identify a pro and a con of how these forces of change affect your quality of life.

Here are several speeches from world leaders representing numerous approaches to globalism or globalization. Watch at least two of the supplied videos. Follow the 3+1 Rule, plus refer to two of the provided videos, to identify a pro and a con of how these forces of change affect your quality of life.Present your findings as a speech. The format can either be a written speech or, ideally, a video recording of your thoughts. The speech should be no less than 500 words and no more than 700 words in length. Focus on the classroom provided materials to construct the arguments in your speech. Be sure to include a thesis statement and use your speech to support the argument in your thesis. Provide a clear and strong closing argument.please see the document “question 9” for full details3+1 doc has weekly topics to reference

What assessments would you use to get more information?

What assessments would you use to get more information?Identify the stage of change for your client related to the readiness for change.Discuss processes of change that can help your client gain and maintain health behaviors.What are the social resources they can enlist to help them on their journey?Jeane is a 69-year-old who has recently retired from her bus driving job in Chalmette. She has slowly seen the signs of her aging in the slowing of her steps, the tiredness of her daily routine and her grandchildren asking her to hurry up. She runs 2 times a week for about 2 miles and she eats reasonably healthy, 3 meals, mostly high in fruits and vegetables, and fiber. She is worried about finding meaning in her life since her retirement. She hires you to help her with the transition.Sam is a rental property manager and is in his early 30’s. Recently he has been having trouble keeping organized and his communication with his wife and children seem strained. To relax he plays video games. Sometimes he plays with the children when they all play videos but mostly he plays alone. His wife requests that they see a therapist. He agrees and was shocked when the therapist confronted him about his lack of recreational time with the family, his inattentiveness to wife, and the role of a father/husband. He agrees to help out more around the house and wants to meet with you about getting back on track to help organize his life, get more health, and start taking better care of himself.Gemma is a 26-year-old recent hire for an accounting firm. She has a small social circle who eat out for lunch, plan trips, and go to concerts. She is working hard to be liked by her peers, but often leads by pointing out her own faults or oddities. While being hyper critical of herself, her follower workers begin distancing themselves from her as they seem to fear this criticality could move toward them. Gemma reports feeling stressed often to meet deadlines, being liked in the office, worrying about her lack of a dating life. She lives in New Orleans and needs to find places to meet people like her. She comes to you so she can feel better.

How would these factors affect your company’s business in your Domestic and Global Environments?

Course Objectives:Students will become familiar with business theories and approaches relating to various business environments (Domestic, Global, Technological, Political-Legal, Socio-Cultural, and Economic).Students will evaluate the business environments and practices of selected companies.Students will evaluate the business environments of a company identified as a “worst” company to learn why it is not successful.Students will apply successful company strategies and business theory to recommend a successful strategy for the “worst” company.The socio-cultural environment consists of how consumers, households and communities behave and their beliefs. For instance, changes in attitude towards health, or a greater number of pensioners in a population. The socio-cultural environment will be language, aesthetics, education, religion, attitudes, values, social groups & organizations, and business custom practices. You will now begin to compare the social and cultural environments of the domestic and global cultures of your chosen “Worst” company. Continue to Lesson 6 for more information and details.LO – 6 – Given a chosen company, the student will examine the effect of socio-cultural environmental factors that affect the company within its Domestic and Global environmentsPrompt:Continue working with your chosen worst company and its industry and complete the following:Identify Domestic and Global Environments (countries) that are in opposing cultural clusters (as identified in International business: theory and practice) identify which cluster(s) your two countries fit.Identify the socio-cultural parts of each country as related to business for your company. You will need to examine these with the aid of Geert Hofstede (see required readings).Identify and discuss the various socio-cultural aspects of each country. Do they differ? How? What are the similarities?How would these factors affect your company’s business in your Domestic and Global Environments?Instructions:This paper will cover a portion your Final Simulation Project that details the items above.Research requirement: minimum 2 credible sources including at least one source from your readings.Minimum page requirement: 2 pages in APA format.

Explain which capital budgeting method is superior—NPV, IRR, or MIRR.

