Health Insurance Companies Providing Payment for Medical Services

Reasons for the Importance of a Clean Claim Submission It is vital to submit a clean claim for healthcare providers and insurance companies to process claims and ensure timely reimbursement effectively. One crucial reason for the importance of a clean claim submission is that it minimizes the chances of rejection (Johnson et al., 2021).

Experiential Versus Narrative Family Therapies Comparison between Experiential Family Therapy to Narrative Family Therapy Family therapy is a furcate of physiotherapy aiming at the improvement of communication and relationship within a family setting. Family therapy has many applications, but the most commonly applied include experimental and narrative therapies. Experiential family therapy highlights the importance of experiencing emotions in the current moment, while narrative therapy explores and restructures the stories families give about themselves. Narrative therapy addresses PTSD symptoms through reviewing and reassessing trauma memories with continued practice of STAIR skills (Cloitre & Schmidt, 2022). This essay will explore the critical points for both experiential and narrative family therapies, compare experiential family therapy to narrative therapy with their strengths and weakness, and describe a family therapy that would be appropriate to experiential therapy.

Collaboration and Teamwork in Healthcare The Benefits of Effective Interdisciplinary Collaboration Collaboration and teamwork are crucial constituents in the provision of high-quality healthcare, where healthcare professionals, like doctors, nurses, and allied health practitioners, must work together and effectively to deliver safe and effective patient care

Vision and mission are essential elements of an organization’s overall strategic plan. The mission statement describes the organization’s purpose, while the vision statement outlines the future goals and aspirations of an organization (Allen et al., 2018)

Concept and Theories of Nursing The Parse’s Theory of Human Becoming Becoming is centralized human-living-health. It is optional for bio-medical and totality approaches of nursing. The human becoming theory was developed by Rosemarie Parse to guide nurses to emphasize the quality of life as stated and lived by the contributor (Bankers & Kabigting, 2023). This theory rates a participant’s quality of life based on their perspectives and goals, and it is based on three themes of meaning, rhythmicity, and co-transcendence, where an individual’s reality is indicated meaning by lived experience. This essay aims to discuss how would the nurse actualize Parse’s theory of Human Becoming, look at the characteristics of a human becoming theory, the strengths and weaknesses of the human becoming theory, and finally, look at the challenges that exist for healthcare institutions to switch to the nursing approach.

Changes that Occur to Gastric Acid Stimulation and Production with GERD, PUD, and Gastritis Disorders Interfering with the production of the mucosal layer of the gastrointestinal tract causes gastric disorders, including peptic ulcer disease and gastroesophageal reflux disease, where helicobacter pylori infection and non-steroidal anti-inflammatory drugs interfere with mucosal membranes. H. pylori infection causes tears on the mucosal membrane, presented as ulcers and inflammation. Non-steroidal anti-inflammatory drugs affect the mucosal membrane through topical and systematic actions causing ulcers and inflammation (Fokunang et al., 2018). These drugs block cyclooxygenase enzyme action to inhibit prostaglandin production and suppress blood flow, mucus secretion, production of hydrogen carbonate, and cell repair and replication, all in the gastrointestinal tract. The drugs contain low pH and are non-ionized in gastric acid, hence easy diffusion across the tract’s walls and into the epithelial cells.

For any visit to the healthcare system, the chances of medication prescription are very high. During a patient’s drug prescription, there are some vital factors to consider: health history and physical examination of the patient (Shanthanna et al., 2020). A healthcare provider should perform the prescriptions based on a patient’s diagnosis and understand the quality a patient should have according to the health history and the physical examination.

When building a patient history, it would be essential for a nurse practitioner to take socioeconomic, spiritual, and cultural factors into consideration. The health provider should also understand that people have different cultural and religious practices influencing their daily life, health, and well-being. Thus, when interacting with a patient to obtain data to help them develop their health history, the health provider is advised to be careful of sensitive comments that would be considered offensive and can cause the patient to withhold essential healthcare information (Yevoo et al., 2018).

