Friday, January 31, 2020

Definition of Terms Essay Example for Free

Definition of Terms Essay AMR- Ambulatory Medical Record- An ambulatory medical record (AMR) is an electronically stored file of a patient’s outpatient medical records, which includes all surgeries and care that do not involve being admitted to a hospital. The importance of AMR’s is that they only apply to outpatient medical records. Outpatients procedures or services are performed so frequently that at times it can be tedious to keep track of them. These records allow a physician to review a patient’s COMPLETE medical history. CMR- Computerized Medical Record- Computerized medical records are the digital counterparts to patient medical records kept in paper files and folders in health care offices. The importance of CMR’s is they allow for less paper storage or use. A patient’s medical records can be an extensive file. The longer the file gets the harder it is to keep up with it. Keeping a computerized copy of what is on paper in a patient’s medical record is more than convenient, it is a more efficient method of documentation. CMS – Centers for Medicare and Medicaid- The Centers for Medicare Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (DHHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Childrens Health Insurance Program (SCHIP), and health insurance portability standards. CMS is an important entity to US healthcare, without it, the medical coverage for  children whose parents do not have the luxury of commercial coverage and the elderly who have reached the age of retirement would not have health benefits. Medicare and Medicaid do not only supply benefits to children and the elderly but there are those citizens who are considered disable in some way, shape, fashion or form. CMS-1500 A universal claims billing form used by physicians and other healthcare practitioners to bill payers for professional services. The CMS 1500 form assists physicians especially in receiving reimbursement for the services provided. The development of a form for physicians eliminates confusion for insurance companies when processing claims. The companies need not worry about whether the charges were submitted by a physician or facility, which makes for easier and more efficient processing. CPT Current Procedural Terminology (CPT) is a code set that is used to report medical procedures and services to entities such as physicians, health insurance companies and accreditation organizations. CPT is used in conjunction with ICD-8-CM or ICD-10-CM numerical diagnostic coding during the electronic medical billing process. From a billing standpoint, a world without CPT codes is almost like a world without people. The genius idea to use a universal language of numbers to determine services an individual had performed alleviates chaos. CPT codes also give a shorter description of the services rendered. Some procedures are so extensive, all the information appearing on a claims form can cause confusion. By giving these procedures a 5 digit number which can be researched for a description creates efficiency. DRG Diagnosis Related Group any of the payment categories that are used to classify patients, especially Medicare patients, for the purpose of reimbursing hospitals for each case in a given category with a fixed fee regardless of the actual costs incurred DRG’s prohibit a facility from receiving an outrageous reimbursement for specific provided services. The categorization of patient cases into specific groups which allows for a set cost or billed amount places a cap on reimbursement to that facility for that case/patient. EPR Electronic Patient (Health) Record (EHR) -an evolving concept defined as a systematic collection of electronic health information about individual  patients or populations. Monitoring a patients’ health information in an electronic manner is a win/win for all involved. It allows the patient faster access to their records and the physician or hospital a faster method for reviewing or receiving those same records. The EPR has evolved into the EHR. The development of tracking patient health information in an electronic monitor has produced a more effective, accurate method for organizing something as lengthy as a person’s health history. HL7 Health Level Seven (HL7) a non-profit organization involved in the development of international healthcare informatics interoperability standards. HL7 and its members provide a framework (and related standards) for the exchange, integration, sharing, and retrieval of electronic health information. The 2.x versions of the standards, which support clinical practice and the management, delivery, and evaluation of health services, are the most commonly used in the world. The development of this organization is the foundation for the ability to transfer and track health information safely and without violation of a person’s personal information. Without HL7, the above mentioned term (EPR) would not exist. This organization’s importance is beyond measure in terms of convenience involved in the healthcare field. The standards set forth are a necessity in order for health information to be exchanged or shared, they provide peace of mind to the patients and physicians. ICD-9 International Classification of Disease, 9th edition A standardized classification of disease, injuries, and causes of death, by etiology and anatomic localization and codified into a 5-digit number, which allows clinicians, statisticians, politicians, health planners and others to speak a common language, both US and internationally. A 3 to 5-digit number code describing a diagnosis or medical procedure. The International Classification of Disease 9th edition is as important to billing as CPT codes. The universal language for identifying a patients diagnosis assists not only for purposes in billing but for physician and hospital communication with insurance companies. Physicians attend school to learn and become familiar with the formal name for specific diseases, injuries and other medical conditions. On the other hand, insurance companies may not be as familiar or educated as to  the formal names for these medical conditions, which is where ICD-9’s come into play. They allow for easier and more understanding within the communication aspect of physician to insurance or facility to insurance company. UB-92 Uniform/Universal Billing form 92 Managed care The official HCFA/CMS form used by hospitals and health care centers when submitting bills to Medicare and 3rd-party payors for reimbursement for health services provided to Pts covered. UB-92 billing forms have since been replaced with UB-04 billing forms. Needless to say, a universal billing form creates an efficient, more precise method of billing for hospitals. Once again it eliminates the time that would be consumed by insurance companies attempting to determine if a claim is for a facility or physician. Eliminating this step assists in jump starting the processing of reimbursement to a facility for rendered services.

