Diagnosis Related Groups Essay Example | Topics and Well Written Essays - 750 words

Diagnosis Related Groups - Essay Example A patient is assigned this category of DRG when all the operating room procedures performed on this patient are unrelated to the major diagnostic category of the patient's principal diagnosis. DRG 468 thus pays for discharge in which the patient undergoes an operating room procedure entirely unrelated to this admission's principal diagnosis. This is against the PPS classification of discharges of clinically coherent groups. Although this is possible in some cases, DRG 468 can be an example of DRG creep. The attending physician may misspecify the principal diagnosis, secondary diagnosis, or the procedure on the attestation sheet. It can also be the result of miscoding, where the hospital assigns an incorrect numeric code to the diseases or procedures which had been correctly attested by the physician in charge. In some cases to avoid investigation, the hospital may substitute a secondary diagnosis for the correct principal diagnosis. Therefore for appropriation of facts, auditing and review is necessary that would identify discharges in which coding rules are either ignored or not applied appropriately. DRG 468 is assigned when all the operating room procedures are unrelated to the major diagnostic category for which the patient had been admitted. Most often, these patients are admitted with a principal diagnosis that does not need any surgery. ... To assess the appropriateness, the ICD-9-CM coding guidelines should be applied to do the initial coding and for auditing if such has been used. The principal diagnosis is always the reason for admission, which should be backed by records indicating circumstances at admission, diagnostic workup, and therapy provided. The scenario is not an admission of the patient to treat two conditions, it is rather two conditions present during admission. While auditing and reviewing, it is to be determined whether the principal diagnosis was the reason for admission and treatment. If at admission, there were more than one diagnoses, use of guidelines for selecting the principal diagnosis would be used with consideration of circumstances at admission, diagnosis workup, and the therapy provided. The principal procedure must be performed for definitive treatment, not for diagnostic purposes, exploratory purposes, or for a complication. If there are two procedures done, then the one most related to t he principal diagnosis would be selected as the principal procedure. The procedure must be significant as defined by the Uniform Hospital Discharge Data Set would be used, and for this to qualify, it must be surgical under anesthesia with the operator being specially trained. The audit must look at the detailed documentation in the medical record. There must be enough proof and substantiation that it was medically necessary. The coding should be done from the narrative description of the procedure, not from the written title of the procedure. The approach and closure of the procedure are integral part of one significant procedure, not two separate

My Mother Essay Example for Free

My Mother Essay The film centers on Manuela, a nurse who oversees donor organ transplants in Ramà ³n y Cajal Hospital in Madrid and single mother to Esteban, a teenager who wants to be a writer. On his seventeenth birthday, Esteban is hit by a car and killed while chasing after actress Huma Rojo for her autograph following a performance of A Streetcar Named Desire, in which she portrays Blanche DuBois. Manuela has to agree with her colleagues at work that her sons heart be transplanted to a man in A Coruà ±a. After traveling after her sons heart, Manuela quits her job and journeys to Barcelona, where she hopes to find her sons father, Lola, a transvestite she kept secret from her son, just as she never told Lola they had a son. see more:speech about my mother In Barcelona, Manuela reunites with her old friend Agrado, a warm and witty transsexual prostitute. She also meets and becomes deeply involved with several characters: Rosa, a young nun who works in a shelter for battered prostitutes and is pregnant by Lola; Huma Rojo, the actress her son had admired; and the drug-addicted Nina Cruz, Humas co-star and lover. Her life becomes entwined with theirs as she cares for Rosa during her pregnancy and works for Huma as her personal assistant and even acts in the play as an understudy for Nina during one of her drug abuse crises. On her way to the hospital, Rosa asks the taxi to stop at a park where she spots her fathers dog, Sapic, and then her own father, who suffers from Alzheimers; he does not recognize Rosa and asks for her age and height, but Sapic is cleverer and knows Rosa. Rosa dies giving birth to her son, and Lola and Manuela finally reunite at Rosas funeral. Lola (whose name used to be Esteban), who is dying from AIDS, talks about how she always wanted a son, and Manuela tells her about her own Esteban and how he died in a car accident. Manuela then adopts Esteban, Rosas child, and stays with him at Rosas parents house. The father does not understand who Manuela is, and Rosas mother says its the new cook, who is living here with her son. Rosas father then asks Manuela her age and height. Manuela introduces Esteban (Rosas son) to Lola and gives her a picture of their own Esteban. Rosas mother spots them from the street and then confronts Manuela about letting strangers see the baby. Manuela tells her that Lola is Estebans father; Rosas mother is appalled and says: That is the monster that killed my daughter?! Manuela flees back to Madrid with Esteban; she cannot take living at Rosas house any longer, since the grandmother is afraid that she will contract AIDS from the baby. She writes a letter to Huma and Agrado saying that she is leaving and once again is sorry for not saying goodbye, like she did years before. Two years later, Manuela returns with Esteban to an AIDS convention, telling Huma and Agrado, who now run a stage show together, that Esteban had been a miracle by not inheriting the virus. She then says she is returning to stay with Estebans grandparents. When asking Huma about Nina, she becomes melancholic and leaves. Agrado tells Manuela that Nina went back to her town, got married, and had a fat, ugly baby boy.

