Healthcare Laws 5 Components of HIPAA

There are many changes occurring within healthcare in the United States. The major reasons why the healthcare system is undergoing dramatic revision and reform have to do with the number of uninsured, and/or underinsured, individuals and the cost of healthcare. This healthcare reform is centered around broad categories of change:

  • Increasing the population of individuals receiving health care insurance coverage.
  • Increasing the number of health care providers available to the public.
  • Improving access to specialists providing health care.
  • Improving the quality of health care.
  • Decreasing the cost of health care goods and services.
  • Patient privacy

Because these reforms will impact you daily as a coder or billing specialist, having a thorough understanding of them is important. Title II will be the most impactful on you as a professional in healthcare and should include the most detail of the five components.

By using the Figure 5-5, on page 129 of your text, review the five titles/components of HIPAA

Determine the significance of the regulatory considerations for the Health Insurance Specialist.

Include the following aspects in the assignment:

  • Provide a brief summary describing the purpose of Titles l, Ill, IV and V.
  • Discuss topics on Title II by expanding on:
    • PHI
    • The difference between fraud and abuse
    • Upcoding, downcoding and unbundling
    • The meaning of the identifiers EIN, NPI, and HPID (If you cannot remember from the course material a quick google search will help “medical term EIN”, etc.)

Note: You do not need to cover any specific information about the code sets. Use APA formatting for your paper.

Week 11 Assignment 1: Lab Assignment: Ethical Concerns

Week 11 Assignment 1: Lab Assignment: Ethical Concerns

To Prepare:

Review the scenarios provided to you for this week’s Assignment. You are assigned to one of them.  Based on the scenarios provided:

Reflect on the material presented throughout this course.

  • What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
  • Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Ethics Behind Assessment

CASE STUDIES

  1. A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance
  1. A single mother has accompanied her two daughters, aged 15 and 13, to a women’s health clinic and has requested that the girls receive a pelvic examination and be put on birth control. The girls have consented to the exam but seem unsettled.
  1. A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

By Day 6 of Week 11/Saturday February the 12th, Submit your Assignment. 

 Week 11: The Ethics Behind Assessment- -From blackboard

Consider the following scenarios:

  • Adhya is a 17 year old Indian-American female with a history of leukemia. The parents discussed a bone marrow transplant with the oncologist. The treatment could result on      Adhya ‘s infertility.  The treatment has not been discussed with her neither the risk. She has not been given the option to look for methods to preserve fertility. What would you do as her Nurse practitioner in the Oncology practice.
  • A 10 year old is admitted to the hospital after a high fall in the State Fair. He has multiple internal injuries requiring surgery and possible blood transfusions. The parents who are Jehova Witness are refusing the transfusion and prefer to continue resuscitation with fluid. The parents offer you to sign a waiver of liability to the hospital in case of the child death.  You are the Emergency Department Nurse Practitioner coordinating the surgery. What’s your response?

Throughout this course, you have explored a wide range of health assessments and abnormal examination findings. Although you have predominantly focused on the procedural aspects of health assessment, this week, you will focus on ethical considerations that should be taken into account when advising patients or their families.

This week, you will consider how evidence-based practice guidelines and ethical considerations factor into health assessments. You will also evaluate health assessment concepts related to medical religious beliefs and infertility complications in oncology patients.

Learning Objectives

Students will:

  • Apply evidence-based practice guidelines to make an informed healthcare decision
  • Apply ethical considerations to a health assessment response
  • Apply concepts, theories, and principles relating to sports physicals and well-child and well-woman examinations
  • Identify  concepts, theories, and principles related to advanced health assessment

Assignment 1: Lab Assignment: Ethical Concerns

Photo Credit: Getty Images/Maskot

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

To Prepare

Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

  • Based on the scenarios provided:
    • Select one scenario, and reflect on the material presented throughout this course.
    • What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
    • Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment

Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

GENITALIA  ASSESSMENT – Week 10

WEEK 10 Assignment

To Prepare

  • Review the Episodic note case study provided you for this week’s Assignment.
  • Based on the Episodic note case study:
    • Review this week’s Learning Resources and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
    • Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
    • PLEASE DO NOT copy this SOAP note to your final copy of your paper for submission.