Thursday, January 23, 2020

The Logging Industry vs. The Old Growth Forests of the Pacific Northwest and the Northern Spotted Owl. :: Essays Papers

The Logging Industry vs. The Old Growth Forests of the Pacific Northwest and the Northern Spotted Owl. The Pacific Northwest is perhaps most commonly known for its awe-inspiring old growth forests that have been gracing the land for hundreds and hundreds of years. The land in British Colombia, Canada, Washington state, Oregon, and parts of Northern California are the only areas in the world where these forests exist. One of the most unique and amazing inhabitants of this age-old forest is the Northern Spotted Owl. The Northern Spotted Owl has been on the endangered species list for over ten years now. The Northern Spotted Owl can only be found in these old growth forests. The northern spotted owl requires many acres old forests to survive, due to its scarce food supply. They are very sensitive to their habitat, and simply cannot survive in any other environment. These owls, as well as the forests have been disappearing at an alarming rate due to the immense logging industry in its area. Logging is a huge industry in the Pacific Northwest for obvious reasons. The abundant, lush, forests are an ideal location for major logging companies to stake their claim. For many Pacific North westerners, and Americans in general, the logging industry is a major part of the economy. Many loggers have been raised and trained for their entire life to become loggers. Many loggers know no other skills to support themselves other than logging and the logging industry. There are many communities located in the Pacific Northwest that are supported fully by the logging industry. Without the logging of the old growth forests, their families and their livelihoods would be ruined. These two sides of the issue bring about a major controversy in America today. Should the Pacific Northwest’s old growth forests and the welfare of the Northern Spotted Owl be sacrificed for America’s economy, and the jobs of the people in the logging industry? Which should be placed at a higher value, the forests in the Pacific Northwest and the northern spotted owl, or the American economy and the jobs and welfare of thousands and thousands of people? These are very difficult questions for me personally to answer because I live in the Pacific Northwest, and I have seen the beauty of the old growth forests first-hand.

