1. Compare and Contrast the common changes in pigmentation.
2. Coding and Billing
As a new nurse practitioner you will be responsible for generating revenue for the practice. Throughtout your program here at University of Phoenix and during your clinical rotations you will have learned about coding and billing practices.
What if your office manager is pushing you to “upcode” visits that do not meet the appropriate E&M coding criteria?
What if they are making changes to your E&M coding or charts without you knowing about it to increase revenue?
How might you respond if you are being pressured to add on services that patients do not really need to gererate more revenue? (keeping in mind that your career might be at stake if you report your conerns).
3. Patient Mario Smith
During a physical exam, you notice a very worrisome lesion on the back of your patient, Mario Smith who is 45.
You are concerned to the degree that you offer to secure an urgent appointment with a dermatologist. Mario has no insurance and says he is flying out of the state in a week and will be gone for one month, so he declines the appointment.
Explain what your responsibility as a practitioner is in this scenario.
How will you explain to him why this situation is so important to him?
How might you ensure that this patient receives proper follow up on this concern?
Presentation This part introduces the exploration philosophies received for the examination. A mix of both subjective and quantitative methodological methodologies was received by the specialist with a specific end goal to achieve a sensible outcome from the examination. In particular, the section examines the scope of strategies utilized by the analyst for the exploration, inquire about theory, investigate procedure and research techniques used to pick up information and information examination. RESEARCH PHILOSOPHY Research theory is about the framework in which the exploration issue ought to be in a general sense drew closer, and this incorporates: positivism, authenticity and interpretivism. (Davies, 2007) Positivism: The underlying foundations of positivism lie especially with experimentation, which works with recognizable certainties. The essential reasoning behind positivism is that, all true learning depends on the positive data accumulated from noticeable experience, and that any thought past this domain of self evident actuality is otherworldly. Just systematic proclamations are permitted to be known as valid, through reason alone. (Davies, 2007) Interpretivism is a view that trusts that the world and the truth are not target and outer, but rather are socially built and given significance by individuals. This view is generally alluded to as the subjective approach and depends on an inductive method (Rea and Parker, 2006).(why fitting to utilize) Saunders et al (2003) characterizes authenticity that depends on the conviction that a reality exists that is self-sufficient of human considerations and convictions, and that can impact their observations either intentionally or unwittingly. Administration and Business examine is frequently a blend amongst positivist and interpretivist, maybe mirroring the position of authenticity. (Scheurich, 2007) The exploration issues will attempt to discover, the degree of worker contribution in the usage of Total Quality Management (TQM) in PZ Industries (NIG.) PLC as a contextual investigation. What they do well or not in such manner. In this manner, the examination theory is interpretivism instead of positivism. Choosing which investigate technique will be received relying upon what look into reasoning is embraced is significant in an examination, Rea and Parker, (2006). For positivism, a deductive procedure includes the advancement of a calculated and hypothetical angle before its testing through experimental perception while for interpretivism, it includes an inductive methodology which is the switch of deductive process. Interpretivism includes thinking about later and past encounters (Davies, 2007). Authenticity obliges the utilization of both deductive and inductive procedures (Scheurich, 2007). The examination reasoning for this exploration is interpretivism; consequently, an inductive technique is adopted.(why is it fitting) RESEARCH STRATEGY An exploration procedure is the arrangement for the analyst to complete his examination. The primary research methodologies incorporate trial, study and contextual investigation and so forth. The picked inquire about procedure for this exploration is the contextual investigation. As indicated by Davies, (2007), contextual investigation is the improvement of point by point, concentrated information about a solitary case, or few related cases. The benefits of utilizing contextual investigation include: the point by point perceptions encompassing the contextual investigation strategy, enable us to ponder a wide range of parts, examine them in connection to each other, see the procedure with its aggregate condition and furthermore use the analyst's ability for adaptability. Accordingly, contextual investigation furnishes us with a more prominent prospect than other accessible strategies to acquire an all encompassing perspective of a particular research; it is not necessarily the case that inquires about in light of contextual analysis have no weaknesses. A typical feedback of contextual analysis is that it gives a restricted premise to the conventional "logical speculation". (Gomm, 2009)(explain what it implies and present your organization quickly and of what advantage will it be to the association) Information COLLECTION Information gathering is the most vital process in an exploration or study and it involves two writes: the essential information and the auxiliary information (Scheurich, 2007) Auxiliary DATA (Cancell this area completely, it isn't essential) rather put