Environmentalism in Watership Down by Richard Adams Essay -- essays re

The small group of rabbits that left their original warren, Sandleford, to find a new home often uses their little spare time to listen to stories generally told by Dandelion. These stories are often about the Thousand Enemies and how they are a threat to the rabbits, especially El-ahrairah. Humans are presented as one of the â€Å"Thousand.† The author of the book, Richard Adams, displays man in a negative way because of this. Man is portrayed as violent, nonsensical, and abusive to the natural way of life. In the book, Watership Down, Richard Adams portrays the life and style of man in a negative way. In both their old warren and on their journey, the group of rabbits encounters urban development and the city life which relentlessly interfere with their plans. The inciting point is the cause of sub-division development ("Literature in Brief Information about Watership Down.") and humans post a notice in the field where the rabbits live that says: â€Å"THIS IDEALLY SITUATED ESTATE, COMPRISING SIX ACRES OF EXCELLENT BUILDING LAND, IS TO BE DEVELOPED WITH HIGH CLASS MODERN RESIDENCES BY SUTCH AND MARTIN, LIMITED, OR NEWBURY, BERKS† (Adams 8). This residential construction ignites Fiver’s â€Å"visions† which causes the group to leave Sandleford Warren. In a later chapter, Holly and Bluebell seek out Hazel and his group and voice their willingness to join. At the same time, Holly relays the story of what happened in their old warren, Sandleford. Men with the white sticks in their mouths and made the air turn bad to kill the rabbits. Soon after, bulldozers flattened the area, with no regard whatsoever for the well-being of the rabbits. Richard Adams could be seen as taking use of development to get his rabbits to a better place, but such vio... ... them technically part of the man. Because of their connection to man, Richard Adams exposes animals like cats and dogs, which are man’s possessions, in a distasteful way. All in all, Richard Adams has a very negative view when it comes to man: human development and their creatures. His writing really gets into the mind of a rabbit, and through these rabbits he celebrates the natural, undisturbed world in which the rabbits live ("Literature in Brief Information about Watership Down."). Whether the rabbits simply hear about humans or even encounter them, they are generally displayed in a bad way. There may be a few times when there is a caring human, or a courteous animal, but that occurs very rarely. Richard Adams, in his book Watership Down, celebrates the natural created world before humans â€Å"destroyed† it. Websites used: www.answers.com/topic/watership-down-2

John Wayne :: essays research papers

The Duke takes his place in history.   Ã‚  Ã‚  Ã‚  Ã‚  John Wayne, one of America’s greatest actors and directors of all time. His fame and superstardom led to many problems in his career. His image as an icon of American individualism and the frontier spirit has overshadowed his career to such an extent that it is almost impossible for the fans and writers to separate Wayne the legend from Wayne the actor and Wayne the man.   Ã‚  Ã‚  Ã‚  Ã‚  Before the start of his movie career he played football at USC under his birth name, Marion Michael Morrison. He held many behind-the-scene jobs at Fox before moving in front of the cameras in the late 1920’s in a series of small roles. Director John Ford, who befriended “ the Duke';, recommended him for the lead role in Raoul Walsh’s western epic, The Big Trail. Wayne did not let the stardom go to his head. He spent the rest of the decade making his way through a series of low budget films whose failing budgets and quick shooting schedules did little to advance his career.   Ã‚  Ã‚  Ã‚  Ã‚  In 1939 John Ford gave Wayne another break by casting him as the Ringo Kid in Stagecoach. The roll threw Wayne into the top ranks of the movie stars and finally, in the 1940’s, his legend began to take shape. Relieved from military duty due to physical problems, Wayne became the film industry’s hard-core soilder, but had that compassionate side. Movies released during the war, such as Flying Tigers (1942), The Fighting Seabees (1944) and Back to Bataan (1945) left Wayne with some pretty big shoes to fill.   Ã‚  Ã‚  Ã‚  Ã‚  The movies that he made at the end of the decade were the ones that established him as an actor of merit. Howard Hawks emphasized the willful side of Wayne’s screen persona by giving him the part in Red River (1948). He played the part of Tom Dunson, a difficult, unlikeable yet compelling character. Two other films directed by John Ford quickly followed. Fort Apache (1948) and She wore a Yellow Ribbon (1949).   Ã‚  Ã‚  Ã‚  Ã‚  For a good part of the 50’s and 60’s Wayne took part in several small pictures. Standard western and action movies but nothing too dynamic. Because of the numerous films though he was financially in good setting. In 1969 he won Best Actor Oscar for True Grit, a light-hearted if not particularly impressive performance. Wayne’s final role was surely his best of the decade. In the Shootist, he played a dying gunman who is just beginning to understand his own life and legend. What a man.   Ã‚  Ã‚  Ã‚  Ã‚  John Wayne, you either love him or you hate him. Although there are not many people that dislike him.