Wednesday, January 15, 2020

Accepting Men

For many things, change is inevitable. According to an excerpt tittled â€Å"Accepting Men as They Are†, written by Albert Ellis, men are sex- orientated, selfish, and workaholics. Ellis believes that it is useless to try to change a man because that is how they are built. There is no point in changing because it simply cannot be done. That could be true, however, this passage was written in 1979, about three decades ago. The author had another perspective because he lived in a different generation. Men acted like they were superior, but it is now the 21st century; times has changed, and so have men.Even though many people will say that men are all the same, men are capable of changing for the better. After all, we are all humans. Humans change for the better every day like going to rehab and fix their problems. Men that change for the better are shown throughout literature, history, and the media. There are many times where men were able to change completely, like the Grinch, Tiger Woods, and in the movie â€Å"Click† where Adam Sandler acted as Michael Newman who was portrayed as a workaholic.In the passage, Ellis stated that â€Å"All men are selfish†, however in the popular childrens’ book, How the Grinch Stole Christmas? Grinch was able to change. Symbolic of men, the Grinch was selfish, bitter, and did not want to relate himself to any of the Whos. He wanted to take everyone’s joy away so he attempted to steal Christmas. Even though he takes all the decor, he was appalled that everyone still had the holiday spirit in them. Because of a young adolescent named Little Cindy Loo Who, he was able to change and return all the decorations and presents back to the village.One of the peak points in the movie was when Little Cindy Loo Who was about to fall off a cliff because of his sleigh was too heavy to carrying all the Christmas decorations and presents. The Grinch’s heart grew bigger and bigger, and he did not care if he got hurt and tried to save the life of the child that saved his. The villagers were able to see that he transformed into a heartwarming man. They gave him a chance and at the end the Grinch was able to cut the ham. Due to his positive outlook he was able to become a new person and change into a better man.Albert Ellis claims that men only want sex from a woman. However, some men are lustful to the extent where they were addicted to it, and even lost their whole family. In the last year, Tiger Woods was exposed to the media for having many mistresses and cheating on his wife. Not too long after this was made public, they got a divorce. Woods realized his obsession with sex, and checked into rehab. Even though this is one of the times where it was too late for the man to realize his addiction, he was able to admit that he had a problem.He lost his wife, kids, and almost his career. Checking into sex rehab was one of the choices for him and was a big step, but he knew he had to chan ge. He already lost his family, but he did not want to lose everything he had, including his career. This is to show that he is progressing into a better person. Some men become workaholics because they need it to support their family. In the movie â€Å"Click†, Adam Sandler plays a workaholic that tries to give the best to his family. By using a remote to fast forward time, he was able to fast forward to where he was promoted.In doing so, he spent many nights working on projects that will prove to his boss that he is a trustworthy person that can handle bigger jobs. He could not wait any longer so he went to a mad scientist which fast forwarded time, and sent him to a different time in the future. Traveling through time saw how he would be in the future if he kept focusing on his work. He lost his wife and kids, and devoteds his whole life to his job. He realized that he missed all the good times with his wife and children, and was fortunately able to go back and realize his mistake.He paid more attention to his wife and kids and was more romantic. He changed his outlook on life and was able to get back his old life. All men are different, but one thing in common is that they are able to change for worse and better. The only person you can change is yourself. Without saying more, no one should be able to change anyone because it must be the desire of the person wo needs to change. Change is still possible, but it is in only self-realization where it can only happen.

Tuesday, January 7, 2020

An Argument For Free Will. As An Outset, We Should First

An Argument for Free Will As an outset, we should first get a clear understanding of what â€Å"free will† actually means. â€Å"A being has free will if given all other causal factors in the universe (genetic and environmental, physical and chemical†¦) it nevertheless possesses the ability to choose more than one thing† (Caplan, 1997) There are many different definitions of freedom, but the kind of freedom I want to address is one where an individual can do as he or she pleases even if bound by chains to the ground. This type of freedom is freedom of the mind from causal deterministic laws, the idea that every event is dictated by antecedent events and conditions together with the laws of nature. I think that the strongest argument for free will is†¦show more content†¦Ã¢â‚¬ ¢ Therefore, all our actions are pre-determined. †¢ Thus, there is no free will or moral responsibility. By this reasoning, free will does not exist and in proving that it does exist, we need to address this. We can argue this case by considering that determinism states that every step or change or decision is predetermined. By that reasoning, then nothing can ever get done. The domino at the end of the line is going to fall no matter what, so what is the point in doing anything. It is also important to note that â€Å"a definition of determinism is just that – a characterization of what things would have to be like if things were deterministic. It does not follow that the universe is actually deterministic† (Kane, 2007). For example, consider this: a creature is a centaur if it has the hindquarters of a horse and the torso of a man. Nothing about the definition of a centaur shows that these creatures exist in our universe. It simply tells us something about what sorts of things would count as centaurs. The same thing for the definition of determinism; determinism does not show that the universe is deterministic. It only describes a term. Determinism undermines two aspects of free will: (1) decisions are â€Å"up to you† and (2) the origins of your actions are outside of our control, by either God, decrees of fate, etcetera. These are two important aspects, but because determinism describes what would happen if the universe ran on determinism, not necessarily thatShow MoreRelatedCesar Freire s Pedagogy Of The Oppressed1084 Words   |  5 PagesFreire passionately presents his ideals about education through the scopes of these two educational styles. Pedagogy of the Oppressed starts off with an explanation that the focus of his analysis is the relationship between teachers and students. First, Freire believes that the majority of teachers today â€Å"talk about reality as if it were motionless, static, compartmentalized, and predictable† (Paolo Freire). 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