multi-technique approach i.e, why have you choosen poll and meeting strategies) expantiate with reasons in your own words As indicated by Scheurich, (2007), auxiliary information is what the creator has not been in charge of social occasion 'direct'. It in this way incorporates every one of the information assembled by another person and exhibited in an assortment of structures, for example, diary articles, reports, chronicle materials, organizations yearly reports, daily papers and magazines, gathering papers, web and books and so on. For this examination, the auxiliary information gathering identified with TQM and representative association in the execution and the targets of this exploration for the most part originate from books, diary articles and web look. Essential DATA As indicated by Scheurich, (2007), essential information is any information which the creator has acquired 'direct' from its unique source as a feature of the 'connected' part of his examination. It accordingly, does exclude any information already assembled by any other person. Consequently, essential information sources include: singular enquiry as perception, discussions, polls, interviews and so forth. For this examination, phone meeting and survey will be utilized for gathering the essential data.(why is it helpful and conceivable obstructions to it as you would like to think) Surveys Surveys are a standout amongst the most generally utilized information accumulation technique. It gives a proficient method for gathering reactions from an expansive example preceding quantitative investigation, on the grounds that every respondent is requested to react to a similar arrangement of inquiries. (Saunders et al, 2003). Surveys can be related with both positivism and interpretivism methodologies of research. The reaction rate, the dependability and legitimacy of information gathered are two key criteria to a decent survey. (Scheurich, 2007) As per Davies, (2007), three primary strategies exist in investigating people groups' assessment and demeanors. These include: Shut inquiries: the respondent is required to choose between a restricted quantities of answers. Open-finished inquiry: the member is permitted to utilize his attentiveness in giving any response to the inquiries and it's either composed down, verbatim or the scientist is furnished with a rundown of likely pre-decided reactions. Scales: constrained selection of answers has been estimated a state of mind, an expectation or some part of the member's conduct. The way to planning scalar inquiries is to choose what ought to be estimated and after that to choose the important qualities by which they can be evaluated. In this examination, shut inquiries and scalar poll will be used.(explain why you utilized it legitimately as you would see it) Poll configuration is imperative to quantitative information accumulation. The greater part of the style of the quantitative strategy is state of mind scaling. There is a case question 'Reward framework' underneath Unequivocally Agree Neutral Disagree Strongly Disagree I am happy with - the association's reward framework 1 2 3 4 5 The benefits of picking survey technique are efficient for members and certification the precision of polls, in light of the fact that the example of inquiries are the same .The following stage is to recognize the quantity of sample(say how you urged them to do as such). The poll will be planned with 25 inquiries in four A4 papers(because… … .). There are around 400 individuals in PZ Industries (NIG.) PLC head office in Lagos, including 5 offices and the survey will be circulated to 100 individuals who are working in various divisions and holding diverse occupation positions (directors and representatives). In light of the quantity of individuals working in every office, the poll will be appropriated in the accompanying request: HRM division = 30 Acquiring division = 20 Item division = 15 Back division = 10 Advertising division = 25 Before this clarify the basis behind your picking this divisions and how they were urged to take an interest) Due to the long separation, the dissemination and gathering of surveys will be messaged to the specialist's companion who is similarly a director in one of the branches of PZ Industries (NIG.) PLC at IIupeju, in Lagos state. He will print 100 survey duplicates and help the specialist to circulate and gather these polls, at that point post to the analyst.( more on question configuration like targets and inquiries that answers them) Meetings As indicated by Scheurich, (2007), interviews are related with positivist and interpretivist rationalities. This is an approach where the chose respondents are posed inquiries concerning what they do, think or feel. A positivist strategy proposes 'shut inquiries' which have been planned before dispersion. An interpretivist strategy recommends 'unstructured inquiries', where the inquiries have not been planned ahead of time. There are five distinctive meeting styles: organized meeting, semi-organized meeting, center gathering meeting and phone interview.(which did you pick and reason in light of the fact that , reason problemstec) In spite of the fact that the poll has given the specialist the fundamental information about what PZ Industries (NIG.)PLC does well or not in the inclusion of representatives in the execution of TQM from the members, the reasons and considerations of their supposition can't be found out. Along these lines, four phone meetings will be used in this examination (the CEO who is exceptionally comfortable with the association, HR administrator who knows the workers needs and needs and their level of inspiration in doing their activity, the promoting chief who understand advertising and bleeding edge representatives, Product director who surely understands about nature of their items and back-line workers).>GET ANSWER