Performcalculations and answer questions related tocapital budgeting.In this assessment, you will explorecapital budgeting, which is the process of evaluating the feasibility and selection of investment projects. You will examine basic capital budgeting techniques, such as payback, discounted payback, net present value (NPV), internal rate of return (IRR), profitability index (PI), and modified internal rate of return (MIRR).IntroductionThis assessmentfocuses on capital budgeting calculations.InstructionsComplete and submit the Assessment 5Template [XLSX].Competencies MeasuredBysuccessfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:Competency1:Analyze financial environments and concepts.Explain which capital budgeting method is superior—NPV, IRR, or MIRR.Competency2:Apply financial computations and processes.Calculate five capital budgeting problems correctly.Competency3:Communicate effectively and professionally.Convey clear meaning through appropriate word choice and usage.

Justify what Health Care Finance Administration should do moving forward with regards to monitoring DRG upcoding.

Play media comment.BACKGROUND: In our recent report, “Using Software to Detect Upcoding of Hospital Bills” (OEI-01-97-00010), we examined the ability of commercially available software to identify DRG upcoding through analysis of electronic claims data. We used two software products to identify 299 hospitals with a high suspected rate of upcoding. We then used accredited medical records professionals to perform a blinded DRG validation on a sample of over 2,600 claims from 50 of these hospitals and a control group of 20 hospitals.In the course of conducting this study, we developed serious concerns about the potential for abuse of the DRG system through upcoding and about HCFA’s oversight of the accuracy of DRG coding. Specifically, we found that, although the hospital payment system is functioning well as a whole, the system has significant vulnerabilities to upcoding that can easily be avoided. We also found that, despite these vulnerabilities, HCFA is not performing routine, ongoing monitoring and analysis of DRG coding to detect problematic DRGs, hospitals, and coding situations that require administrative, educational, or law enforcement intervention.FINDINGS: The DRG system is vulnerable to abuse by providers who wish to increase reimbursement inappropriately through upcoding, particularly so within certain DRGs. Our analysis found noticeable, detectable, and curable upcoding abuses among providers and within specific DRGs.In a focused sample from a group of 299 hospitals that computer software identified as high upcoders, we found that an average of 11 percent of DRG bills submitted during 1996 were upcoded, versus 5 percent of bills among a control sample of hospitals.Source: Office of Inspector General, “Using Software to Detect Upcoding of Hospital Bills (OEI-01-97-00010), August 1998.The average rate of upcoding in the control sample of hospitals (those without a high predicted rate of upcoding) was not statistically different from the average down coding rate. However, among hospitals that the software predicted would have a high rate of upcoding, the average upcoding rate was more than twice that of down coding. The difference between upcoding and down coding in these hospitals suggests intentional abuse of the DRG system by some providers.Using data from both our focused review and the more broadly representative 1996 DRG validation performed by HCFA’s clinical data abstraction centers (CDAC), we found that certain DRGs are particularly susceptible to upcoding.Claims billed for these three DRGs show a clear pattern that exemplifies the upcoding seen in a group of over half a dozen DRGs we examined. These DRGs were up coded disproportionately, especially by our experimentally identified upcoding hospitals, but also among hospitals from the general population represented by the CDAC review and our control sample.The HCFA does not routinely analyze readily available billing and clinical data that could be used to proactively identify problems in DRG coding.The HCFA does not routinely analyze data from the annual validation of DRG coding performed by its clinical data abstraction centers.Since 1995, HCFA has used two specialized contractors called Clinical Data Abstraction centers to validate the DRGs on an annual national sample of over 20,000 claims billed to Medicare. On a monthly basis, the CDACs report detailed data on each claim reviewed to HCFA’s Office of Clinical Standards and Quality. These data include original and validated diagnostic coding, original and validated DRGs, and reasons for any variance between the DRGs. The purpose of this validation effort is to provide HCFA with insight as to the accuracy of DRGs billed to Medicare.However, we found that HCFA performs no routine, ongoing analysis of CDAC data. In our interviews with staff at the two HCFA components that have responsibility for DRGs—the Office of Clinical Standards and Quality, and the Center for Health Plans and Providers—staff were unable to identify any routine monitoring and analysis of CDAC data. In our review of HCFA’s instructions to the peer review organizations (PROs), contractors who have statutory responsibility for DRG oversight, we found no instructions advising them to perform regular analysis of CDAC data.Yet we believe that analysis of CDAC data can be of great value to HCFA in overseeing the accuracy of DRG coding. For example, in HCFA’s 1996 DRG validation, the CDACs found a 4 percent upcoding rate with estimated net overpayment of $183 million. Some may suggest that overpayments of $183 million in an $80 billion program (less than one-quarter percent) indicate that the DRG payment system does not have major problems with upcoding and warrants no further analysis. However, our analysis presented above shows that by digging below the immediate surface, upcoding problems are readily apparent.The HCFA does not routinely analyze data from hospitals, despite the fact that these data are ideally suited for monitoring and analysis of DRGs.The HCFA maintains valuable clinical, demographic, and administrative data that form the underlying basis of each of the over 10 million DRG-based claims billed to Medicare each year. Data for each hospitalization include diagnosis codes, procedure codes, beneficiary demographics, admission and discharge detail, cost reporting data, and hospital identifier for linkage with provider demographics. Whether used on its own to monitor billing patterns and trends or used to further explore potential problem areas identified within CDAC data, data from hospital claims can provide valuable information to assist in HCFA’s oversight of DRG coding.However, we found that HCFA does not make routine use of data from hospital claims for monitoring and analysis of DRG coding. In our interviews with staff at both HCFA’s Office of Clinical Standards and Quality and its Center for Health Plans and Providers, staff were unable to identify any routine monitoring and analysis of DRG billing data. Interviews at HCFA’s Program Integrity unit, within the Office