Assigning Evaluation and Management (E/M) Codes o A 7-year-old is brought into the office unexpectedly by his mother on a very busy clinic day. He is coughing and wheezing. He has no known history of asthma‚ but frequently gets like this while playing soccer. He is in moderate distress. An H&P and physical exam is performed. As there is no previous history of asthma within the patient the issue is an extended problem focused with E/M Code 99202 due to the fact the mother reports it happening
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Chris Jostad NRS 111 4/4/13 Case Study 76 1. * Fasting glucose: 184 mg/dL-above 99 mg/dL suspected diabetes mellitus among other etiologies * HbA1C: 8.8%-The American College of Endocrinology recommends and A1C less than 6.5%. An A1C of 8.8% would also indicate diabetes mellitus. * Total cholesterol: 256 mg/dL-total cholesterol above 200 mg/dL could indicate uncontrolled diabetes * Triglycerides: 346 mg/dL-levels above 150 indicate diabetes mellitus * LDL: 155 mg/dL-Increased
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Accurate documentation in clinical practice is a significant component of the delivery of quality patient care. Evaluation and management (E&M) codes comprise to assist providers adequately . In order to receive reimbursement from health insurance companies‚ APNs must accurately use E&M codes to bill for services they provide during patient encounters. Hence‚ the significance for APNs to be knowledgeable in the use of E&M codes to bill for patient care services provided and stay abreast on current
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Chapter 7 Review Mood disorders I. DEPRESSION AND MANIA ARE THE KEY EMOTIONS IN MOOD DISORDERS: A. Depression—a low‚ sad state in which life seems dark and its challenges overwhelming B. Mania—a state of breathless euphoria or frenzied energy C. Most people with a mood disorder experience only depression 1. This pattern is called unipolar depression 2. There is no history of mania 3. Mood returns to normal when depression lifts D. Others experience periods of mania that alternate with
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Institute of Medicine on Nursing Practice‚ Education and Leadership Angela M. Licata-Schneider Grand Canyon University: Professional Dynamics NRS-430V October 15‚ 2014 Impact of the Institute of Medicine on Nursing Practice‚ Education and Leadership The Institute of Medicine of the National Academics in Conjunction with the Robert Wood Johnson Foundation launched a campaign to provide solutions in response to the need for evaluating and alteration of the nursing profession. Future needs of
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“Depression” is often used to describe general sadness or unhappiness. This loose use of the term confuses a normal mood swing with a clinical syndrome Depressive disorders can bring sever and long-lasting psychological pain that may intensify as time goes by. Major depressive episodes – exist in both Major Depressive Disorder and Bipolar disorders Extremely sad mood or anhedonia (loss of interest or pleasure in life’s activities) Symptoms last for > 2 weeks Cognitive symptoms (loss of concentration
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------------------------------------------------- As many as 19 million Americans million are affected by mood disorders ( The two main types of mood disorders are bipolar disorder and major depressive disorder which are described as disturbances in mood‚ behavior and emotion.“ Bipolar disorder is a complex disorder in which the core feature is pathological disturbance in mood ranging from extreme elation‚ or mania‚ to severe depression usually accompanied by disturbances in thinking and behavior
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Nursing Leadership Issues after an Acquisition Mergers are described by some as the blending of two companies‚ whereas acquisitions occur when one company is purchased and absorbed by another (Piper & Schneider‚ 2015). Mergers and acquisitions within the healthcare community occur primarily to improve both the structural and economic efficiencies found within the organizations (Mancini‚ 2015). For much of the healthcare and nursing staff‚ feelings of fear and loss often accompany an acquisition
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In this case ‚ there are some symptoms of grief that the girl would appear . First ‚ She might feel shocked . Her mother is very important to her so after her mother died she will feel an overwhelming and sadness . Also she will feel tiredness because the girl thinks about her mother and replay the memory every time ‚ she cannot get enough rest so she will have mental tiredness . Last ‚ she will feel anger and guilt . For example ‚ she be asking why she will suffer from these diseases instead of
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neurons that project onto the nucleus accumbens in the ventral striatum (Adinoff‚ 2004). Therefore‚ studies on addiction usually center around these regions to explore the genetic and neurobiological basis underlying this chronic brain disease. One of the most prominent and
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