Inventory Introduction Essay

An Undergraduate Thesis Manuscript submitted to the faculty of the Department of Communication Studies of Cavite City Campus, Cavite State University, in partial fulfillment of the requirement for ITEC200A- Undergraduate Thesis Part 1 for the degree of Bachelor of Science in Information Technology. Contribution no.___ Prepared under supervision of Mr. Norman Duarte. INTRODUCTION Nowadays, there are major changes that happened in our everyday lives. Since most of the changes are caused by the advances in technology, it is necessary for us, people to be familiar with the technological developments encountered today. Changes are inevitable and one should be able to go with the flow to stay in the business. Technology made a large contribution in the improvement of our life. Many businesses are engaging with the use of advance technology in order to become competitive. Through the use of modern technology, the work of an individual becomes easier and more accurate. The business world is fast changing that is imperative to stay ahead of the competition and empower your people with the tools and advancement that is available. The proponents noticed that the company named Homemart Builder’s Center Inc. is using the manual way for inventory of their items. Inventory system is one of the hardest and most important task in business or school transactions. Everything should be clearly and correctly stated based on the record of the company. This company which is located at Talaba IV Bacoor, Cavite started since the year of 1995. It takes time for them to search some files for the sales report because they have to do it manually. They find it hard also to retrieve those files stored in their file cabinets which they might lost because of certain chaos. See more: how to write an introduction paragraph for an essay Statement of the Problem This study seeks to create a system that would be used by businesses with regards to faster inventory transactions. This study tried to answer the following questions: 1. How to make an inventory transaction faster and more sufficient? 2. How they monitor the business performance? 3. How to make inventory of items much easier through the use of computerized inventory system? The system would help the staff of the company in terms of inventorying for much faster and efficient. It would be both beneficial to the owner especially for the buyer. To the owner, there will be a quick flow of business transactions. Significance of the Study The owners could easily check the increasing and decreasing items. The performance of the Company can also monitor through its sales report anytime needed. In addition, the program would help the owner with regards to their inventory since the monitoring stocks would be easier. Objectives of the Study Generally, the study aims to develop a system for Homemart Builder’s Center Inc. Specifically it aims to: 1. Create a Computerized Inventory System for the owner and employees of the company; 2. Make it easy monitoring the transaction and information of items. 3. Aimed to develop a Computerized Inventory System to increase a speed of service in terms of inventorying the items. 4. Monitor the performance of the company and also help the owner of the company on inventory of items in an easy and fastest way. Scope and Limitation The system was created only for the business of Homemart Builder’s Center Inc. The items will be inputted to the program through Item number. Price and quantity should also be inputted manually .It can update, delete and search information about the items. Have security featured specially to the owner’s file. The program will not include for other company’s use. The software can’t work without computer and electricity. It may not be applicable on items that do not have an Item Number or code. On the other hand, the items that do not have code will be manually inputted. Time and Place of the Study The study was conducted at Cavite State University Cavite City Campus from November 2012 to March 2013. Definition of Terms Inventory – It is the amount or value of a firm’s current assets that consist of raw materials, work in progress and finished goods; stock. System – a group or combination of interrelated, interdependent, or interacting elements forming collective entity; a methodical or coordinated assemblage of parts, facts, concept etc. Human Resource – the workface of an organization. Database – a systematized collection of data that can be accessed immediately and manipulated by a data- processing system for a specific purpose. Hardware – It is a business that has metal tools, implements etc.esp cutlery or cooking utensils.

