ipl-logo

Bcb Children's Case

74 Words1 Page

In summation, Children’s appropriately notified BCBS of this inpatient admission on 01/08/2015. On 01/09/2015 Children’s submitted the clinical information to DeAngela Pearson BCBS UM Nurse to seek appropriate authorization. Children’s was not advised until 01/15/2015 that DeAngela was not handling this patient’s case due to it being an International account which was after the patient was discharged. Children’s did follow the appropriate contract requirements. Please reimburse Children’s for the services rendered to this

Show More
Related

  • Case Citation: Gallagher V. Cayuga Medical Center

    1153 Words  | 5 Pages

    This case was decided on June 15, 2017. Issue: This cases issue involved Timothy W. Gallagher bringing an action of medical malpractice, negligence, wrongful death, and emotional distress suit against Cayuga Medical Center for releasing his son from the hospital when he was having suicidal

    Read More

  • Vital Support Case Study

    120 Words  | 1 Pages

    On 09/29/2015 at 3:18 PM SC received call from Marguerite Pa’s niece who reported that Pa has identified two girls Gabby and Yajaira he wants to be his aide but the agency told them his service were terminated. SC attempted to explain why the service was interrupted and next step; SC end call with Marguerite. SC then called Vital Support and briefly explained to receptionist and requested to speak with a manager. SC was transferred to Vitaliya at Vital Support Nurse manger. Vitaliya stated that the termination date is incorrect and service was provided to Pa beyond termination date and that SC need to change the dates so that they can receive payment.

    Read More

  • Case Study: MUSC Foster Care

    101 Words  | 1 Pages

    Circumstance: Ms. Smalls (MHP), Mrs. Gailliard (MHS), Clarence and Ms. Elizabeth Strong (DSS Worker) schedule medical appointment with the MUSC Foster Care Clinic. Action: MHP called Tara Peevy, RN at the MUSC Foster Care Clinic after MHS explained leaving several messages. Ms. Strong explain emailing the referral form to the clinic. Machelle Green explain receieing the referral form, however unable to reach the DSS worker for additional infromaiton.

    Read More

  • Ccib Observation

    104 Words  | 1 Pages

    CCIB Intake received a call from Lisa M. Juarez, MSW, CSAI, Department of Children and Family Services (626) 569-6929, (213) 760-2590 cell who had questions regarding referral numbers 0698-6622-2040-4072794 and 1410-9736-5976-4064898 dated 3/23/16. The referrals were not received or processed, however you completed a Case Management Visit on 4/1/16 regarding information contained on the referrals. How would you like me to handle the referrals. I can attach a LIC812 on your LIC809 if you prefer. I don’t believe I need to process a complaint due to your case management visit.

    Read More

  • Beaumont Children Case Study

    738 Words  | 3 Pages

    The Beaumont children's disappearance has resulted in one of the largest police investigations in Australian criminal history and remains one of Australia's most infamous unsolved cold cases. The three Beaumont children, Jane Nartare Beaumont, Arnna Kathleen Beaumont, and Grant Ellis Beaumont disappeared from Glenelg Beach near Adelaide, South Australia. On January 26, 1966, Jane, age nine, her sister Arnna, age seven, and her brother Grant, age four, left their residences at 109 Harding Street, Somerton Park, to catch the 10 o’clock bus to Glenelg. Glenelg was a beach-side suburb of Southern Australia, popular for its local businesses and beaches.

