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You are a Judge presiding over the trial of an alleged bank robber, who you know is innocent. However, something terrible in your life has happened: The enemies of the robber have kidnapped your 9-year-old daughter and have held her hostage. You don’t know where she is. The police have tried to locate her to…
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The following resources illustrate THREE critical issues and trends in Special Education for the 2023-2024 academic year national and state-wide. Provide a two- page summary for each. Issue 1: National Raise the Bar Policy Brief: | U.S. Department of EducationLinks to an external site. Issue 1: State https://www.fldoe.org/core/fileparse.php/20562/urlt/16-2.pdfLinks to an external site. Issue 2: National…
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Most commercial insurance providers are for-profit companies. Policyholders’ monthly premiums fund commercial policies. Their premiums and coverage amounts are designed to create a profit for the insurance company. The health insurance industry continued an enormous growth trend as it experienced a significant increase in net earnings of $23.4 billion in 2018 compared to $16.1 billion…
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During Week 2, our class discussion focused on the idea of “Medicare for All.” Now that we have studied commercial versus government health insurance plans, have your views on Medicare for all remained the same? Read this article on the average cost of healthcare and ways to save . Do the rising costs of health…
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This scenario is for a non-participating provider who contracts with Medicare. Prior to determining the limiting charge, you must first decrease the PFS amount by 5%. More information is available to you in Chapter 9 of your text, pages 322-330. Specific tips are: · Non-participating Medicare physician receives a 5% reduction of the MPFS ·…
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This scenario is for a non-participating provider who contracts with Medicare. Prior to determining the limiting charge, you must first decrease the PFS amount by 5%. More information is available to you in Chapter 9 of your text, pages 322-330. Use the attached document to complete and submit for grading.
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In the 1970’s, Detective Serpico “broke the ranks” and exposed police corruption in the New York City Police Department. As a result, he was shot in the face, and it is his belief that he was set up by his colleagues — officers charged with the protection of the citizenry. Do you believe the subculture…
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The remittance advice is a key document that reimbursement specialists use daily on the job. This document, whether in an electronic or paper form, provides essential information that helps us to effectively perform the job duty of applying insurance reimbursement to patient financial accounts. Illustrate your knowledge of the components and use of the electronic…
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There are many important details that are entered on a CMS 1500 claim form for a patient’s services that were rendered by a provider. Information added to the claim form is electronically captured within the practice management system and electronic health record that is used by the medical office. Medical coders and reimbursement specialists are…
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Assign the appropriate CPT E & M level, procedures and ICD-10-CM code(s) for the physician office encounter. When there are multiple CPT codes, always sequence E & M level first. When there are multiple ICD-10-CM codes, sequence first-listed diagnosis first. This patient was referred by her primary care physician due to complaints of muscle weakness…