Health Care

Profitability GoalsCoders and billers play an integral role in a health care team. Their contributions far exceed performing data entry. Often, these professionals catch missed opportunities for revenue and have good ideas for moving a practice forward to reach quality and profitability goals.Place yourself in the following position: you are a coder for a multi-specialty group practice. The practice has a very collaborative environment, with a monthly team meeting of all staff (clinical and non-clinical). Management has asked for everyone to come to the meeting prepared with ideas for improving either quality or revenue in the practice.What ideas do you have for improving quality or revenue, from your perspective as a coder?All sizes of ideas are welcome! Small or large, they all have the potential to make a positive impact.Briefly explain how your idea would be implemented (timeline, responsible parties, etc.)Note: You will be assuming fictional information for your responses. This is an opportunity for you to be creative and think of the challenges and opportunities you might encounter in your future role as a coding and billing specialist.To obtain satisfactory completion of the discussion, your initial post must address each component of the discussion board question by Wednesday at 11:59 PM Central Time.Please be sure to validate your opinions and ideas with citations and references in APA format.

Read carefully only 300 wordsI. Service OverviewThis service describes the new service-the benefits and features that you are providing and to whom.It is important to recognize that the benefits may way from customer to customer. Patients may seeone value or benefit such as timely clinical intervention, whereas the referral sources may see adifferent benefit, such as having the patient under supervised care within 3 hours of a call, ormedical group may see a different benefit having a competitive value with which to better negotiatecontracts.• What is the proposed new service/product unique features and benefits?• What values does it provide to the key target market?• What are the benefits of this new service/product?• How is this new service/product against existing services and products offered by others?• What are you doing differently?I. Target Market• Understand your customers (be they patients, family members, judges, third-partypayers, employers, o the government)• How is the market segmented? Who in the group is involved in the buying decision?II. Competitive AnalysisThe competitive analysis is a thorough analysis of both direct and indirect competitors. Itidentifies strengths and weaknesses of competitors. Indirect competitors may not provide thesame service, but they may be competing for the same dollars.• Describe your competition’s service• What is/are their point(s) of differentiation?• What real value do they deliver to the customer that others do not• What is their marketing/advertising approach?• What are the opportunities or threats to your organization?III. Marketing Mix-Promotional Strategy• What are the key messages you want to convey in your marketing materials about yourorganization?• How are you positioning your service/organization?• What mix of vehicles will you use?• What are the objectives?IV. Marketing Mix-Place• Where will the service/product be delivered (location, hours, technology utilized)?• What are the costs associated with this manner of distribution?• What is the marketing importance/advantage of the location?• Does the location/distribution approach provide any competitive advantages?V. Marketing Mix-Pricing• Labor costs of FTEs (full time employees)• Overhead costs?• Margin costs?Other Pricing considerations:• Customer perception of value• Will there be discounting?• What type of pricing strategies will you use?Please make sure these are answered:• Target Market• Competitive Analysis• Marketing Mix-Promotional Strategy• Marketing Mix-Place• Marketing Mix-Pricing

