Coding Evaluation and Management Services

Supply the correct EM/ CPT Codes for the following procedure and services.

18. Liver biopsy; needle; percutaneous. Code: ___________
19. Open excision to remove gallbladder (cholecystectomy). Code: _________________
20. Drainage of deep periurethral abscess. Code: __________________
21. Aspiration of bladder by needle. Code: _______________

22. Removal of IUD. Code: _______________

23. Cesarean delivery including obstetric/antepartum/postpartum care. Code: _________________
24. Complete thyroidectomy. Code: _______________

25. Cervical laminoplasty with decompression of spinal cord; two segments. Code: ______________
26. Subconjunctival injection. Code: _______________

27. Removal of temporal bone tumor. Code: _________________
28. X-rays of hand, four views. Code: ______________

29. Bilateral renal angiography. Code: _______________

30. Lipid panel. Code: _______________

31. Bacterial culture quantitative, urine. Code: _______________
32. Immune globulin injection, botulism, intravenous. Code the medication and the injection.
Code: ______________, ____________________

33. Influenza virus vaccine (split virus) intramuscular injection (IM), to a 62-year-old patient. Code the medication and the injection. Code: _______________, ________________
34. Replacement of contact lens. Code: _________________
35. Cardiovascular stress test (treadmill) with continuous electrocardiographic monitoring with physician supervision, interpretation, and report. Code: __________________
36. Handling of specimen for transfer from the physician’s office to a laboratory. Code: ____________
37. What is the correct HCPCS Level II code for one sterile eye pad? Code: _____________
38. What is the correct HCPCS Level II code for underarm crutches? Code: ____________
39. What is the correct HCPCS Level II code for 2cc gamma globulin inj. IM. Code: ___________
40. What is the correct HCPCS Level II code for the physician interpretation of a screening Pap smear? Code: ____________

describe the proceedures involved in providing nutrition via gavage, gastrostomy, and parenteral route

Jaron Baker is a 10-year-old boy who is admitted to the health care facility with a fractured tibia after falling from his bicycle on the way home from a friend’s house. He is scheduled for surgery to repair the fracture. During the interview, Jaron offers little information, allowing his parents to answer most of the questions. When the nurse asks Jaron questions, he uses few words, often limiting the answers to yes, no, or I don’t know. (Learning Objectives 14, 15)

a. What factors may be contributing to Jaron’s participation in the interview?

b. How might the nurse approach Jaron to gather additional information?

c. Based on Jaron’s developmental level, which interventions in preparation for surgery would be most appropriate?

write using your own words or based on a resource sited about Racial and Ethnic Disparities in Health Care Access

How to write an Academic and Professional Success Plan Template

1. What are some of the most significant health concerns in your community? Are these concerns that are likely to be shared by other communities in your country and in other parts of the world? Could these problems be considered global health issues? 2. Sketch out a causal web (see example below) for a relatively common disease in your country, adding at least 10 risk factors to the figure. Based on the arrows on you1. 3. Create a brief disease profile for RAbies infections, diseases. What sources provide trusted background information about the symptoms of the disease and ways to prevent and treat it? What sources provide good statistical information about how many people worldwide are affected by the condition? What can academic publications contribute to your profile?

can you write 200 words about evolution of disability?

The word "euthanasia" draws its roots from Greek meaning "good death." As it is used in this discussion, it means "the act of ending the life of a person suffering from either a terminal illness, or an incurable disease." The American Medical Association (AMA) is against physicians assisting in euthanasia. Only a small number of states allow for euthanasia. Euthanasia advocates stress that it should be allowed as an extension of a person's autonomy. Those who are against euthanasia often say that it can lead to the devaluation of human life and to a slippery slope, in which the old and disabled will be killed on the whims of healthy people.

Consider the following case:

A woman was diagnosed with a motor neuron disease (the same disease that Stephen Hawking had) five years ago. This is a condition that destroys motor nerves, making control of movement impossible, while the mind is virtually unaffected. People with motor neuron disease normally die within four years of diagnosis from suffocation due to the inability of the inspiratory muscles to contract. The woman's condition has steadily declined. She is not expected to live through the month and is worried about the pain that she will face in her final hours. She asks her doctor to give her morphine for pain if she begins to suffocate or choke. This will lessen her pain, but it will also hasten her death.

