Discussion Week 4

Post on three separate days to the discussion board. Make an initial post that answers both questions, and then make two more posts on separate days to two different classmates. It is important to review the Discussion Board rubric to understand the expectations and grading criteria. Include at least one reference and citation using APA 6th edition format.

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To begin discussing in this forum, click the forum title. Then, click Create Thread on the Action Bar to post your initial reply. To reply to a fellow participant, click the title of the initial post, then click Reply.
If a child is born with an insufficient amount of growth hormone, he or she will develop dwarfism. Do you think that such a child should be given supplemental growth hormone? What are the physical and ethical issues involved?

peer 1
 
Yasamin Sedaghat

Week 4 Discussion

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Total views: 8 (Your views: 2)

I do believe that if any child is born with an insufficient amount of growth hormones, the growth supplement should be given to them before the child being fully developed out of the womb of the mother. Just as they measure and take different tests of the baby to make sure he or she is healthy when they are out of the womb, surely they can also predict the growth hormones and how healthy the child is, for further development to take action. In one article it tells how doctors can do diagnostic tests for the child’s condition making sure their growth is not delayed or having any problems. (N.D., 2017) Physically their bodies can be disproportioned such as using their motor skills on walking and sitting up, arthritis, sleep apnea, numbness in the legs and much more problems depending on their situation. Yes, ethically people in our society do look at them differently because of their looks in their height and they would also need some special custom needs in their car to be able to drive such as fixing the gas pedal and raising the seat of in the car. But morally in all honesty, at the end of the day they are absolutely capable to do almost anything any normal human being are able to do. They are able to get the same education we are getting and go about in life with playing sports, games, doing different activities, and much more. In another article I found online, I read about how dwarfism can grow about through their genes of the family members and now doctors can perform several tests regarding of where it came from and help by giving them hormone injections. (L.N.D, 2017)
 
Word Count- 291
 
APA Citations:
L. (n.d.). Dwarfism. Retrieved February 26, 2017, from http://www.humanillnesses.com/original/Conj-Dys/Dwarfism.html
 
(n.d.). Pituitary dwarfism. Retrieved February 27, 2017, from http://www.healthofchildren.com/P/Pituitary-Dwarfism.html

 
Sharmilla Bhagwandeen
 
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Discussion week 4

Discussion week 4.

Please review the discussion board rubric under “Start Here”.

 Use in-text citations appropriately and provide full citations for your initial post and at least one of your response posts.  One of your citations needs to be outside of your text.  

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The idea is that you would not only comment on your classmate’s post but also do some additional research furthering the discussion.

To begin discussing in this forum, click the forum title, “Week 4 Discussion Forum”. Then, click Create Thread on the Action Bar to post your initial reply. To reply to a fellow participant, click the title of the initial post, then click Reply.

Kristin Cook

Week 4 Payment Methodologies

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1) Fee For Service is where the payer has a fee schedule with a set reimbursement amount for each service covered. Cost Based is for facilities that receive payments throughout the year until the cost report comes out. Then the payments that have been received are deducted from the remaining amount. Prospective Payment inpatient hospital reimbursement was based on the DRG data that already appeared on the claim. Ambulatory Surgical Centers are based on only procedures that are performed. Skilled Nursing Facilities payment based on the acuity or illness of the patient has been used.

2) Medical necessity is where you have a procedure done for a diagnosis and when it is sent to claims it can either be approved or denied. If it is denied that means that the insurance company doesn’t believe the procedure or tests run for that diagnosis was necessary. This impacts payment a great deal because if a patient has insurance, but the insurance company will not pay for the procedure or test that were done that means that the patient has to pay out of pocket. This can be very difficult for patients that live on a fixed income.

3) Payment methods now have changed coding for the better. Everything that we do now as a society is done electronically now, this means that every claim that is filed it is done electronically. Everything can be filed and stored electronically and still meet HIPAA’s requirements for patient privacy and safety.

Reference

Aalseth, P. (2015). Medical Coding: What It Is and How It Works. Second Edition. Boston, MA. Jones & Bartlett Learning.

Chenelle Weaver

Week 4 Discussion (Initial post)

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Total views: 9 (Your views: 1)

  1. Refer to Chapter 4, focus on pages 179 – 188 and discuss payment systems. Demonstrate understanding of fee for service, cost based, and prospective payment systems. Fee for service is a designated reimbursement amount for service rendered. Cost based details the cost of running a business and receiving payments. A Prospective Payment System (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. The payment amount for a particular service is derived based on the classification system of that service. CMS uses separate PPSs for reimbursement to acute inpatient hospitals, home health agencies, hospice, hospital outpatient, inpatient psychiatric facilities, inpatient rehabilitation facilities, long-term care hospitals, and skilled nursing facilities. Explain medical necessity and how it impacts payment. Medical necessity refers to a decision by your health plan that your treatment, test, or procedure is necessary for your health or to treat a diagnosed medical problem. Most health plans will not pay for healthcare services that are not considered medically necessary. A common example of a non-medically necessary procedure is a Botox. If the procedure is considered to not be necessary the claim may be denied thus affecting payment. What is the effect of payment methods on coding? Use of the correct codes ensures the correct payment method will be used. 

Reference: 

www.medicalbillingandcodingonline.com/medical-coding-for-billers retrieved on June 29, 2017

Discussion week 4

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