Read the articles, review links, and search for new information when answering the following:1.  What are the ethical implications of uterine transplants?2.  What are the legal implications of uterine transplants?3.  How will insurance companies approach the cost of this procedure?4.  Could a womb be transplanted into a transgender woman – or even cisgender (non- transgender) men?5.  Could pregnancy soon be unisex?6.  What are the implications of this procedure and the large number of babies and children awaiting adoption?ArticlesAfter six successful live births following a womb transplant in Sweden, the idea of unisex pregnancy is no longer science fiction.Vincent, the first child born following a uterine transplant, was born in Sweden in 2014. This marked the end of a long and hard-fought global race to perform the first “successful” human uterine transplant. Swedish research trials recently reported there have now been six healthy live births via womb transplants. These are the only successful human attempts so far, but globally teams are seeking to emulate the success of Sweden. Clinical trials of uterine transplantation are underway in North America, Europe and Asia.The primary purpose of a human uterus transplant is to restore fertility in female patients. Prior to the success of these trials, for a woman lacking a functioning uterus, the only way genetic motherhood could be achieved was through surrogacy. And, as a path to parenthood, surrogacy is far from unproblematic. It can be an emotionally draining method of founding a family, and in the UK the practice is shrouded in legal uncertainty.Furthermore, research demonstrates that many women attach great importance to the experience of gestation and pregnancy. Womb transplantation allows women suffering from infertility due to womb abnormalities the unique experience of gestation, pregnancy and childbirth. But the technology also raises broader societal concerns as to whether publicly funded healthcare systems, such as the UK’s National Health Service (NHS), should fund such procedures. Just as the state helps fund IVF for women who cannot conceive, I have argued that there are strong grounds to allow for public funding for those who cannot gestate.But these developments also raise further questions. Unlike the transplantation of other vast organs, womb transplantation is not intended to save life, but to create it. If women can receive wombtransplantations, some have queried whether the procedure may also work in trans women and, even more controversially, in men. Mats Brannstrom, who led the Swedish trial, has said his inbox is now inundated: “I get emails from all over the world on this, sometimes from gay males with one partner that would like to carry a child”?While in theory a womb transplant in trans women and men may be possible, in practice there are anatomical barriers that would have to be overcome due to differing shapes of the pelvis, which in trans women is much narrower than those in cis women. But there is no reason to think such barriers might not be overcome.In the UK, the Gender Recognition Act 2004 gives trans women who have gender reassigned the same rights as their female counterparts. So if womb transplantation becomes clinical treatment in the UK for women who are unable to gestate, could a trans woman claim, under this legislation, that she too has a right to a womb transplant?While some have advocated the “reproductive needs” of trans women, who may have strong desires to experience gestational motherhood, it has also provoked opposition. Julie Bindel reportedly stated: “This is not about transgender rights – it’s about a twisted notion as to what constitutes a ‘real woman’.” A debate is now needed on whether it can be claimed that there is a right to gestate under the umbrella of procreative liberty or the right to a private family life. And if such a right to gestate does exist, does it apply only to those born female, or trans women and men also?A right to gestateIn light of womb transplant technology, we need to address whether or not there is a right to gestate, not whether or not the NHS should fund it – the question that has so far dominated media coverage. Finite public resources should not be invoked as a smokescreen to mask prejudices towards gender reassigned individuals to whom parliament has given clear rights. If it is decided that women should be allowed womb transplants on the NHS, it follows, given the legislation enacted by parliament, that trans women also have that right.In terms of the overblown hype over cisgender men becoming pregnant, even if womb transplantation in a male body becomes scientifically feasible, it would only be possible for men to carry a pregnancy if an IVF embryo was implanted into the womb. In the UK, assisting a male to become pregnant does not fall within the specified activities for which a licence can be granted to a fertility clinic when “bringing about the creation of embryos in vitro” under the Human Fertilisation and Embryology Act 2008. Therefore, implantation of an IVF embryo in order to assist a man to experience pregnancy, in the absence of a licence, would be liable to imprisonment or a fine upon conviction.Almost 40 years ago, the birth of Louise Brown, the world’s first “test-tube baby”, prompted ethical and legal discussions and debates. As womb transplants move from science fiction to science fact, it is clear that reproductive science continues to propel us into uncharted territories and tests the very essence of legal and ethical principles, such as the right to procreative liberty and the right to private and family life. Does this encompass a right to gestate? It is clear that not all would interpret such a right, if there is one, as encompassing unisex gestation.First Baby Born To U.S. Uterus Transplant Patient Raises Ethics QuestionsThe first baby born as a result of a womb transplant in the United States in the neonatal unit at Baylor University Medical Center in Dallas.Beautiful. Pure. Natural. Medicine at its pinnacle.Those were the words of Dr. Giuliano Testa (Links to an external site.) this week — the principal investigator of a clinical trial (Links to an external site.) with ten women underway at Baylor University Medical Center in Dallas.He was talking about the birth of a baby boy to a mother who underwent a uterus transplant last year. It’s a first in the U.S., but in Sweden, eight babies have been born to mothers with uterus transplants.Not everyone is celebrating though.Dr. Testa and his colleague, Dr. Liza Johannesson, who joined the Baylor team from Sweden earlier this year, spoke with All Things Considered host Kelly McEvers about this development. Excerpts of the interview follow, edited for length and clarity.Dr. Johannesson, you’ve delivered a lot of babies, can you describe what this one was like, watching this baby boy be born in Dallas?Dr. Johannesson: It doesn’t really matter how many babies you’ve delivered … This was a very special moment.Dr. Johannesson, you’ve been through this in Sweden, we mentioned that eight babies have been born there to mothers with transplants. How complicated a procedure is it? (Links to an external site.)A First: Uterus Transplant Gives Parents A Healthy Baby (Links to an external site.)Dr. Johannesson: Well it’s a transplant, and it’s a completely new transplant. …. I think we can compare it to a hysterectomy. When it comes to the donor surgery, probably a little bit more complicated than a simple hysterectomy. It takes about five hours. For the recipient, the transplant itself takes about five hours too. … Then after you have the transplant, you don’t have an immediate success. First you have to know the uterus is staying with the recipient, then you have the periods coming, showing it’s viable, then you have to implant the embryo, and then finally you have a pregnancy and then you have to wait the nine months before you have a baby. So the actual success is one and a half years down the line. That’s very rare in transplants.We should mention, Dr. Testa, some of the other women who have been involved in this trial have had transplants that were unsuccessful. What lessons did you learn from those?Dr. Testa: Well we learned a lot of emotional lessons. … They trusted us for doing something that for them was of extreme value. We were not able to deliver. So that was a big humbling lesson in itself. And then all the scientific information we got, we were able to apply to the woman who came afterwards, and now we are successful. So I really feel for the first ones.We mention that not everyone is celebrating this. It raises some ethical questions. Is it possible with a procedure that is so experimental, so risky, to get informed consent from women who desperately want to have a baby?Dr. Testa: I doubt it is possible for lay people to have informed consent about anything we do in medicine, if you ask me. This is even more complicated because we are going into uncharted waters. … I think that we go through years of studying to understand what we do, and to achieve mastering the things we do. And then we pretend that in ten minutes we can explain something to anybody. … I don’t think it’s really possible…. We try to use the simplest terms we can think about and then we leave it to the autonomy of the patients, in this case not even patients, these women, to make the decisions. I think we really refrain, and it was really important for us, from any pressure of any kind from our side but then of course, the inner pressure of this woman to have a child I think drove the entire process and their decision at the end.What about the risk for the baby? What possible complications do you have to consider?A Transplanted Uterus Offers Hope, But Procedure Stirs Debate (Links to an external site.)Dr. Johannesson: So in that sense, we know a lot. That’s maybe the only aspect of this that we actually have a good knowledge of because females have been giving birth after kidney and liver transplants for many many years on immunosuppressive drugs. So we know what the effect of immunosuppressive drugs has on pregnancies, on babies, on recipients. And we know which immunosuppressive drugs you should not take during pregnancy.Dr. Testa, women and families do have other options to have a baby — adoption, using a surrogate mother. I wonder how you think about that, about committing scarce medical resources to solving a problem that does have other solutions.Dr. Testa: True, I don’t have a very intelligent answer to this question. I just understood through this process that I myself had completely underestimated the wish of any woman that I’ve met thus far to have their own child. I don’t know whether there is a price for it. I have no philosophical discussion to add. I just have to say that it was a humbling discovery and I’m still profoundly touched by it.Dr. Johannesson: I think it’s important to say also that it doesn’t exclude surrogacy or adoption. We’re just offering this as a complement treatment.You’re adding this to a menu of options. Which raises the cost question: This is not a cheap procedure to go through. Right now as part of a clinical trial, this is being paid for with research funds, I gather. It is not clear that people’s insurers are going to pay for this going forward, which means you may perfect this technique and women may desperately want it and may not be able to afford it.Dr. Testa: That’s absolutely true. But this is true for infertility at large in this country. … Some woman will go to extremes to be able to have this experience. The cost of medical care is at any rate extremely high for anything we do. As I said, I don’t know whether this is really an important question, who’s going to pay and how. I doubt the insurers will ever pay for something like this.What is the cost?Dr. Testa: We are collecting all the data. … I assume it’s going to be a similar cost that we face today for a kidney transplant. … The ballpark is, I would say around $200,000 to $250,000.What’s next? You have another mother in the trial who is pregnant?Dr. Johannesson: We do, we have one that’s in an advanced stage of pregnancy. So next up is her delivery. Then we have a couple of other women in different stages of the procedure, so we’re hoping for a very happy 2018.Guidelines:Submit written papers that clearly and concisely answers the question(s) in the assignment.You should include:A cover pageA purpose statementIntroductionSection headersConclusionA minimum of four external referencesInclude a Works Cited/References PageYour work should:Be written professionally, be grammatically correct, and cited appropriately.Reflect a logical process, flow, transitions, structure, and appropriate content.Cohesively, clearly, and comprehensively explain ethical issues relating to healthcare today.Have proper paragraph development, transitions, and academic tone.General Guidelines:Avoid use of I, you, we12-point Times New Roman1-in marginsLeft alignedDouble spacedSpell words out first time used, then abbreviations are acceptableUse complete sentences in the active voiceDo not use contractionsCite appropriately