of Financial Management, revealed that HCFA conducts some limited analysis of billing data. However, this analysis is done on a very broad level, primarily to identify coverage issues.We also reviewed HCFA’s current instructions to the Medicare PROs. We found no instructions to the PROs advising them to perform any routine monitoring and analysis of DRG coding, despite the fact that PROs already have a complete set of inpatient billing data provided to them by HCFA. In fact, HCFA staff told us that the PROs were instructed not to do “coding projects” within their current contract. We did find that PROs are involved in sporadic activity around DRG oversight; however, this activity often is in support of an OIG investigation. (Department of Health and Human Services, Office of Inspector General, 1999, pp. 1–4)Case study 1 questionsSummarize the information presented in this case study.Justify what Health Care Finance Administration should do moving forward with regards to monitoring DRG upcoding.Discuss how differences in an organization’s case mix and payer mix could impact the findings of this study.case study 2OBJECTIVE: To determine (1) whether modifier 59 is being used inappropriately to bypass Medicare’s National Correct Coding Initiative (CCI) edits and (2) to what extent Medicare carriers are reviewing the use of modifier 59.BACKGROUND: In January 1996, the Centers for Medicare and Medicaid Services (CMS) began the CCI. This initiative was developed to promote correct coding by providers and to prevent Medicare payment for improperly coded services. The initiative consists of automated edits that are part of the carriers’ claims processing systems.Specifically, the CCI edits contain pairs of Healthcare Common Procedure Coding System codes (i.e., code pairs) that generally should not be billed together by a provider for a beneficiary on the same date of service. All code pairs are arranged in a column 1 and column 2 format. The column 2 code is generally not payable with the column 1 code. Throughout this report we will refer to the column 1 code as the primary code or service and the column 2 code as the secondary code or service.Under certain circumstances, a provider may bill for two services in a CCI code pair and include a modifier on the claim that would bypass the edit and allow both services to be paid. A modifier is a two-digit code that further describes the service performed. Thirty-five modifiers can be used to bypass the CCI edits. Modifier 59 is one of these modifiers.Modifier 59 is used to indicate that a provider performed a distinct procedure or service for a beneficiary on the same day as another procedure or service. It may represent a different session, different procedure or surgery, different anatomical site or organ system, separate incision or excision, separate lesion, or separate injury (or area of injury in extensive injuries). Modifier 59 should be attached to the secondary, additional, or lesser service in the code pair. According to CMS, this is the second code in a CCI code pair. When modifier 59 is used, a provider’s documentation must demonstrate that the service was distinct from other services performed that day.CMS provides carriers with guidance and instructions on the correct coding of claims, including the use of modifier 59, through manuals, transmittals, and CMS’s Web site. Carriers, in turn, are required by CMS to educate providers concerning issues such as correct coding. Carriers are also responsible for developing their own prepayment and post-payment medical review strategies to identify billing errors.We selected a stratified random sample of 350 code pairs for services that bypassed CCI edits using modifier 59 in fiscal year (FY) 2003. An independent contractor conducted a coding review of the medical records for these services to determine the appropriateness of the use of modifier 59. We performed separate analysis on our FY 2003 data to determine whether modifier 59 was billed with the primary or secondary code. We also surveyed each Medicare carrier to learn about their medical review activities, claims processing systems, and provider education activities related to modifier 59.FINDINGS: Forty percent of code pairs billed with modifier 59 in FY 2003 did not meet program requirements, resulting in $59 million in improper payments. Medicare allowed payments for 40 percent of code pairs that did not meet the following program requirements: (1) the services were not distinct from each other or (2) the services were not documented. Specifically, modifier 59 was used inappropriately with 15 percent of the code pairs because the services were not distinct from each other. Medicare allowed an estimated $31 million for the secondary services in these code pairs. Secondary services are the services that CCI edits would deny. Most of these services were not distinct because they were performed at the same session, same anatomical site, and/or through the same incision as the primary service. Five code pairs represented 53 percent of the services that were not distinct. In addition to services that were not distinct, 25 percent of the code pairs billed with modifier 59 were not adequately documented. Medicare allowed an estimated $28 million for these services. In most of these cases, either one or both services billed were not documented in the medical record, or the documentation indicated that another code should have been billed for one or both of the services performed. In the remaining cases, either the documentation was insufficient to make a determination, or the documentation was not provided.Eleven percent of code pairs billed with modifier 59 in FY 2003 were paid when the modifier was billed with the incorrect code. Pursuant to the “Medicare Claims Processing Manual,” modifier 59 should be billed with the secondary, additional, or lesser service in a CCI code pair. However, our analysis of 3.4 million code pairs showed that 11 percent of the code pairs were paid when modifier 59 was attached to the primary code only. This billing error represented $27 million in Medicare paid claims. Our analysis also indicated that 37 carriers paid for at least 10 percent of their claims billed with modifier 59 when the modifier was attached to the incorrect code.Most carriers did not conduct reviews of modifier 59, but those carriers that did found providers who were using modifier 59 inappropriately. Between 2002 and 2004, 11 of 56 carriers conducted 1 or more reviews of the use of modifier 59. Ten carriers completed at least one review and one carrier’s only review was still in progress. All the carriers that completed reviews found providers who were using modifier 59 inappropriately. One-third of 32 reviews completed found error rates of 40 percent or more for services billed with modifier 59. (Department of Health and Human Services, Office of Inspector General, 2005, pp. i–iii)case study 2 questionsSummarize the information presented in this case study.Determine what CMS encourages carriers to do moving forward regarding using modifier 59.Discuss how claims for other carriers could be impacted by using modifier 59.