 Below is the Episodic SOAP Note

    GENITALIA  ASSESSMENT      

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) 

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia.
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, negMcBurney
  • Diagnostics: HSV specimen obtained 

 Assessment:

  • Chancre 

Plan:

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

***PLEASE DO NOT REWRITE THIS SOAP NOTE ON YOUR SUBMISSION.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature. Narrative/Paragraphs only. DO NOT rewrite a SOAP note. Do narrative/paragraphs without making a LIST.  Please answer ALL questions.

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or why not?
  • Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
  • This is to be a NARRATIVE (PARAGRAPHS). Answer each question. PLEASE DO NOT submit anything other than the responses to the questions. You DO NOT need to submit a SOAP note.

These questions are from the RUBRIC

Please submit a Paper with APA format.

By Day 7 of Week 10 – Submit your Assignment.

Week 10 from Blackboard

Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal

One critical element of any physical exam is the ability of the examiner to put the patient at ease. By putting the patient at ease, nurses are more likely to glean quality, meaningful information that will help the patient get the best care possible. When someone feels safe, listened to, and cared about, exams often go more smoothly. This is especially true when dealing with issues concerning breasts, genitals, prostates, and rectums, which are subjects that many patients find difficult to talk about. As a result, it is important to gain a firm understanding of how to gain vital information and perform the necessary assessment techniques in as non-invasive a manner as possible.

For this week, you explore how to assess problems with the breasts, genitalia, rectum, and prostate.

Learning Objectives

Students will:

  • Evaluate abnormal findings on the genitalia and rectum
  • Apply concepts, theories, and principles relating to health assessment techniques and diagnoses for the breasts, genitalia, prostate, and rectum

Advanced Chemical Industries (ACI) is a leading pharmaceutical company.

Background

Advanced Chemical Industries (ACI) is a leading pharmaceutical company. ACI only operates in the US. Excluding the deferred tax asset, ACI total assets are $3.5 million. ACI was a profitable company. In 2018, ACI began reporting a net loss (both book and tax loss), which has been primarily attributable to significant research and development costs.

Now it is 2020. The following table presents the loss figures for ACI. ACI’s relevant statutory tax rate is 21% and the company did not have any permanent book-tax differences during 2018, 2019 or 2020. ACI did not establish a valuation allowance to offset the deferred tax asset in 2018 or 2019.

ACI is assessing the need to record a valuation allowance to offset the deferred tax asset balance created by the net operating loss carryforward. While the company has reported losses in the past three years, management anticipates positive income in the future. The executives of ACI do not anticipate any fundamental shift in its business operations in the future. The company is currently in the final research and development stage of a new drug that has tremendous market opportunity. Management believes that this drug will be on the market within three years based on the company’s past experience. The income projections for the next five years prepared by the CFO are presented below.

The CFO determined that, while NOL can be carried forward indefinitely, predicting numbers beyond the 5- year period was impractical. However, the CFO does anticipate positive taxable income in 2026 and beyond, because the new drug can bring long-term profit and there lacks of any known competing drugs. The CFO has been with ACI for his entire career and has been extremely competent in terms of preparing income projections and meeting forecasts. The income effect of the new drug is based on information gathered when its most recent significant drug was released. There have been no actual or expected changes in tax laws indicating a potential change in the statutory tax rate. The projections provided have been shared with analysts and investors.

The CFO obtained a schedule for the existing taxable temporary differences relating to the gross deferred tax liability at December 31, 2020. This schedule was reviewed by the tax director. The schedule indicated that there would be no reversals scheduled in the foreseeable future.

*For 2025, there is only $441,630 left in the deferred tax asset account balance

As the junior accountant, the CFO has asked you to provide him with an analysis of the need for a valuation allowance account for the deferred tax asset. The CFO has informed you that the tax director has said that ACI does not have any available tax-planning strategies to realize the deferred tax asset. The CFO has suggested that beyond looking at ASC 740 for guidance on this determination, she also recommends that you read paragraphs 99 through 103 in the Basis for Conclusions in SFAS No. 109.