he purpose of this paper is to demonstrate your knowledge and understanding of the issues we have covered in class so far. Use the information from your readings, the videos, notes and papers we have already done in class to summarize information and synthesize answers to the questions.Answer each of the questions (in full sentences, paragraph form, and with a flow that it reads as a continuous paper not 5 separate thought pieces)(Introduction) Explain the difference between a nation’s health and a nation’s healthcare system. What are indicators of health (how we measure health in a community or nation)? What (indicators) do we measure in a healthcare system?(Summarize) List and explain some factors contributing to the rising number of uninsured in the USA? Cite facts, numbers and examples. What are the demographics of the uninsured before the ACA? Why do the numbers of uninsured rise and fall? How does being uninsured impact health? How does being uninsured impact healthcare?(Summarize) List and explain some factors contributing to the rising costs of healthcare? How are healthcare costs measured, and how are these numbers increasing? What are the main areas of healthcare expenditures? Pharmaceutical companies- how do they justify their high prices? How is this contributing to rising costs? Cite facts, numbers and examples.(Analyze) What strategies or policies do other countries use to address universal healthcare (access for all)? What strategies or policies do other countries use to address price controls? Explain and give examples from at least 3 countries.(Evaluate) Concluding paragraph with a summary of views: How would you summarize the USA Healthcare system? Based on what you have learned so far, what are the strengths and weaknesses of the US health care system?8 references

