Payment was denied because the documentation did not support the medical necessity for the injection procedure. The documentation did not support the trigger points as reasonable and necessary. There was no indication of symptoms or physical findings that would support the medical necessity of the service at the level billed, in accordance with Medicare Guidelines. For the procedure code 20553 to be considered medically necessary and reasonable, an appropriate payable diagnosis needs to be billed as outlined in the Local Coverage Determination (LCD) (L30155).…
The utilities of the cutting edge equipment in the facility were encased in up the feet of concrete and lined in lead, requiring precise planning. El Camino Hospital, established in 1961, has been designated as a nursing magnet hospital by the American Nursing Credentialing Center. Specialties include cardiac care, dialysis, cancer care, maternal child health services, orthopedics, neurosurgery and behavioral health. Whether constructing a first-hand office complex or a complex manufacturing facility, XL focuses on building strong partnerships and successful projects.…
PT 826 Reading Assignment The information given in the article by Lau, Chiu, & Lam (2010) about using thoracic manipulation for the treatment of neck pain was very new to me. There were several instances in the past where I treated patients with neck pain by giving mobilizations techniques and modalities in and around cervical area. This article was a convincing one which helped me to understand the concept of biomechanical and etiological relationship between cervical and thoracic structures and how this knowledge can be capitalized by effectively using thoracic mobilization in patients suffering from chronic mechanical neck pain.…
Carol A Lewallen, mother of the three children called me. She asked why her sister cannot be a foster mother for her children as the rectifier had told them. I informed her that her CW case was closed on 09/19/16 and the safety plan was that her oldest child, Austin, will continue to stay with his father and that she will have the other two. The plan was changed after her CW case was closed by the family, which could be fine if the children are not at risk or neglected.…
It is agreed between the parties that the following constitutes the full and final settlement of the above dispute. The parties recognize Hannah M. Finochio (EID 322136), an Accounting Clerk with the Department of Transportation & Public Facilities unintentionally omitted a misdemeanor charge on her Pre-Employment Certification on October 26, 2015. Under normal practices, such omission constitutes ground for immediate dismissal. However, given the fact the timing of the conviction and Ms. Finochio’s application, the conviction was disclosed on later application and Pre-Employment Certification, and the fact the conviction had no job nexus, the parties have agree to the following terms: 1. Ms. Finochio will be issued a Letter of Warning for…
1. Describe the primary issues presented in the case study. The case study of the doctor in the sleep study clinic represents issues with health disparities, race, poverty/socioeconomic class, ethnicity and culture. The doctor clearly puts his own needs first as well as remains at the job due to its proximity to family and friends.…
“The experience of moving into the world can challenge individuals' beliefs and attitudes” Related text and one other” Core text + Related text Individuals' beliefs and attitudes are the product of the world they live in, and consequently these beliefs and attitudes are challenged when one moves into a new or different world. Both The Story Of Tom Brennan (2005) by J.C. Burke and The Door (When) by Miroslav Holub explore this notion of change through the experiences encountered when moving into different worlds. The Story Of Tom Brennan explores the journey, growth and self discovery of the protagonist, Tom, following his brother's drunken car crash. Similarly, The Door demonstrates the benefits associated with exploring new worlds,…
I picked an interview with Sumner Clayton he served in the US Navy from 1960 until 1980. The reason I picked this interview is because Sumner served as a part of a mine interdiction division. Sumner was originally put into the fleet sonar school in Key West but after accidentally electrocuting himself with 440 DC of electricity refused to go back stating he would rather "pick up the paint scraper". He claims leaving the school was the biggest mistake of his life as he spent the next 19 years on mine sweepers, chipping paint, cleaning, running boats, running cranes, rigging and playing with mines. Sumner also worked as a recruiter for a short period of time and stated that the navy did not have trouble recruiting until the USS.…
Liam jay's (preferred name LJ) wishes and feelings with regards to his current placement are negative and he doesn't want to live with his father. Preferring (if given the choice) to go back to live with his mother. Liam Jay has said that he hopes my input will result in him being able 'to go back o his Mum'. I have informed LJ that this is not likely at the this point in time. This assessment has been conducted due to a disclosure that Liam-Jay made on the 9th of September 2016.…
Initially the Court was in agreement that the stop and subsequent arrest in the Terry case was appropriate on the basis of the “probable cause” standard. Barrett (1998) states, Chief Justice Warren had initially approached this decision on the basis that the stop in the Terry case was appropriate. It was Justice Brennan who eventually persuaded Chief Justice Warren to render a decision which put forth the new “reasonable suspicion” standard (Barrett, 1998, 793-821). If Chief Justice Warren had maintained his original inclination of rendering a decision which clearly delineated the standards that a police officer must follow before a search is conducted there would be no controversy over this issue. However, had this actually occurred then…
Casey is a man who lived a very active life prior to a tragic accident in 1995. Although he was autistic, he felt like he lived an average life. According to Casey, he had a very widespread group of friends and was quite the social butterfly. Going through many different girls and going out a lot, he had an active dating life. He was an auto fanatic, with a certain interest in car audio.…
Casey is an intelligent woman, which is evident by her job as an Administrative Assistant. In this capacity she multitasks, uses a computer proficiently and is a good problem solver. In the caseworker’s observation it would seem that Casey’s reality is real, but she may be overly sensitive to criticism, which could stem from childhood abuses.…
Scoliosis Imagine a tall strong man. His broad hands, although rough from construction work, have a kind and gentle touch. His blue eyes sparkle with enthusiasm and wisdom. His arms can surround you with the warmest hugs and he can lift you high above. He is all knowing and ever loving.…
In the Charles Cullen case, I do feel all hospitals should be liable. It is their duty to screen their medical staff, ensure proper training as well as maintain compliance with state regulatory mandates. In most cases human error and death are part of a hospital environment, but Cullen was under suspicion from his first nursing job. St. Barnabas suspected him, they could have stopped him early in his career taking his nursing license due to his indiscretions at their facility, but the did not. Throughout the book we see Cullen had no problem getting a position once he was let go from a previous.…
Abstract There are many professional researches and studies that have been conducted to find out more insight in regards to why humans behave as they progress through life. Psychodynamic, behavioral, cognitive, humanistic, contextual, and evolutionary perspective are the six major theoretical perspectives that have influenced lifespan development. Distinct theories and the developmental stages will be discussed throughout this paper from a personal point of view and provide insight on how various factors have contributed to the development process thus far in life. Spiritual development will be discussed from the earliest memory and will expand into early adulthood, which is the current state of development. Human growth and development varies from person to person and what works for one person will not necessarily be beneficial for another.…