Heparin is one of the most efficient treatments encouraging the clotting factors inactivation and, hence, fibrin formation inhibiting. The gastrointestinal system never absorbs it, and it is appropriate to administer it only by iv infusion or injection, and at the same time, a certain number of a patient can receive treatment from home (Liu et al., 2022). If Leona’s doctor insisted that she stay at the hospital, it would be evident that she had an extensive blood clot and might have needed more treatment and invasive testing.

The Disorder of Hemostasis The Atherosclerosis Effect on Platelet Function Hemostasis disorders are typically categorized as either hemorrhagic or thrombotic. Irrespective of the nature and underlying cause, the diagnostic approach to patients with hemostasis disturbances is multifaceted and involves an accurate collection of clinical history taking and physical examination. Hemostasis can be defined as the mechanism leading to the cessation of bleeding from a blood vessel, and it involves multiple interlinked steps (Lippi & Favaloro, 2018

Healthcare Delivery Models and Nursing Practice Changes Introduced to Reform and Restructure the U.S. Healthcare Delivery System Like education, healthcare also need to be given importance. Healthcare delivery structures are the most visible purpose of the health system to patients and the public. It focuses on patient flow as well as the organization and delivery of all services trafficking with the diagnosis and treatment of a disorder or the promotion, maintenance and restoration of health (Johnson et al., 2020). The World Health Organization considers health service delivery suitable when equitable access to a comprehensive range of high-quality health services is ensured within an integrated and person-centered continuum of care. The aim of the implementation of models of care is to achieve a stable between improving consumer outcomes and ensuring efficient and effective use of specialist mental health resources. This essay will discuss the current healthcare law, quality measures and pay of performance effect on patient outcomes, and finally, look at the roles of professional nursing leadership and management.

The Approach that Best Fits One’s Professional Nursing Philosophy The approach one holds high in dealing with the issue of a nurse shortage and turnover creates a favourable workplace environment. Most of the reasons that have increased nurses turnover are lack of satisfaction at the workplace. A conducive workplace environment enhances a supportive culture that helps to foster growth for both individuals and the organization. Such an environment also helps to prevent negative consequences like hostility, stress, unhappiness, team conflict, and fears of dismissal (Schwepker et al., 2021).

Cancer and Women’s and Men’s Health Cancer is a puzzling and frightening disease or set of diseases. Cancer has afflicted multicellular living being for more than 200 million years, and there is evidence of cancer among ancestors of modern humans going back well over a million years. Unlike infectious diseases, parasites, and many environmental diseases, cancer is not primarily caused by some entity that is foreign to our bodies. Cancer agents of destruction are human cells that have, as it were, slipped their reins, and have been recruited and, to some extent, transformed into pathological organisms or the building blocks of tumors (Daniel 778).

The first strategy I would implement is encouraging all fellow staff members to take an ethics refresher course. These courses help people develop tools that are critical to understanding and resolving dilemmas (Winland-Brown, 2020). I think this situation above could have been resolved if the employees were able to revolve dilemmas or conflicts on their own. Conflicts and arguments distract from patient care so developing strategies to combat this is important to any healthcare practice. Also, a good foundation in ethics is important in providing professional and patient-centered care (Winland-Brown, 2020)

Medical assistant- The MA did not report the abnormal vital signs immediately to the NP. If the NP had not been in that patient's chart, then the patient could have died or experienced unfortunate adverse effects. Legally, the MA should be held responsible for this lack of communication. She did not execute her job properly, and she should be held accountable for her actions. If an adverse patient event were to happen, legally she would be the one responsible. Ethically, the MA did not put the patient first. She put her own wants and opinions first by engaging in the argument. In order to provide ethical care, the MA should have spoken to a licensed provider to get appropriate treatment (Lamb et al., 2018).

Discuss the how to advocate for your proposal using legislation. Include the following: Provide the name and complete contact information for the legislator.

Financial Incentives/Costs In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.

Problem In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.

Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states.