The Uniform Bill-04 or UB-04 paper claim form which is used for billing, was established to combine all the claim forms which were once used by hospitals, this was to accommodate numerous diagnoses codes. However, the inpatient reporting differs from the outpatient reporting. Inpatient claims can consist of up to 22 diagnosis codes and 6 procedure codes, of the 22 only 1 admitting diagnosis is allowed, while the outpatient claims consist of up to 24 diagnosis codes with 3 of these codes representing the reason for the visit. In addition to inpatient diagnoses reporting, the present on admission (POA) data element is included to substantiate between conditions present at the time of admission and conditions which may cultivate during the patient’s…
There are several claim communications in the file regarding attempts to resolve the resolve the issue. However, the FO was unsuccessful in contacting the claimant’s representative regarding the issue. It is unclear whether the claimant is currently engaging in SGA or when this activity ceased. DI 25501.390.A.1 indicates that we will not set the EOD during a period when the claimant engaged in SGA. Therefore, additional development is…
These are the images from Shutterstock I would like. They are being used in a tri-fold brochure so the res don’t need to be extreme as long as I can edit them without degrading the image. I will mostly just be changing the ratio of images to fit my template. If I could have these by 7-Jul that would be great because I need to get them over to Frank at PERS 532P for printing. Thanks in…
EIGHTH AFFIRMATIVE DEFENSE Dr. Stout’s counterclaims are barred, in whole or in part, because Dr. Stout was not an at-will employee of the Clinic. NINTH AFFIRMATIVE DEFENSE Dr. Stout’s counterclaims are barred, in whole or in part, by the doctrine of truth as a defense.…
Empirical Claim: ¶ 2 – “Stem cells from umbilical-cord blood and adult tissues, posing no moral problem, have advanced quickly toward treating juvenile diabetes, Parkinson’s disease, spinal cord injury, sickle-cell anemia, cardiac damage and other conditions.” This Claim fits the empirical claims criteria because it is based on pervious researched and published work of scientist and it out come have been observed over many years. Normative Claim: ¶ 1 – “Such killing in the name of “progress” crosses a fundamental moral line.” This Claim fits the normative claims Criteria because the moral lines are defined through norms of a society. In addition, morality of something is a belief that one has about that.…
Due to Medica exiting the Medicaid Program marketplace. My organization Hennepin Health membership is expected to increase by at least 20,000 recipients. The adaptive challenges, my organization continuously faces is a delay in claims payment from our vendor TMG. An increased membership will result in an overflow of unresolved claims issues. The most difficult, challenge is we assigned new processes, due to an individual’s lack of claims knowledge or someone enhanced skilled sets.…
A hot debate relevant for today is the question of how the constitution is to be interpreted. When writing the constitution, the founding fathers were clearly living in an ern which entailed concerns that are different from concerns today. During the constitutional convention, men discussed debated until they agree on what should become the framework for our great nation. Because of this the constitution appears to be ambiguous on many particular issues which we face today. Are we then to address those issues in light of the context in which the constitution was written, or are we to view it as a living document that’s meaning changes with time?…
Before significant change in the Indigenous incarnation system, there needs to be a shift in the jurisdictional control of Indigenous affairs. There are many different Indigenous nation that exist in Canada with “diverse governmental traditions, territories and aspirations” (Hogg 192) James Tully’s argument for renegotiating treaty-federalist relations is a potentially viable solution of a multitude of nations that would remain flexible and accommodating unique governmental traditions. The problem with current relations are that Aboriginal peoples have been treated as though they are a part of the federal-provincial institutional structure and are subject to the laws and jurisdiction of Canadian authority. This is ahistorical and counter to…
The guns up slogan has not been a big deal to most of the people around Lubbock. I have personally never met that thinks the slogan is offensive to them. This really has only been the complaint I have heard of by everythinglubbock.com. This has not changed the social status of Texas Tech at all. Social status is the amount f honor someone or something receives from the community as described in chapter 8.…
While reading paragraph one Mr.Douglass made a very interesting analogy. He compared the nation to a river. Also giving the audience details on how to prevent such an atrocity. He explains how we still have a chance unlike the bigger nations such as Britain. In paragraph two I will speak of how the United states is a river and then in paragraph 3 I will discuss how he states we can avoid becoming a”sad tale of departed glory”.…
In the midst of heavy racial tension among college campuses across the country, Cal Poly Pomona has stood out above the rest by being culturally sensitive and encouraging students to take initiative and learn about other customs and ethnicities outside of their own. Over the course of the last academic session for students, whether quarter or semester there have been reported protests regarding racial injustice on at least five college campuses across the country. There have been zero protests at Cal Poly and according to President Coley it is because of it’s “long standing inclusive values and diverse campus.” She does not believe the campus has to handle damage control like other universities to recent events because it is in Cal Poly’s DNA starting with faculty and staff to be culturally aware and sensitive.…
The Patient Protection and Affordable Care Act (PPACA) has raised controversy on whether the law support or damage the health insurance for all Americans. The Affordable Care Act (ACA) or commonly known as Obamacare is a federal law signed by President Barack Obama on 2010. According to the website Obama Care Facts this law “creates a mandate for large employers to provide insurance, the expansion of Medicaid, and the opening of Health Insurance Marketplaces to help subsidize private insurance.” Its main goal is to improve and provide affordable health care insurance for all Americans but due to the divide opinions about this law, congress has judge over 50 repeal attempts. As a last attempt to overthrow the law, the Republican Party from…
Post which 1-2 facts do you find most compelling or convincing The two facts that I found most compelling and convincing are 1.) the current minimum wage is not high enough to allow people to afford housing, and 2.) raising the minimum wage would disadvantage low-skilled workers (ProCon). I believe that without any different types of investment, it is hard for individuals to afford housing for their family with the minimum wage pays.…
According to the Judicial Education Center, what are five defenses to a breach of contract claim? Provide examples of each. The JEC provides both a list and examples of defenses to breach of contract. The most common defense to a breach of contract claims is of the following: • Enforcement of the contract would violate public policy •…
Part E Instruction Commentary The learning experiences that are shown in the video clip are taken from the learning segment 1 and 2. These clips are taken from day 1 letter recognition and rhyme recognition. Promoting a Positive Learning Environment Some Students in the class are just coming to school for the first time therefore some students do not know the letters in the alphabet. Motivating these students to identify letters I had to involve the entire class and we did a whole group discussion.…