Choose one of these systems to explain to a patient who has never exercised regularly, and compare its functioning at the resting and exercise state. Explain two chronic adaptations in the system you chose that occurs with exercise.Cardiovascular System:Heart rateStroke volumeCardiac outputBlood pressureVO2 Max

Is a practice more profitable when using in-house or outsourced billing services? This is a topic of debate for health care professionals, with merits to each option. After reviewing this week’s readings and resources, conduct additional research to arrive at your own conclusion.Create a PowerPoint presentation to illustrate your recommendation: billing services in-house, or through an agency.Audience: In an opening slide, define your practice type. Examples include hospital, private group practice, community clinic, etc. Your audience for this presentation will be the practice management staff of your chosen entity.Length: approximately 6 slides, including title and reference slides.Instructions:Discuss the pros and cons of each option. (billing in-house or outsourced).Explain how your recommendation aligns with the practice’s best interests – financial and operational.Conclude your presentation with a clear and concise recommendation, supported by your research. You should be confident and convincing about this choice!Include a reference slide, listing all resources/references used to create this assignment in proper APA format.

HIM 500 Milestone Two Guidelines and RubricOverview: In this milestone, you will submit an analysis of how the company in the case study is noncompliant and the strategies (general, not specifics) to moveit toward compliance.Specifically the following critical elements must be addressed:II. Health Regulations and Laws Ramifications: In this section of your final project, you will finish your preparation by reviewing and explaining theramifications for the organization if it decides to wait on addressing its recent violations regarding technology use.A. Determine how violating health regulations and laws regarding technology could impact the finances of the institution if these violations are notaddressed. Be sure to support your response with examples.B. Determine how violating health regulations and laws regarding technology could impact the daily operations of the institution if these violationsare not addressed. Be sure to support your response with examples.C. Determine how violating health regulations and laws regarding technology could impact the security of the health information in the institutionif these violations are not addressed. Be sure to support your response with examples.Guidelines for Submission: This milestone must be 1–2 pages in length (plus a cover page and references) and must be written in APA format. Use doublespacing, 12-point Times New Roman font, and one-inch margins. All references cited in APA format.Critical Elements Proficient (100%) Needs Improvement (75%) Not Evident (0%) ValueHealth Regulations andLaws Ramifications:FinancesDetermines how violating healthregulations and laws regardingtechnology might impact thefinances of the institution if theseviolations are not addressed,supporting response withexamplesDetermines how violating healthregulations and laws regardingtechnology might impact thefinances of the institution if theseviolations are not addressed,supporting response withexamples, but explanation iscursory or illogical, or supportingexamples are misalignedDoes not determine how violatinghealth regulations and lawsregarding technology mightimpact the finances of theinstitution if these violations arenot addressed30Health Regulations andLaws Ramifications: DailyOperationsDetermines how violating healthregulations and laws regardingtechnology might impact thedaily operations of the institutionif these violations are notaddressed, supporting responsewith examplesDetermines how violating healthregulations and laws regardingtechnology might impact thedaily operations of the institutionif these violations are notaddressed, supporting responsewith examples but explanation iscursory or illogical, or supportingexamples are misalignedDoes not determine how violatinghealth regulations and lawsregarding technology mightimpact the daily operations of theinstitution if these violations arenot addressed30Health Regulations andLaws Ramifications:SecurityDetermines how violating healthregulations and laws regardingtechnology might impact thesecurity of the health informationin the institution if theseviolations are not addressed,supporting response withexamplesDetermines how violating healthregulations and laws regardingtechnology might impact thesecurity of the health informationin theinstitution if theseviolations are not addressed,supporting response withexamples, but explanation iscursory or illogical, or supportingexamples are misalignedDoes not determinehowviolatinghealth regulations and lawsregarding technology mightimpact the security of the healthinformation in the institution ifthese violations are notaddressed30ArticulationofResponse Submission has no major errorsrelated to citations, grammar,spelling, syntax, or organizationSubmission has major errorsrelated to citations, grammar,spelling, syntax, or organizationthat negatively impact readabilityand articulation of main ideasSubmission has critical errors related to citations, grammar,spelling, syntax, or organizationthat prevent understanding ofideas10Total 100%

