...Coding and Billing Paper Richard Carter Grand Canyon University: HCA 530 Professor King July 18, 2015 This paper will discuss how Community Mental Health Rehabilitative Services (CMHRS) are billed under Medicaid in comparison to other industries and the impact that private and government insurers and payers have on the reimbursement process. How Medicaid is administered and funded Medicaid is a government program that is administered through the U.S. Department of Health & Human Services (HHS) in order to assist low-income people pay for part or all of their medical bills. It was created by the 1965 Social Security Act. It is federally governed but locally administered by each State. States use private health insurance companies to administer their Medicaid programs. These providers are essentially HMOs that contract with the state Medicaid department to provide services for an agreed-upon price. Other states work directly with the service providers. How to Code and Bill Medicaid for CMHRS Services In Virginia Magellan Health is the Behavioral Health Services Administrator or BHSA that the Virginia Department of Medical Assistance Services (DMAS) contracted to manage and direct Virginia’s Medicaid programs. All community mental health and rehabilitative services providers under contract with the Virginia’s Department of Medical Assistance Services must contact Magellan Health directly for information on the reimbursement and claims processing instructions...
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...Health Promotion Among Asian Americans Robert Ramirez Grand Canyon University: NRS-429V Family-Centered Health Promotion February 22, 2015 Health Promotion Among Asian Americans The U.S. Public Health Service defines health promotion as “the process of advocating health in order to enhance the probability that personal, private, and public support of positive health practices will become a societal norm” (Edelman, Mandle, & Kudzma, 2014). Health is a basic human right; optimal health is a well-balanced structure of emotional, physical, spiritual, psychological, intellectual, and social well-being. The purpose of health promotion in nursing is to increase health knowledge that will in turn positively influence health behaviors of individuals and communities (Foster, 2012). Roughly 36% of the U.S. population is made up of various ethnic or racial minorities. Of that 36%, 4.8% were Asian Americans. According to the Office of Management and Budget, “Asians” consist of people that originate from the Far East, Southeast Asia, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan Thailand, Vietnam, or the Philippine Islands (CDC, 2014). These 14.7 million people are dispersed throughout the country, with Hawaii having the largest concentration (57%) of the total Asian population (CDC, 2014). The CDC (2014) states that minority groups “experience a disproportionate burden of preventable disease, death, and disability compared with non-minorities.” This paper will concentrate...
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... Abstract This paper provides an overall impression of the United Kingdom’s health service, inception of the National Health Service, challenges the NHS faces regarding financial sustainability, providing effective and efficient care, and the move towards more privatization . Comparisons are made between the National Health Service and heathcare in the United States across multiple sectors that include acute care settings, skilled nursing facilities, primary care providers and regualtions governing nursing practice and the challenges faced by both systems. Table of Contents Introduction 4 Background 4 Impression of the NHS 5 Mr. John Smith Director, Civil Eyes Research 7 Mr. Andrew Cheesbrough, CEO Orders of St. John Care Trust 8 Mr. Robert Creighton, Transition Director and Government Advisor on Public Health 9 Dr. Elizabeth Fellows-Smith. Senior Policy Advisor, Mental Health 10 Dr. Rodney Taylor, Former Medial Director NHS Hospital 12 Professor Simon de Lusignan, Primary Care 12 Mr. Bernell Bussue, Director of London Region,Royal College of Nursing 12 Mr. Paul Holdom, CEO The London Clinic 14 Professor Duncan Empy, Group Medical Director of BMI Healthcare 14 Shirley Kramer, Chief Executive Institute of Healthcare Management 16 Strengths and Weaknesses 16 Summary 17 References 19 Introduction Since its inception in 1948, the United Kingdom’s National Health Service (NHS) formed...
