Medicare and Medicaid

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    Medicaid Vs Medicare

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    Medicare vs. Medicaid What I learned is that both are financed some way through the government paid via taxes and although they sound very similar that both have different benefits and eligibility requirements. From my understanding Medicare is a program for long term coverage for the elderly and Medicaid is supposed to benefit those with lower incomes. I noticed Medicare is done through social security and it has parts A-C and the newly added D in 2003. Medicare is also offered to everyone when they reach eligibility, while Medicaid is not. According to the videos, Medicare A covers hospitalization, B is medical insurance, C is purchasing private insurance through Medicare which sounds better out of the four because with this policy they…

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    Icd Codes In Hospitals

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    procedures to Medicaid, Medicare and third-party payers. HCPCS codes are split into to two levels: Level II and I. Level I includes CPT codes. HCPCS Level II consists of five characters, both numbers and letters and used to present services outside of a health provider’s office, ambulance, supplies and other non-physician services. CPT codes are used for the description of surgical, laboratory and other services of health care providers. It consists of five number or letter components. CPT…

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    Nursing Home Care

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    For example, nursing home residents who wish to be eligible for Medicaid find they cannot have more than $1,600 in assets, yet this does not mean their spouse is limited to this amount. The healthy spouse retains certain assets which the courts have deemed exempt, such as a home regardless of its value. Furthermore, the healthy spouse can have a monthly income of a set amount, determined by the state, and this amount is currently $2,980. Individuals who wish to have nursing home care for a loved…

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    Methods to Evaluate Effectiveness of Plan Pressure ulcer is huge concern for health care industry as pressure ulcer distresses health of the patient, upsurges stay that further escalates cost for patient. Hospitals do not get reimbursement from Medicare and Medicaid. “Estimates of pressure ulcer prevalence range from 0.4 to 38 percent in acute care hospitals, 2 to 24 percent in long-term nursing facilities, and 0 to 17 percent in home care settings and prevalence of facility-acquired pressure…

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    The first group is high risk patients who are identified by frequent emergency department (ED) visits more than 12 times in six months and those who have an extended or complicated hospitalization typically requiring complex needs after discharge. The second manner of identification is through Diagnosis Related Groups (DRG) 291-293 found on paid claims data. DRG ‘s established through the inpatient prospective payment system are part the methodology of reimbursement created by the Centers of…

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    the initial office of the director of the Joint Commission on Accreditation of Hospitals. Then in 1953 the Joint Commission on Accreditation of Hospitals started offering accreditation through them instead of the American College of Surgeons since they had officially transferred there onsite accreditation program over to the newly developed organization (The Joint Commission, 2015). . The Joint Commission on Accreditation of Hospitals develops their own set of standards and had the new…

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    Out of all the websites that I have reviewed, the most interesting one was the Center for Medicare and Medicaid Website to compare the hospitals in your home area. It shows how each hospital does on treating several different diseases and shows what the national average is in our country. I found this extremely helpful because it helped confirm some of my beliefs in the Oakwood system, but also showed the misconceptions of the Oakwood system. I had always known that they had an issue with giving…

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    The hope is a multidisciplinary approach to care would produce a more comprehensive assessment and plan of care for the individual. Sometimes this is the case and other times it’s not. It really truly depends on the team members. Recently, we had a discharge planning meeting for a resident at our facility. The resident’s daughter is the Director of Admissions at our facility. Our social worker called her to explain that her father was making very little progress and she did not expect him to…

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    Long-term care is defined as health, mental health, residential or social support provided to a person with functional disabilities on an informal or formal basis over an extended period of time with the goal of maximizing the person’s independence. The goal of long-term care is help people achieve functional independence, in contrast to the goal of acute care, which is to cure. The fundamental reason that a person needs long-term care is because they suffer from one or more functional…

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    In this paper, we will discuss the movie Away from Her. We will talk about different problems encountered in the movie, their solutions and how the movie would look like today if it was set in Las Vegas. We also hope to share our own thoughts about how we would deal with Alzheimer’s disease if we were the patient. Away from Her is a very interesting movie about a fictitious couple named Grant and Fiona Anderson. Their characters are played by Gordon Pinsent, and Julie Christie, respectively…

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