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Baptist Wound Care Case Study

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Mrs. Julia Kitchen, lives in a long term care facility, which is referred to as a “Group Home” and there was some confusion if Wake Forest Baptist Wound Care Center or KCI who delivered the wound vac supplies filed the claim for services to be paid on behalf of Julia Kitchen by Medicare in treating here pressure ulcer. In calling Medicare speaking with a coordinator they had no records of any claim concerning her wound vac being used for treatment. I am sending you proof of information for review in seeking medical payment reimbursement concerning this issue. RHA Health Services, will be grateful if you would look into this matter and get back to us at your
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CCIB received a SOC 341 from APS for the following residents: Daniel Hourihan (DOB: 10/03/54), Gerardo Guerrero (DOB: 01/02/95) and Gerald Gaither (DOB: 06/14/59). Per the reporting party, Lee Nln, the provider/Owner Cheryl Oliver has been advertising her independent living facility as a board and care. RP stated that her clients have been paying the board and care rate and the client require medication management. RP stated that in April 2018, client Daniel Hourihan moved to another facility. The rent for Daniel was sent to Ms. Oliver who continued to cash the rent checks for Daniel.

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Ms. Connell believes Gentiva Hospice reported the allegation to DHR because the bath worker stepped in dog feces. During visit worker noticed two inside dogs but no dog feces. Ms. Connell married three times and each one was in the military. However, due to her income Ms. Connell is not eligible for assistance. Ms. Connell receives 1500.00 SS, Medicare, Healthsprings Insurance and Gentiva Services bath aid 3x and nursing 2x weekly.

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144 Words | 1 Pages

CCIB LPA Perryman-French received a call from Mildren. her husband Julian lives in this facility. He is non-ambulatory and requires assistance to utilize the bathroom. Mildred stated that when staff call in, the director does not replace them or cover behind them, the result is that her husband cannot get the assistance he needs to use the bathroom. This has increased his accidents.

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599 Words | 3 Pages

Dana Wong is a seventy-year old female who had an ischemic stroke, and is entering our care facility after a seven-day stay at Mercy North Medical Center. The stroke has left her in a wheel chair with decreased mobility on the left side, slurred speech, and relaxed features. The referral came from Dr. Parker on September 12, 2015, which was four days after her admission in the hospital, and request that Mrs. Wong undergo two months of physical, occupational, and speech therapy before she returns to her home at Green Meadows, an assisted care living facility. Dr. Parker noted that Mrs. Wong can benefit from our services, and believes that she can make an adequate recovery, because she is determined to maintain her independent lifestyle. Mrs. Wong has full coverage from Blue Cross Blue Shield, who has agreed to pay for her stay at the facility for a maximum of two months.

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213 Words | 1 Pages

:57 AM I TC Ms. Bettie Brown about her progress since leaving Delmar Garden of Chesterfield Mo. Ms.Bettie explained she was discharged because of her weight and her not being able to walk. Bettie stated her neice and sister was taking care of her before she left for Delmar Garden. Bettie explained her brother in law has cancer her neice has a new job. I asked Bettie can she afford to have an home care agency that will provide assistance since she need it right away. Bettie stated she could not pay out of pocket right now because of other obligations.

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531 Words | 3 Pages

• DFCS assistance: Medicaid • DFCS History- yes same related issue • Income-Logistic-transport clothes in and out of the country. • DOB: Denikca Davis-4/23/1986 A’Neeya Belton-1/28/2008 • CM Gilmore explained Hipaa and release form information-signatures were provided by Bmo. • CM Gilmore observed the home being clean, minor clutter but no safety concerns. All appliances were working (the hot water in the bathroom at the sink had to be turned on under the sink).

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87 Words | 1 Pages

In the past I was trusted with taskes that were of high responsibility. I started out as a expendible piece at Ebenezer Baptist Church I was very active and I was able to keep up with many tasks I was given. At times I was given multiple tasks that require both physical and mental strength and I was able to do both very well. That also helped me when i worked in Friedwald Center where multitasking was a must at that job I had as a

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She is transferred to a long-term care facility for intravenous antibiotics, ventilator weaning, and rehabilitation (Prizio, n.d.). Annette’s goals by

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651 Words | 3 Pages

The commission panel members advised that to treat these complex medical conditions that additional services are required such as; additional lifting equipment for bariatric patients, specialized nursing care for ventilator dependent patients, and additional housing requirement to deliver necessary geropsychiatric services. The current long term and residential care facilities are not currently equipped to handle the physical and mental health needs of these types of patients so the placement of patients becomes a barrier to get necessary medical

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1667 Words | 7 Pages

Since the Nursing Home Reform Act, for facilities to be able to accept Medicare and Medicaid they have to comply with the act. The NHRA was created to prevent neglect and abuse in long term care. One of the guidelines for facilities discusses the importance of managing and preventing bed sores, which can be an indication for neglect. If someone develops bedsores it could mean they have not been properly taken care of or prompted sufficiently to take care of themselves. As explained earlier Medicare and Medicaid comprise of 28% of the total budget for Meadowlark Hills.

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594 Words | 3 Pages

Enteral feeding tube has its benefit to save many lives and Medicare should cover the necessary medical treatments. However, Medicare Part A coverage of the 100 days post-acute skilled services of an enteral feeding tube for a person with severe dementia should be proscribed. A Medicare beneficiary who had the 3 days qualifying acute hospital stay with a surgically inserted enteral feeding tube

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553 Words | 3 Pages

For this vSim assignment, I had to repeat the scenario three times before obtaining 100% on it, since I had forgotten about a few important steps when assessing my patient, and in my second try, I had forgotten to check the patient 's electronic health record even though I had already fixed my previous mistakes in the assessment. Three of the most important things I had to do differently in this scenario were to ask the patient about allergies to maintain patient safety before administering any drugs ordered, use the incentive spirometry to improve breathing and educate her about it since she had a hard time breathing due to pain, and educate the patient about wound care at the end before discharging her. Performing the procedures I missed in

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1423 Words | 6 Pages

Another initiative is to solicit volunteers and train them to become a part of the claims processing staff to accelerate the claim process. Also, in the hearing Walcoff (2010) stated that there was a need for transformation in the Department of Veteran Affairs to provide the best service available to our Nation 's Veterans, and their families. References: USDVA. (2010). New Medical Forms Will Streamline Veterans Claims Process. Retrieved February 26, 2016, from U.S. Department of Veterans Affairs: http://www1.va.gov/opa/pressrel/pressrelease.cfm?id=1987 Walcoff,

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978 Words | 4 Pages

As health care continues to advance, healing and what that concept encompasses has changed with the field as well. “Healing” has moved into a realm encompassing the not only the physical body, but, the mind and spirit as well. This is exactly what a healing hospital seeks to accomplish. Not only is the physical body cared for, but also, the mind and spirit are taken into just as much consideration. There are three main components to a healing hospital that will be identified and discussed.

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1658 Words | 7 Pages

Which is ultimately increase the length of stay and decreasing the overall wellbeing. After the meeting I recommended them to arrange the required things which will be required during my implementation phase. Which includes. Man power, resources, availability of wound specialist nurse, space for training, air mattress for patient’s bed and proper tools for assessment. My ultimate goal was to decrease the pressure ulcer but it is not a one man efforts it’s the efforts of overall nursing team, as they are the frontline provider in patient care.

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