1. Is the short amount of time she has to live ethically relevant? What is ethical difference between a patient dying in 6 hours, dying in a week and dying in a year?

2. Is the right for a patient's self-determination powerful enough to create obligations on the part of others to aid her so that she can exercise her rights? She clearly cannot kill herself (she can't move), but should a medical professional be obligated to help her?

3. Should the money used to care for this woman be taken into account when she is being helped? Will people feel that they need to end their lives earlier to save money? Explain.

4. If you were the physician, what would you do? If you pass her off to another doctor knowing he or she would do it, does this free you from your ethical obligations? Why

Module Readings: Chapter 13 (Pediatric Health Conditions) page 216 and in Chapter 25 (Sensory Processing and Integration) of Solomon.

Module Objectives:

1. Explain the signs and symptoms of Autism Spectrum Disorder (ASD)
2. Describe how ASD affects: communication, learning, social participation, ADLs, and play.
3. Define the basic principles underlying sensory integration theory, assessment, and treatment
4. Describe sensory-motor, perceptual-motor, environmental adaptations, and other approaches used in alleviating sensory processing disorders.
5. Articulate the role of the certified occupational therapy assistant in working with children who have sensory processing disorders.
6. Describe the taxonomy of sensory processing disorders, including sensory modulation, sensory discrimination, and sensory-based motor disorders.
7. Explain screening, observational assessment, and sensory integration-based intervention strategies for addressing difficulties in sensory modulation.
8. Articulate general observational assessment and intervention strategies for addressing sensory-based movement disorders of bilateral integration and praxis.

Module Reading: Solomon Chapters 17 and 18

Module Objectives:

1. Describe the characteristics of the three classifications of Spina Bifida: occulta, meningocele, and myelomeningocele.
2. Describe the frequency, pattern, types, and classification of cerebral palsy
3. Identify the impaired progression of movement associated with cerebral palsy.
4. Describe the components of normal postural control and movement in children who have cerebral palsy.
5. Recognize the differences between motor development, motor learning, and motor control.
6. Explain ways in which normal muscle tone and impaired muscle tone influence movement.
7. Describe general treatment precautions associated with specific pediatric conditions.
8. Explain how proper positioning and handling can prevent contractures and increase functional movement.

Module Readings: Solomon Chapter 13 (Pediatric Health Conditions)

Module Objectives:

1. Define the structure, components, and roles of a gene.
2. Explain the importance of genes relate to the overall function and presentation of the body
3. Compare and contrast the clinical presentations of each genetic or congenital disorder.
4. Give examples of the functional implications of each disorder in both the adult and pediatric populations.
5. Provide general occupational therapy assessments & interventions for each disorder for both the adult and pediatric populations.
6. Give examples of the special occupational therapy considerations (precautions, education, etc) for each genetic disorder.

Common Disorders Include:

1. Down’s Syndrome
2. Fragile X
3. Cystic Fibrosis
4. Hemophilia
5. Sickle Cell Anemia
6. Fetal Alcohol Syndrome
7. Prader-Willi Syndrome
8. Tuberous Sclerosis
9. Angelman Syndrome
10. Rett Syndrome
11. Achondroplasia

Over the past few years there has been a lot of media coverage on the cost of EpiPens.

EpiPens, a form of epinephrine is a front line drug for the treatment of anaphylaxis (Drugs, 2018).

The company that makes EpiPen, Mylan was the subject of much controversy and media attention. There were lawsuits filed against the company due to the high cost of EpiPens.

One brand name EpiPen that contains two auto-injectors cost an estimated $650-700 if bought with cash. This can be cost prohibitive for families who are underinsured or not insured. And if there is a need for an EpiPen for a child families were struggling since there was a need to have an EpiPen available at school and then there needs to be one at home.

CVS Pharmacy has a program that helps families with getting a lower cost EpiPen. What are your thoughts on this subject?