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...something is not right. Decisions has to be made and actions has to be taken. * Exit interview information. I believe it is quite useful and important to do understand why people are leaving. * Staff contact details. To ensure HR department or/and line manager can get in touch with the employee. In other words allows to communicate with employees. Methods of storing records Integrated computerised records * Allows to reproduce a lot of information in meaningful reports * Requires less storage space * Allows you to back up records and keep them in a safe place, in case of fire or theft. * Automatically tallies amounts and provides reporting functions. No computerised records * When computer power loss , paper is what you use * Less expensive to set up *...
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...A COMPARISON OF COMMUNITY PSYCHOLOGY AND PUBLIC HEALTH. In this assignment the key differences and similarities of community psychology and the public health approach will be examined and critically compared. Community Psychology is a branch of psychology which is concerned primarily with achieving positive mental health in the broader context of the community rather than the individual. Public health is primarily concerned and focused on changing behaviours within the context of the public in order to lower the incidence of disease and lower the workload placed on professional medical practitioners. Community psychology is a relatively new field as far as the behaviour sciences go and was only established as a solution to the capitalistic and individualistic approach psychology had become after the Second World War. It does not stand as a unique and recognised field at the moment as there is little research and theories available in order to support further development. It is for this reason that when faced with challenges community psychology often reverts back to methods of individual psychotherapy. This damages the ultimate process and outcomes the initiatives. Community psychology also criticises conventional psychology for being elitist and only catering to the wealthy portion of the community as well as ignoring the low income groups who require the services. Community psychology strives to create equality to all social groups and therefore can often seem over...
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...Student: Iryna Zaliapska CIPD Course Level 3 Tutor: Tomos Rogers By Student: Iryna Zaliapska CIPD Course Level 3 Tutor: Tomos Rogers By Recording, analysing and using HR information Recording, analysing and using HR information Contents Activity 1 * Two reasons why the organisation needs to collect HR data * Two types of data that is collected within the organisation and how each supports HR practices * A description and benefits of two methods of storing records * A statement of two essential items of UK legislation relating to the recording, storage and accessibility of HR data Activity 2 Analysis and my own findings of the CIPD’s twelfth national survey of Absence Management trends, policy and practice * An introduction to the HR investigation and data interpretation of Absence Management in the organisations across the UK * The obtained results and it follows recommendations References and Bibliography Activity 1 A briefing note about organisation’s approach to collecting, storing and using HR data The Human Resources department collects lots of HR data from its employees. HR systems are increasingly used by HR departments to help collect, store and manage data about its workforce. The organisation needs to collect HR data for a number of reasons, some include: * Legal requirements - to prove that the organisation is hiring at an equal opportunity standard, also, to ensure that and prove that any firing done by the company is...
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...Kimberly Blagg TCP1 March 16, 2015 WGU Thesis statement: Research shows that eating disorders are difficult to treat because of causes such as genetics, psychological and emotional health or society. Annotated Bibliography Brownell, Kelly D; Fairburn, Christopher G (2005). Eating Disorders and Obesesity A Comprehensive Handbook. This article will provide a comprehensive study of eating disorders. Molecular genetics of eating disorders will show examples of how genetics is used to find causes of eating disorders. It will show how researchers in neurobiology have used eating behavior to try to find the different reasons why people have eating disorders. A variety of substances is believed to be involved in the complex process of integrating physiological and behavioral systems. Kelly D Brownell, PhD, is a credible source because of his knowledge. He is a Professor of Psychology at Yale University. Christopher G Fairburn is credible also because he specialize in research on nature and treatment of eating disorders. He has addressed different aspects of the eating disorder such as diagnostic status, epidemiology, etiology, assessment, course, and treatment. This article will provide comprehensive coverage of the main issues of relevance to the eating disorder for research paper. It will help with procedures used to determine the causes of eating disorders. Eating Disorders-Clinical Trials. Retrieved from http://www.nhs.uk/Conditions/Eating-disorders/Pages/clinical-trial...