Required

For December 31, 2020, using your judgment, perform an analysis of the need for a valuation allowance to offset part, or all, of the deferred tax asset created by the net operating loss carryforward. Document your judgment in a draft memorandum format that you will provide to the CFO ( 2-pages, double space, 12 font size). Always include references to the applicable guidance.

Upon completing your documentation, make certain that you are able to address the following

considerations:

  1. Is the documentation sufficient to support your judgment? Specially, regarding the size of the valuation allowance, why possible alternatives were not selected?
  2. Can another professional, possibly outside of the accounting field, understand what you are trying to say, as well as how you reached your conclusion?

FINANCIAL ANALYSIS OF ROYAL CARIBBEAN CRUISES LTD

FINAL PROJECT

Please submit the entire project including the write-up and excel analysis in a PDF format.

My company: FINANCIAL ANALYSIS OF ROYAL CARIBBEAN CRUISES LTD

  1. Company Profile
  • Write a brief profile of the company you are assigned to including a description of their products or services and the markets they compete.
  • Summary of their stock performance in the last quarter versus the market and closest competitors.
  1. Financial Analysis
  • The financial analysis should include, but not be limited to, the preparation of the latest 3-year financial statements (Income Statement, Balance Sheet and Cash Flow Statement) including the Last Twelve Months (LTM).
  • Provide an explanation of the results year-over-year including ratio and trend analysis.
  1. Projections & Valuations
  • Projections and Valuation Analysis for your assigned public company using Excel. The valuation analysis should calculate the assigned companies Enterprise Value using the following 3 methods of valuation:
    • Method #1 (current stock price to calculate the EV)
    • Method #4 (based current trading peer comparable)
    • Method #6 (DCF Analysis)
  • In addition to the analysis you need to provide a page or two of discussions on your analysis including the assumptions you used for driving revenues and expenses.
  • Discussions on the results on your various methods of valuation and recommend if someone should buy, hold, or sell the stock.
  1. Technical Analysis
  • Analyze the stock performance against the market (S&P 500) generating beta coefficient and other standard deviation results using Excel’s regression analysis or calculated manually.

Company Name: Royal Caribbean Cruises Ltd RCL

Industry: Cruise Operator

Wu, Bard

Multisystemic disturbances

Title: Multisystemic disturbances
Number of sources: 3

 

Paper instructions: Instructions
To work this task it is important to select one (1) of the following conditions and look for a research article
– Burns
– Sepsis
– SIRS (systemic inflammatory response)
– MODS (multiple organ failure)

Title of the selected article: ____________________________
II. Year of publication of the article: __________
III. Selected database: ______________________________
IV. Authors: _______________________________________________
• You must complete the purpose of the study, population, objectives and results or findings.

1. Purpose or objectives of the study: ______________________________________
2. Population or sample: ___________________________________________________
3. Results, findings or conclusions of the study: _____________________
4. Summary of the article: (minimum of 5 sentences)

5. How do you benefit, in knowledge, the results or findings of the study for the future intervention nursing with this type of diagnosis?

References:

 

Individual Project Intro to Operations Management

 

Topic:  Unit 1 – Individual Project Intro to Operations Management

 

Unit 1 – Individual Project

Unit: Intro to Operations Management

Assignment Details

Begin your proposal with an explanation of how the approach to operations strategy will differ between the service side of Going and the manufacturing end, and what operations challenges are likely to be faced with each. Include specific examples, refer to services and data.

Click here to review Going’s service division data and here to view Going’s manufacturing division data (attached file).