1.    Explain the steroid action2. Different route of administration of steroids3. Special consideration for those medication that should include the side effects, contraindication4. What precautions do you discuss with the client to reduce or prevent those side effects

For this assignment, you will assume the role of a character in the following scenario:You are a reimbursement specialist at a Veterans Affairs (VA) hospital. One of the VA physician recruiters has asked you for information to aid in her recruitment efforts. The purpose of gathering this information is so the recruiter can better market the open physician positions, as well as respond to inquiries from prospective applicants.The recruiter needs the following information:Patient insurance demographic (after researching this topic, you may assume the national averages apply to your hospital).Pros and Cons of VA patient insurance (both from a patient and provider perspective)Physician time spent on administrative tasks (related to insurance)Use the reference the materials provided in this unit, and also conduct research on your own.In approximately one page, concisely explain points a, b, and c. Bullet point format is acceptable.Include a separate reference page, listing all resources used to create this assignment using proper APA formatting.Use proper APA formatting for all resources/references used to complete this assignment.

Information Technology (IT) and the NHINUnit Outcomes addressed in this Assignment:Discuss the impetus for health information exchange (HIE) in the United States.Describe basic HIE organizational structures, architectures, and services.Reinforce the need for data stewardship in HIE services.Identify the state, regional, and local activities in achieving benefits and overcoming challenges for HIE organizations.Describe the federal government’s concept of a nationwide health information network.Course Outcome assessed in this Assignment:HI300-5: Identify current federal initiatives aimed at promoting electronic health information exchange.Assignment RequirementsThe body of your document should be at least 1,000 words in length. Quoting should be less than 10% of the entire paper. Paraphrasing is necessary.You must cite and reference at least four credible sources from the Library.Please be sure to visit the AcademicSuccess Center for assistance with meeting APA expectations for written Assignments.InstructionsImagine that you are the Director of Health Information for a large hospital. As Director, you sit on various institution-wide committees that govern the organization’s policies. In collaboration with interdepartmental committees, you have made recommendations regarding the improvement of policies, procedures, and operations across the institution. The CEO and Board of Directors have approved funding for several initiatives but have asked you to narrow changes to just a few. Therefore, you will develop an action plan for the hospital.Please follow the instructions below in completion of this Assignment.Part 1Appraise at least two (2) policies that cover data security (i.e., audits, control data recovery, e-security, data recovery planning, and business continuity planning). Make at least two (2) recommendations for improvements to the elements included in the design of audit trails and data quality monitoring programs within the hospital.Part 2Critique the systems capabilities to meet regulatory requrements by judging the technologies that relate to electronic signatures, data correction, and audit logs.Part 3Critique at least two (2) human factors and user interface design of health information technologies by making at least two (2) recommendations for device selection based on workflow, ergonomics, and human factors.Part 4Evaluate a health information system’s architecture in terms of database design and data warehousing. Critique issues with systems implementation related to systems testing, interface management, and data relationships.Part 5Participate in the development of information management plans that support the organization’s current and future strategy and goals by comparing and contrasting at least two (2) issues related to a corporate strategic plan, operation improvement planning, information management plans, and/or disaster and recovery planning.Part 6Analyze at least two (2) challenges that exist in each phase of the systems development life cycle. Distinguish issues related to EHRs, HIEs, and RECs within your analysis.Part 7Analyze at least two (2) challenges that exist in each phase of the systems development life cycle. Distinguish issues related to EHRs, HIEs, and RECs within your analysis.