Goodson, we are certain that Mrs. Letha Washington has been negatively impacted due to negligence on behalf of Cigna-HealthSpring and its agents. Mrs. Washington would not have incurred the expenses to move to Houston, TX if she did not have confirmation of insurance coverage. We are requesting that a special enrollment be made for Mrs. Washington to allow her coverage in the Cigna- HealthSpring Texas with ESRD.
SC placed call to Pa and spoke with Bill Pa’s spouse who reported that doing ok. But she has come combative lately and verbal abusive. Bill spoke at length about her behavior and the impact it has on him. Bill is offended when Pa makes disparaging remarks about him and calls him out of his name. Bill reported that he believes Pa needs a medication review and a change in meds.
1. In this case, Missy sustained an injury after administration of a hot pack even though she was being monitored by Jim (PTA). Ron (PT) was responsible for the duties of Jim. Therefore, both Jim and Ron failed to care for Missy that comply with the legal standard of care and are most likely liable for professional negligence.
Samuel Davila requesting prescription coverage for the non-preferred insulin Humalog Kwikpen, 100unit/mL solution pen-injector. The Medical Director at BCBSTX reviewed the initial request and determined Mr. Solis did not meet the requirements to receive benefits for the non-preferred insulin Humalog. In order to approve coverage of this request, program criteria must be met. Based on the information from Dr. Davila, Mr. Solis did not meet the criteria. The information we received shows Mr. Solis does not meet the criteria due to the reason(s) listed below: 1) have a physical or mental disability that would prevent you from using a preferred insulin product, 2) you are pregnant, 3) have a side effect, Food and Drug Administration (FDA) labeled contraindication or allergy to the preferred insulin products that is not expected to occur with the requested insulin, or 4) your insulin pump will not work with all the preferred insulin products.
MHP took the member home once his prescription was filed. The member states he forget to make follow up appointment with the doctor for next month. MHP told the member she will schedule follow up appointment and will let him know the date and time. The member report that he still want to find a senior citizen apartment. MHP told the member that he will be responsible for paying for the first month rent and security deposit.
Summary on ”Mumps outbreak 2017-is it a threat?” This article, “Mumps outbreak 2017-is it a threat?” is about the highly contagious disease (the mumps). The mumps is a disease spread by coughing, sneezing, and the contact of each other’s saliva.
The representive stated a packet of paperwork with mailed to patinet in 2-3 weeks to be completed and mailed back within the deadline date. They stated a social worker for IHSS will contact patient to schedule an evaltation appointment with patient. Patient understood the MSW instructions about looking out for the packet and contact MSW if futher assistance is needed. Patinet had other concerns about hearing from Medicare regarding not receving the completed Medicare Coverage Re-determination packet, which was due by 09/01/15. Patient stated she never received the packet through the mail.
Controlling the spread of infectious diseases through immunization is one of medicine 's most significant accomplishments. Vaccination programs are proven to be a cost-effective means of disease prevention that have saved millions from death. Medical providers play an important role in the promotion of vaccinations; they can promote vaccination by following the standards for Adult Immunization Practice which include a four-step process: ♦ Assess immunization of all patients at every clinical encounter. ♦ Strongly recommend to patients the vaccines that they need.
Those who oppose infant vaccinations believe that they cause a host of chronic, incurable, and life threatening diseases. To start off with the most debatable issue which is that mercury found in vaccines as a preservative leads to autistic spectrum disorders especially since it is given to infants at critical developing periods. According to a study, mercury levels are decreasing in the blood after being given the shot, thus believing that vaccines containing thimerosal which is an organomecury compound are safe to use (Pichichero et al, 2000). According to a more thorough study , mercury is not leaving the body or disappearing but traveling to the brain and turning into inorganic mercuric chloride (Burbacher et al, 2005).In the US, the commonness
Then the doctor must take his time or the time of someone in his staff to place the report. Doctors and their staff are much to busy to be reporting adverse reactions. How does the doctor then decide to vaccinate future children?
. Dr. Robert Sears of Orange County, California, first drew attention after publishing a book in 2007 called "The Vaccine Book: Making the Right Decision for Your Child" and introducing what he calls an "alternate" vaccine schedule. His work made him popular with parents who are still not easily convinced of common vaccines despite overwhelming medical evidence that they are safe as currently scheduled and recommended by the Centers for Disease Control and American Academy of Pediatrics. Dr. Sear 's work has also frustrated some pediatricians and health officials who point out that there is no approved "alternate" vaccination schedule that is safe and approved by major health organizations. The doctor is now facing a possible hearing before
Influenza season is here again so it is time for everybody to add getting a flu shot to their “to-do” list. It is recommended for everyone to get flu shot from ages 6 months and older (McCarthy 1). It is the obligation of healthcare works and their employers to promote influenza vaccinations to patients and is an annual requirement for the workers as well (Lynkowski 1). Winter season is time for healthcare workers to get in line, roll up their sleeves and consent to treatment for a flu shot. For the hospital, their goal is to get all employees vaccinated, especially those who have direct contact with patients which brings up a number of ethical issues arising from the attempts to implement mandatory flu shots (Dubov 2530).
Response to Compliance Management Scenario Compliance management in a complicated and ever expanding portion of the Health Information Management (HIM) field. As federal, state and local laws are created and revised, HIM professionals must stay current of not only the regulations but also the consequences of non-compliance. Along with federal, state and local laws, attention must be paid to the guidelines of various accreditation and credentialing bodies. Scenario Mistakes, Type of Violation and Preventative Solution There are several mistakes made in the provided Compliance Management Scenario.
It is important for all people to be vaccinated to protect themselves from contracting communicable diseases, from spreading these diseases, and from the high cost of treating these preventable diseases. It would make sense to do so. No one wants to contract diseases, or be laid up if they can prevent it. Getting vaccinated will prevent anyone from spreading contracted diseases to others. It can also be very costly when trying to treating a communicable disease that could have been prevented with a vaccine.
Child Vaccinations Throughout the years there has been an increase in the debate on child vaccinations. People have been debating on whether vaccinations for children at young ages is generally safe. There are numerous organizations throughout the United States that deal with child vaccinations. Some people comprehend that child vaccinations damage a child’s body more than they help it, others think different.