Derwent Ltd has prepared its adjusted trial balance for the year ended 30 June 2042

Question 1:
Derwent Ltd has prepared its adjusted trial balance for the year ended 30 June 2042. It has yet to determine its income tax expense for the year and the tax
assets and liabilities that arise from the transactions and events of the year. The following tables provide relevant information from the adjusted trial
balance:
TABLE 1
2042
Accounting profit 568,000
Rent revenue 161,700
Interest revenue 69,300
Warranty claims expense 95,700
Doubtful debts expense 13,860
Depreciation expense – Machinery 198,000
Workshop supplies expense 75,240
Political donations expense 15,000
TABLE 2
2042 2041
Cash 29,700 253,440
Accounts receivable 273,900 253,440
Allowance for doubtful debts (16,500) (10,560)
Inventories 221,430 192,390
Interest receivable 11,550 4,950
Workshop supplies 7,920 9,240
Machinery 990,000 990,000
Accumulated depreciation – Machinery (396,000) (198,000)
Deferred tax asset 71,181
Goodwill 290,400 290,400
Accounts payable 238,260 246,840
Unearned rent revenue 9,240 12,210
Provision for warranty claims 144,210 115,500
Deferred tax liability 4,257
Additional information:
• Political donations are not deductible for tax purposes
• Machinery assets are depreciated using straight-line at 20% p.a. with no residual
• Machinery – tax depreciation rate is 10% p.a., straight-line with no residual
• The tax rate is 30%
Required:
PART A
1. Analyse the data and information presented above and show the supporting calculations required for the values included in the two tax worksheets.
2. Prepare the current tax worksheet to calculate the current tax liability for the year ended 30 June 2042.
3. Prepare the deferred tax worksheet to calculate the movements in deferred tax accounts for the year ended 30 June 2042.
4. Provide the journal entries that arise from these tax worksheets.
5. Briefly explain how the items that arise from these journal entries will be reported in the financial statements for the year ended 30 June 2042.
PART B (Word limit 150 words)
Describe the treatment of Goodwill in Part A (i.e., in the determination of the various tax account values) and briefly explain why this treatment is
required. Your explanation must reference the relevant paragraphs of AASB 112 Income Taxes. You are required to use the Harvard referencing
method; quoted paragraphs from the standard are not included in the word count.

Chem 1205 Recitation #2

Recitation #2
Question 1: Match the terms in the box below to each description provided (1 term each). Not every term will be used.

Solid, Liquid, Gas, Physical Change, Chemical Change, Mixture, Element, Compound
Description Term
Methane is composed of a carbon atom with 4 hydrogen atoms attached.
At room temperature, the particles of methane are far apart and moving quickly in random directions.
During combustion, methane is converted to carbondioxide and water through the release of energy.
Rubbing alcohol contains water with a small amount of isopropanol.
In rubbing alcohol, the particles are gliding around each other (interacting) within their container.

Question 2: Convert 68.50ºF to Kelvin (Round your answer to two decimal places):
TF = 1.8TC + 32 TK = TC + 273.15
Solid Liquid Gas
Physical Change Chemical Change
Mixture Element Compound

Question 3-4: Complete the given conversions. Use appropriate significant figures in your answer:
 7400 yards into kilometers (1 yard = 3.00 feet, 1 mile = 5,280 ft, 1 km = 0.621 miles)
 4.75 qts to L (1qt = 946 mL)
*you can submit your answer in scientific notation to blackboard using “E” for the exponent. E.g. 0.0034 = “3.4E-3”
Question 5: The density of coconut oil is 0.9030 g/mL. You have a recipe that calls for 95.30 g. What volume would you measure out in mL? Use appropriate significant figures.
Question 6: Complete the table for the given isotopes:
Number of Protons
Number of Neutrons
Number of Electrons
Charge Mass
Number
Element
Symbol
AZX Notation
(practice)
+4 119 Sn
53 54 127
Chem 1205 Recitation #2
Question 7-9: Determine the missing isotope from each nuclear decay: (name the isotope)
 8𝑂
15 → ? + +1𝑒
0
 87𝐹𝑟 221 → 𝐴𝑡 85
217 + ?
 ? → 16𝑆
32 + −1𝛽
0
Question 10: What elements are represented by the given electronic configurations?
 1s22s22p3
 1s22s22p63s23p5
 1s22s22p63s23p64s1
Question 11-12: Draw the electron dot diagrams for the given elements:
 Bromine
 Magnesium

Trial Brief

Assignment and Instructions

 Your Trial Brief Assignment is based on the fictitious case of Wymann Pharmaceuticals, Inc. v. People for Alternative Medicines, Inc., filed in the United States District Court for the Eastern District of Michigan.  The case involves a claim that Defendant People for Alternative Medicines, Inc. infringed the copyright design of the Plaintiff’s Clarizac ads in the Defendant’s NatraTab ads.  The file for this assignment consists of:

  • Complaint of Wymann Pharmaceuticals, Inc. (Wymann);
  • Exhibits to Complaint (Ad Photos);
  • Answer of People for Alternative Medicines, Inc. (P.A.M.);
  • Deposition of Wymann CEO, Larry Finkelman;
  • Deposition of P.A.M. CEO, Theresa Gaines; and
  • Affidavit of Marketing Expert, Heinz Precht, PhD.