    Read More

  • Medicare Part A Case Study

    1241 Words  | 5 Pages

    The most common medicare violations are centered around billing and coding as well as documentation requirements established by CMS. If there are any discrepancies with either billing and coding or within a therapist documentation there can be serious legal implications for the therapist and facility. In conjunction with legal proceedings the possibilities of monetary fines and refunding of reimbursements exist, as part of RAC audits that retrospectively audit claims as far back as 3

    Read More

  • Wheeler Clinic Reflective Essay

    555 Words  | 3 Pages

    Please note, the patient had ample of time when this writer was on vacation to conduct the assessment. This writer immediately rendered a Step 3 violation and advised the patient that this counseling session will be placed on TEAM folder as the patient still non-compliant by completing the intake at Wheeler Clinic-IOP. The patient tends to make excuses that aren't legitimate as to why he cannot do the IOP. Please note, the patient was dishonest about attending his group sessions until this writer decided to call Wheeler Clinic of which he confessed about his dishonesty. This writer ensured to address her disappointment of the patient's non-compliance as it is part of his recovery process.

    Read More

  • Medicare Part D. The Hidden Evils: A Case Study

    1224 Words  | 5 Pages

    Medicare originally denied the (expensive) prescriptions for the suffering patient. The pharmacist then called the insurance to get authorization and was told to wait for a call back. Days later, an adjuster from Medicare called the pharmacy and told them to rerun the prescription. The adjustor also said that the nebulizer the pharmacy had in stock would not be covered and that they had to order a different one for the following day(Lee). What should have been a simple pick up for the patient led to a week's worth of aggravation and suffering as he was at home coughing and going without his much needed medicine.

    Read More

  • Examples Of Pediatric Case Study

    1572 Words  | 7 Pages

    Pediatric Case Study: At-Risk Youth, Serena Lesa Stone 2/27/2018 Instructor: Mrs. Young Keiser University Pediatric Case Study-Serena Serena is a fourth-grade female child who has been identified by her school to be At-Risk for Learning and Social Emotional Disabilities by the problem-solving team. At-Risk children are those children that are not as likely to succeed in school. These children have a higher probability of academic issues due to circumstances that create obstacles to their success.

    Read More

  • Julie Thao's Medication Attack Case Study

    541 Words  | 3 Pages

    At the time of the event, a bar coding system for all medication had been in effect for a duration of two weeks, however, Thao had been gone one of those crucial weeks. Because of her absence, she did not receive the adequate training, instead, she received a sped

    Read More

  • Deteriorating Patient Reflection Paper

    608 Words  | 3 Pages

    After calling for the Charge Nurse and asking for assistance, my racing thoughts slowed down some. I used this moment to notify the provider of the patient’s status and request a visit to the patient’s room. Completing the SBAR with a provider in a moment where the situation was hectic is not something I do very well. My

    Read More

  • Tomick's Case 'The Court Was Appalled'

    127 Words  | 1 Pages

    This patient was not treated with the ethical respectany patient should receive when seeking help/treatment. It is very alarming that a physician whose job is to take care of other humans would disregard giving a proper

    Read More

  • Essay On Discharge Coordinator

    339 Words  | 2 Pages

    Reflection My current role as a discharge coordinator places me in a unique position. I am employed by Children’s Mercy Hospital through the Pediatric Care Clinic (PCC); however, my office is located in Truman Medical Center (TMC). My colleague and I co-share the position of discharge coordinator, we work Monday through Friday.

    Read More

  • Tort Case Study: Health Care Law

    1368 Words  | 6 Pages

    Missed identification of shock symptoms in Ms. Gadner 2. IV infiltration being missed resulting in her not receiving fluid ordered 3. “Scanty documentation” depriving the physician of information on Ms. Gadner’s current condition 4. Administration of valium and morphine, contraindicated in shock, nursing not questioning the order 5. Didn’t communicate need for transfer to Dr. Dick.

    Read More

  • Special Needs Children Case Study

    1447 Words  | 6 Pages

    while strategy makers earlier anticipated that disabled people were expressively less active as compare to others in the place of work. For that reason, the approaches for enlightening work prospects for the disabled hinge on the encouragement and incentive of owners, recent regulation assents the reality that disabled people are imperilled to biased discernment and rejection by the officials of businesses. 2.5.2. Children Act It is noted that the Children Act 2004 overhauls yet does not supersede Children Act 1989.

    Read More

More about Bcb Children's Case

Open Document