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...transpires - from within bottles, operating theatres or ourselves? It is also said that beauty is in the eye of the beholder; so what happens if either the inner image or the reflection we see is imperfect or distorted? Body image is a complex issue; one in which perceptions, thoughts and feelings play a major role - along with the widening gap between actual body sizes (which are increasing) and those portrayed in the media (such as Barbie and Rambo) (Brown and Dittmar 2005.1089). Whilst many other issues contribute to wellbeing, body image correlates with health, happiness and life satisfaction; it is how we see ourselves that ultimately dominates who we are and how we interact with the communities we live in. Accordingly, this essay examines the unavoidability of today’s “perfect” body advertising, the role materialism plays and the claim that thin does not guarantee sales; whilst considering to what extent mental health, personal health and happiness play in determining wellbeing, and then exploring the often overlooked effects body image has on a community’s wellbeing. Constant exposure to idealised media images is unavoidable; boys, girls, men and women alike are inundated with thousands of images, portraying (for most) desirable yet unattainable and unrealistic body and self, expectations and ideals (Dittmar and Howard 2004, 478). A selection of research suggests that it is not the advertisements themselves that pressure individuals; but rather, the individuals beliefs, values...
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...Student number: 55128920 Paper code: PYC4811 Unique Assignment no: 536709 Assignment: 01 Contents Page * Introduction pg.3 * Historical Background & Development pg.3 * Similarities between Community Psychology and Public Health pg.4 * Limitations and Differences between Community Psychology and Public Health pg.6 * Conclusion pg.7 * Reference List pg.8 Introduction According to Perkins (https://my.vanderbilt.edu/perkins/2011/09/intro-to-community-psychology/) community psychology (CP) can be defined as the relationship between social systems and individual well-being in the community context. Thus, community psychologists grapple with an array of social and mental health problems and they do so through research and interventions in both public and private community settings. PH on the other hand according to Last (cited in Gilbert, 1995) can be defined as one of the efforts organised by society to protect, promote and restore the people’s health. It is the combination...
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...Health Care Interview This paper contains an interview with a health care nurse who works in a Home Health Nurse (HHN) agency. Part of the interview is the description of the home health department, the type of work done within this department, and some specific information that makes this department unique to other facility in medical care industry. The interview will provide a springboard to take a closer look on the primary responsibility of the provider, the department’s customer, the career path to this point, and the required training, preparation, and education for this field of work. Additionally, to understand how this department fit in to the broader context of health care industry, the discussion explores the interviewee’s role and compares the home health positions in other organizations. Home Health Nursing is primarily a Long-term component of Health Care Delivery Systems. According to Austin, A. and Wetle, V. (2012), “The term LTC (Long-Term Care) means providing health care services to an individual for more than 90 days. LTC includes hospitals, assisted living and community-based residential facilities, adult day care, respite care, hospice care, rehabilitation centers, mental health facilities… and care provided by family and friends” (p. 9). There are cases that care required is for recovery and monitoring purposes that last less than 90 days, but essentially the majority of care almost always involves a series or a process of care that takes time. The interviewee...
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...Victimization Amira Shade Professor Robert Roth CRJ 105 Crime and Criminal Behavior November 1 , 2014 Abstract The purpose of this paper is to discuss when a criminal attacks a victim whether it may be physical or not it can cause harm to the victim in different ways. Many situations can lead to a person becoming a victim of a crime and this paper will discuss some theories of victimization. Also, there researched can be used to obtain data on crimes that were not reported to law enforcement from victims. 1. Introduction Over the past several decades the tendency was to blame the victim when it came to the psychology and the dynamics of victimhood. Although, in past years blaming the victim was common, more recently this has changed. It is politically incorrect to exploit the role of victims in instances of crime cases. No matter what the circumstances or the case the victim does not deserve to be blamed for their own victimization. Many may feel that due to their particular lifestyle or where the victim may live precipitates causes for someone to become victimized. In many instances it has been thought that the victim’s behavior precipitates why they may be victimized. They are said to put these criminal acts in motion by exhibiting provocative or risky behavior. This may include picking arguments or even possibly using other gestures. (Miethe, 1993) Even though victims should not be blames for their own victimization, criminologist...