P.A.M. plans to file a Motion for Summary Judgment based solely on the affirmative defense of fair use. Each of you must prepare either a Memorandum in Support of or a Memorandum in Opposition to Defendant’s Motion for Summary Judgment based on the first fair use factor.

I will assign you a side to represent. Therefore, half of you will represent the plaintiff Wymann and half of you will represent the Defendant P.A.M.

Copyright and the defense of fair use are governed the Federal Copyright Act, 17 U.S.C. § 107 (2022).  We will review the statute in this week’s class.  The only question that will be argued in the motion is whether P.A.M.’s use of the Wymann ads was fair use under the copyright laws. You are being asked to consider the first factor, purpose and character of the use, in your Memorandum.  Other associates are being asked to address the other three factors.  Alternate defenses to the copyright infringement claim are not being raised in the motion.  Limit and focus your argument accordingly.

While this case will also be the topic for the Appellate Brief you will prepare later in the semester, for purposes of this Trial Brief Assignment, you are being asked to limit your analysis to the following three cases:

  • Campbell v. Acuff-Rose Music, Inc., 510 U.S. 569 (1994);
  • Leibovitz v. Paramount Pictures Corp., 137 3d 109 (2d Cir.1998); and
  • Seuss Enters. v. Penguin Books U.S.A., Inc., 109 F.3d 1394 (9th Cir. 1997).

Before class on Friday, you should read the key Supreme Court case on this topic:  Campbell v. Acuff-Rose Music, Inc.  Use the guided reading questions posted on the Webcourse to prepare for the class discussion.

Memorandum:  Your Memorandum must include the following sections: Introduction, Statement of Facts, and Argument.  We will discuss in class how to draft and what to include in these sections. All facts stated in your Memorandum must be supported by reference to the complaint and other documents provided (deposition transcripts and exhibits, affidavit).  Each statement in the Statement of Facts must have a citation to the evidence filed with the court.  We will discuss the format for these citations in class.

The page limit for this assignment is 8 pages. Using the three cases given to you as authority, present your arguments as concisely as possible.

The Memorandum is due in the digital drop box by 9 a.m. on Monday, January 31.  There will be a penalty for late submissions.  

 Requirements for Trial Brief Assignment

  1. Use the following case caption:

IN THE UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF MICHIGAN

 

WYMANN

PHARMACEUTICALS, INC.,

 

Plaintiff,

 

vs.

 

PEOPLE FOR ALTERNATIVE

MEDICINES, INC.,

 

Defendant.

)

)

)

)

)

)

)

)

)

)

 

 

Case No. 4:06-CV21-123-LH

 

Hon. Saul Simon

 

MEMORANDUM IN SUPPORT OF [IN OPPOSITION TO] DEFENDANT’S MOTION FOR SUMMARY JUDGNT

  1. Format your Memorandum using standard 8-1/2 x 11 inch white paper.
  1. Double space and leave a minimum of 1 inch margins on all sides.
  1. Use Times New Roman or Cambria 12 point font.
  2. Maximum Length: 8 pages. Number each page.
  3. Cite using the Bluebook Uniform System of Citation. Follow Bluebook rules for all citations.  Do not include parallel citations in this Memorandum.
  4. The Memorandum will only contain a Case Caption, Introduction, Statement of Facts, an Argument section for the first fair use factor, and a Closing with signature line for your name.
  5. Your Memorandum is due on Monday, January 31, at 9:00 a.m. in the Blackboard Webcourse assignment box for this course.
  1. Keep a backup copy for your files.