The CMS 1500 and the UB04 are two types of claims forms used to submit charges for reimbursement. The UB04 (also called CMS 1450) is mainly used for facility claims, such as hospitals, surgery centers, and nursing homes. They cover both inpatient and outpatient charges, along with any associated with diagnostics, supplies, and lab work. This forms shows the “resources used” by the facility. When this form is submitted electronically, it is called the 837-I, with the “I” standing for Institutional.…
How do you know down the resident’s feel? No interest or pleasure in things the client used to enjoy. Feeling sad and crying easily for no reason. Also feeling tired all of the day and has headache, backaches or digestive problem.…
Elizabeth Piatt is professor of sociology and has a PhD in medical sociology. She is mostly interested in exploring racial inequalities in physical and mental health. In february 2015, her article, “Navigating Veronika: How Access, Knowledge, And Attitudes shaped My Sister’s Care”, Piatt discusses how there is minimal conversation between a patient and the healthcare professionals and the attitude that healthcare professionals have towards poor patients. She also addresses how socioeconomic constantly affect the inequalities in health care system. In this essay, I will be summarizing her article, and contextualizing, and comparing it to the past time period.…
American’s current health care system has become one of the nation’s leading controversial nuisance. The Affordable Care Act (ACA) was originally created with morals of assuring every American individual’s right to attain health care regardless of financial circumstances or pre-existing conditions along with government support if needed. Unfortunately, amongst the fabricated promises of security and assistance, this fragmented system impels families to remain uncomfortable and stressed. The additional costs and hidden fees that are woven into health insurance contracts are becoming increasingly more unbearable with every passing year. Our health plan options are seemingly appearing less like decent choices and more like mandatory commitments.…
Health Legislation Policy Vendetta Ramgobin Mercy College Professor Claudia Mighty The registered nurse safe staffing act lobbied for by the American Nurses Association (ANA) was introduced on Tuesday 30th of April to the senate and is being supported by junior senator in the Democratic Party from Oregon Jeff Merkley. Before becoming law it must both be passed by the house and the senate and then be signed by the president (govtrack.us).…
In addition to knowing and understanding your rights as a patient, and knowing and understanding the Health Insurance Portability Act or HIPAA, it is also important to understand your role in healthcare. As a patient you have to be an active partner in your health care. This meaning that you cannot expect to receive the care you want unless you talk to your health care team. In order to receive proper care you must talk to your health care team. They cannot read minds, and are unable to understand what is going on unless you talk to them.…
Volunteering at a free clinic in Lansing has exposed me to many patients who have serious and costly chronic conditions and are unable to afford insurance and have either no insurance or are under insured. I recall one specific incident where a patient came in for his life saving heart medication and his application was going to expire soon. We worked with the patient to create a plan to renew his application and find a way to expedite the processing. Uninsured patients have to jump through more hoops to get medication, if it is even available. If they have no way to pay for the medication then they have to decide what is more important.…
The purpose of this paper is to answer the case study questions and discuss the legal and ethical issues found in the case study Nepa vs. Commonwealth Department of Public Welfare. The case reveals elderly abuse by residents who endured abuse and neglect at the hands of the person charged with caring for them. It reviews the court’s findings of the petitioner’s appeal of the court’s judgment to revoke his license. This case study exemplifies types of patient and elderly abuse and patient rights violations which victims are often reluctant to report. “Patient abuse refers to the mistreatment or neglect of individuals in the health care setting” (Pozgar,2016, p. 418).…
The following research paper will discuss the following topics of access to healthcare, preventive care, and utilization of services available to the population of the United States throughout their life span. Access to healthcare in the United States is an important topic being discussed in the medical arena today. Hospitals, clinics, and emergency centers are showing everywhere in the larger communities. So what is the problem with access?…
They are neither familiar with the facility nor with the health care protocol, which puts lot of pressure on working staffs and patients. Sometimes, patients don’t receive basic care due to the inadequate…
The patient claimed that she was also constipated. After addresses her with questions, the nurses together, proceeded in taking her vitals, doing…
The Argument Supporting of a Moral Right to Health Care In “Is There a Right to Health Care and, if So, What Does It Encompass?” by Norman Daniels, he provides numerous reasons that decide that there is such a right to health care. Furthermore, he made an argument for a strong right to health care that was derived from John Rawls’ justice principle of “fair equality of opportunity.” There has been a question that arises about “is there a right to health care?” According to Daniel, there is a right to health care and he made strong arguments for his beliefs by discussing the rights to health care, theories of justice, and equal opportunity (Daniels).…
The demographic who are unable to access hospital/clinic for regular checkups develop medical problems such as diabetes and hypertension that may turn out untreated and undetected. The ethical dilemma I face in my career as a nurse when taking care of the under/insured is ensuring that they are given the care needed to maintain their health. The uninsured are not likely to have regular outpatient care, experiencing overall deterioration in health and so often hospitalized for health problems that could have been prevented (Mason, Leavitt, & Chaffee,…
Did the End Justify the Means? An ethical dilemma is a situation where one has to make a decision between two moral options; both of these options would end up with a negative result. In the movie called, “John Q”, John Q Archibald has a son who has a fatal cardiac condition and needs surgery as soon as possible. However, the parents do not have nearly as much as they need to even pay the deposit.…
Introduction Hospitals, a place for people to recover, heal, and to combat diseases. Everyone will take a trip to the hospital eventually. Doctors and nurses staff these facilities and hand care to every patient that needs it. Every patient must be looked at and each situation should be prioritized accordingly. Unfortunately, that is not the case for all the hospitals.…