Top 12 Resume Writing Tips for 2012

Top 12 Resume Writing Tips for 2012 In February 2012, the Career Thought Leaders Consortium published their Findings of the 2011 Global Career Brainstorming Day: Trends for the Now, the New the Next in Careers. My particular interest lies in resume trends, and you as my readers expect me to be up to date on these matters!   Here are the Top 12 findings in the resume category from the best of the best in the career industry: 1. Resumes are not dead! Every job seeker still needs one to present to employers, recruiters and network contacts. That said, the LinkedIn profile is becoming as important if not more important as an entry point and must be crafted to complement, NOT duplicate, the information in the resume. 2. Brevity Reigns The 3-page resume, however, is going extinct. Keep your resume succinct and preferably to one or two pages, even if you are a high-level executive. This means concise writing, short paragraphs, brief lists of bullet points, and good organization and branding to assist the reader in quickly assessing your strengths. The top third of the first page is prime real estate. 3. Extra Extra! Leverage Addenda Addenda are welcome attachments to short resumes when you have additional accomplishments to convey that did not make it onto the two-pager. 4. Keep it Chronological Stay away from functional resumes. Hybrids are okay but reverse-chronological resumes are still the preferred format for recruiters and hiring managers. 5. Smart-phone Savvy Keep in mind that some people will be reading your resume on their phones. This means you need good headlines and a compelling top third to half of the resume to encourage scrolling down. 6. RoboResumes Keep ATS systems in mind. Make sure your resume is formatted properly to make it through the system. For more on ATS formatting, check out my article, How to Write a Resume that Beats the Computers. 7. Retro Resumes Resume paper is still in style for when you present your resume in person! And it’s â€Å"retro† – you can send your resume in an actual envelope and perhaps get some positive attention for taking the time to do so in this email-centric world. 8. Hyperlink it! Put links on your resume. QR codes are becoming popular, as well as other URLs that link to additional material about the job seeker. 9. Be human Don’t skip the community service, continuing education, civic background, etc. Your character is being evaluated more than ever! And you are encouraged to put a testimonial on your resume. Why say it yourself when you can have someone else say it for you? 10. There’s no one-size fits all. You need a different resume for each position you apply for, and then you need separate versions for the recruiter, the hiring manager, and the ATS software. How overwhelming can that be? That’s what career professionals and resume writers are here for. Hopefully we can make the process just a bit less overwhelming. 11. Vital Stats You don’t need to include your street address in your resume header anymore! DO include your LinkedIn URL, web address if you have one, your city and state, ONE phone number and ONE email address. 12. Ever heard of Twitrez? If you are media-savvy, you may have used the Twitrez tool to communicate your value proposition in a series of 10 tweets, 140 characters each. The idea is that each message can stand on its own and the combined 1400 characters â€Å"create a cohesive overview of a candidate’s core qualifications and value.† Or maybe you’ve tweeted your twesume? I can see what’s next for The Essay Expert – it’s writing Twitter resumes!   Stay tuned†¦

3 Examples of How Missing Words Cause Confusion

3 Examples of How Missing Words Cause Confusion 3 Examples of How Missing Words Cause Confusion 3 Examples of How Missing Words Cause Confusion By Mark Nichol In each of the following sentences, the absence of a word or phrase is an obstacle to clarity. Discussion after each sentence explains the problem, and a revision provides the solution. 1. The naturally occurring electrolytes are significantly higher than other brands. The comparison in this sentence is not between electrolytes and other brands; it is between electrolytes in a product marketed under one brand and electrolytes in a product marketed under other brands. This revision uses a pronoun and a preposition to communicate the true equivalency: â€Å"The naturally occurring electrolytes are significantly higher than those in other brands.† 2. The contraception app has become a popular alternative because it doesn’t involve taking any medicines, inserting devices, or hormone patches. Three older contraceptive methods are listed in counterpoint to a newer one, but while the sentence structure requires a verb to precede the word or phrase for each method, â€Å"hormone patches† lacks one. This revision inserts a verb: â€Å"The contraception app has become a popular alternative because it doesn’t involve taking any medicines, inserting devices, or using hormone patches.† 3. Financial institutions are no longer required to implement the rule and retain the option of including mandatory arbitration clauses in their contracts. This sentence is structured as if it consists of a single main clause, but logic requires that it be constructed of two independent clauses. It reads as if â€Å"implement the rule† and â€Å"retain the option . . .† are equivalent, but the complementary phrases are â€Å"are no longer required to implement the rule† and the entire portion of the sentence following the conjunction, so a noun or pronoun must be inserted after the conjunction (along with a comma before it) to form the second independent clause: â€Å"Financial institutions are no longer required to implement the rule, and they retain the option of including mandatory arbitration clauses in their contracts.† Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Grammar category, check our popular posts, or choose a related post below:"Latter," not "Ladder"25 Idioms with Clean