Fisher H., Patel-Larson A., Green K., Shapatava E., Uhl G., Kalayil E.J., Moore A., Williams W., Chen B. (2011). Evaluation of an HIV Prevention Intervention for African Americans and Hispanics: Findings from the VOICES/VOCES Community-Based Organization Behavioral Outcomes Project. Download Evaluation of an HIV Prevention Intervention for African Americans and Hispanics: Findings from the VOICES/VOCES Community-Based Organization Behavioral Outcomes Project.AIDS and Behavior, 15:1691–1706. Now, based on your readings, let’s build upon the reflection discussion with a focus on the following three questions. After reading the Garofalo article, what do you think about the intervention’s components and activities? Review the evaluation findings that the article reports. Are you convinced by the findings? Do the activities match the reported outcomes? (Internal validity) Now think about the context and settings reported. Do you think these settings are representative of high-risk young men and MSM? Why or why not? (External validity)
Discussion 6: Analytics Application Search the peer-reviewed literature and find one article describing one application of analytics in healthcare. Review the article for your classmates. What are the key points of the article? How was analytics applied? What are the lessons learned? Summary articles discussing the potential of analytics in health will not be accepted. I am looking for articles focusing on a single example of analytics applied to health. 300 Words minimum. at least 3 references
Q1:Aaliyah is responsible for monitoring the cycle of an insurance claim for her employer, a large physician practice. The cycle begins at the practice when CMS-1500 claims are generated using medical management software prior to submission to the clearinghouse with which the practice contracts. Their clearinghouse processes nonstandard data elements into standard data elements because the practice submits claims electronically. Recently, Aaliyah has noticed that a significant number of claims have been rejected by the clearinghouse that the practice uses. Having been asked to contact the clearinghouse in an effort to determine the root cause of the rejections so that corrective action can be implemented at the practice, Aaliyah embarks on that important task. Dakota was recently hired by Aaliyah on a temporary basis to fill in for the regular health insurance specialist who is on family medical leave. Dakota is credentialed and a graduate of a local medical coding and billing program (where Dakota learned how to complete claims, according to their resume), and previous work experience at a third-party administrator organization made it appear that Dakota had the appropriate background for the temporary position. Aaliyah and Dakota met to discuss the volume of rejections from the clearinghouse related to recently submitted claims from the practice. Aaliyah explained the importance of accurate claims completion at the practice for submission to the clearinghouse so that the claims could be submitted in a timely manner to third-party payers. A summary list of the types of claims rejections received by the practice was shared with Dakota, who responded by saying that the completion of claims “from scratch” was not actually part of the job. At the third-party administrator organization, claims were automatically uploaded to the computer, and claim scrubber software was used to review medical claims for coding and billing accuracy before submission to the third-party payer. When errors were identified, Dakota submitted reports to appropriate health care provider offices so that corrections could be made and claims were made ready for submission to the payer. Those error reports were automatically generated, and Dakota just had to be sure the correct report was submitted to the correct physician practice. Aaliyah immediately developed an understanding about the recent influx of claims rejections from the third-party administrator, and they worked together to develop a plan to ensure that future claims submitted would be accurate. Q2:Aaliyah is responsible for monitoring the cycle of an insurance claim for her employer, a large physician practice. The cycle begins at the practice when CMS-1500 claims are generated using medical management software prior to submission to the clearinghouse with which the practice contracts. Their clearinghouse processes nonstandard data elements into standard data elements because the practice submits claims electronically. Recently, Aaliyah has noticed that a significant number of claims have been rejected by the clearinghouse that the practice uses. Having been asked to contact the clearinghouse in an effort to determine the root cause of the rejections so that corrective action can be implemented at the practice, Aaliyah embarks on that important task. Dakota was recently hired by Aaliyah on a temporary basis to fill in for the regular health insurance specialist who is on family medical leave. Dakota is credentialed and a graduate of a local medical coding and billing program (where Dakota learned how to complete claims, according to their resume), and previous work experience at a third-party administrator organization made it appear that Dakota had the appropriate background for the temporary position. Aaliyah and Dakota met to discuss the volume of rejections from the clearinghouse related to recently submitted claims from the practice. Aaliyah explained the importance of accurate claims completion at the practice for submission to the clearinghouse so that the claims could be submitted in a timely manner to third-party payers. A summary list of the types of claims rejections received by the practice was shared with Dakota, who responded by saying that the completion of claims “from scratch” was not actually part of the job. At the third-party administrator organization, claims were automatically uploaded to the computer, and claim scrubber software was used to review medical claims for coding and billing accuracy before submission to the third-party payer. When errors were identified, Dakota submitted reports to appropriate health care provider offices so that corrections could be made and claims were made ready for submission to the payer. Those error reports were automatically generated, and Dakota just had to be sure the correct report was submitted to the correct physician practice. Aaliyah immediately developed an understanding about the recent influx of claims rejections from the third-party administrator, and they worked together to develop a plan to ensure that future claims submitted would be accurate
Develop a document with potential avenues an organization can take to create a more value-based world. Specific Assignment Details Review the Deloitte "VBC Transformation for Providers" article Write a 5-7 page APA paper, excluding Cover and Reference pages, that includes the following: How an organization can reach the tipping point, including tipping point calculation and which indicator is more precise. The difference between attributed lives and patient service revenue (increasing attributed lives and network utilization). The two (2) items needed to increase the percentage of revenue in VBC. Document should utilize at least 5 peer-reviewed references from within the past 3 years.
HEALTHCARE FINANCE Thriving in Healthcare Financial Management takes the ability to be flexible and agile with the changing times. In this assessment, we will look deeper into financial risk assessment and templates available to help leaders with decision-making. Using one of the standardized decision-making financial risk tools, fill out how a leader would walk through a decision. Take a topic from one of the above readings. Also, consider what Healthcare Financial Management Association’s (HFMA) Chair Mary Mirabelli says about thriving in the healthcare financial management industry:
Week 7 Discussion Week 7 Discussion - Training In 150–200 words, assume you are an HR Director for an SME using international assignments and explain which components you would prioritize in outsourced pre-departure training and how you would evaluate the effectiveness of that training. Ground your response in a realistic organizational or professional context and explain why those priorities matter. Cite Textbook Support your discussion with one textbook concept related to training or expatriate preparation, cited according to SWS. For formatting help, reference the SWS formatting Quick Guide