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...National Health Insurance Model There are four basic insurance models adopted by different countries in the world: the Beveridge Model, Bismarck Model, National Health Insurance Model, and Out-of-Pocket Model. This paper will focus on the National Health Insurance model and will discuss the meaning of the model, the countries that use the model, who funds the model and discuss the strength and challenges of the model. The model. The National health insurance model is a form of insurance that is run by the government with the taxpayers’ money (Wallace, 2013). In this system, every citizen is free to seek medical services anywhere throughout the country without concern of being denied. The providers of care in this type of insurance model are...
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...Generalist Practice Concept Paper Why did I choose social work as my profession? I ask myself that question often these days. I love working with families and seeing them succeed, but social work is a hard job, and the decisions we make can change people lives forever. So let’s start the paper by talking about what is a generalist social worker. A generalist social worker is an individual who is skilled to work with individuals, families, and their communities on many different levels. Generalist social worker can work in areas like substance abuse, aging, child welfare, work with families, health care or mental health (Raymond, Teare, & Atherton, 1996). Generalist social workers are able to make decisions on the micro, mezzo, and macro levels. Generalist social worker uses a person-in-environment perspective to help their clients. Meaning that a generalist social worker knows and fully understands how their client’s environment impacts their lives, and makes the best decisions in order the serve their clients accurately. They incorporate diversity into their practice and are expected to advocate for human rights and social justice (Hepworth, Rooney, Rooney, Strom- Gottfried, Larsen, 2010). I currently work at Dougherty County Department of Family and Children Services, in the social services department as an investigator. I’ve worked with DFCS for past four years. I have worked as an investigator for the past 7 months. So I can totally relate and understand completely...
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...An Examination of Military and Civilian Suicide Suicide Suicide has historically been and continues to be a significant issue in the United States, for civilians as well as active duty military service members and veterans. While statistics surrounding suicide appear to be just numbers on a page, I personally implore the reader of the following paper to never lose sight of the fact that those numbers represent real people. Each one of those people, be they civilian or military, represent a loss of a father or a mother, a brother or a sister, a son or a daughter, a best friend, a comrade, …a person whose life, and that life’s potential, is now forever lost. The following statistics on suicide rates in the United States do not differentiate if the individual was a civilian, an active duty service member, or a veteran. According to the Division of Vital Statistics, cause-of-death statistics in 1964, 20,588 individuals reported the cause of death was suicide, equating to an average of 56 suicides per day, making it the 12th leading cause of death in the United States in 1964. The most frequently used means of committing suicide in 1964 were firearms and explosives, “… self-inflicted gunshot wounds accounted for 48 percent of all suicides in 1964” (Massey, 1967). A half century later in 2014, statistical reports compiled by the Center for Disease Control and Prevention (CDC), indicate suicide as the 10th leading cause of death, accounting for 42,733 deaths (means...
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...In 2006, AHIMA proposed the idea of a Legal Health Record as a set of health information that is compliant with specific laws and regulations. According to the Federal Rules of Evidence a health record identifies as a business record. This means the health record is created by a business and used for business purposes, as well as can be used for legal purposes, as it is presumed trustworthy. The Legal Health Record should also maintain any decisions make regarding the patient’s care, and the revenue needed by third-party payers. The general considerations when dealing with any format of a legal health record includes: purpose of record, compliance with laws and regulations, documentation, and rules of evidence. Also, much like paper legal health records, the considerations for electronic legal health records include: length of storage cost of storage, long-term usefulness, and long-term efficiency. When discussing one of the general considerations of the Legal Health Record, there are a few laws and regulations that come to mind such as HIPAA and how it defines a designated record set, which is different from the Legal Health Record. HIPAA’s privacy rule defines the designated record set as “a group of records maintained by or for a covered entity that may include patient medical and billing records; the enrollment, payment, claims, adjudication, and cases or medical management record systems maintained by or for a health plan; or information used in whole or part to make...
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