Describe why you agree or disagree with what is reported about in the case

Find an online news article involving any kind of juvenile case that you want to discuss. Based on what you have learned so far in this course, address the following:Summarize the articlePresent your analysis of the caseDescribe why you agree or disagree with what is reported about in the caseEnsure that your initial post includesa link to the article that you chose.

Describe the social problem and impacts of the policy in question.

message to your political representative(s). Address the following in your message:Usetheappropriate structure for thedeliveryformat (letter or email).Introduce yourselfandyour intentor request.Describe thesocial problem and impacts of the policy in question.Use facts, stories, or otherdetailstoappeal to the representative(s)and connect the policy work totheirdistrict or state.Provide a call to action—inspire your representative(s)torise to this occasion.Part 2:Submita 1-page reflection of yourprocessfor writing a message toyourpolitical representative(s). Address the following in your short reflection:

Create a 350-word summary identifying 3 key work trait differences you and your team member identified could impact the culture of your organization, and the impact of such differences on succession planning.

Create a 350-word summary identifying 3 key work trait differences you (Wk5MHA543WorkTraits) and your team members (Nicole, Cristal, Crystal, Samuel, & Diana) identified could impact the culture of your organization, and the impact of such differences on succession planning.See attachments for everyone’s table to compare.

Identify one trait from the Big Five (openness, also known as intellect/imagination; conscientiousness; extraversion; agreeableness; or neuroticism, also known as emotional stability) that you think is particularly important for your selected profession and justify your response.

OverviewAs you are aware, life is full of relationships. We consistently interact with individuals who may need to guide us, provide advice, or provide services. Some people achieve success in their field because they possess personality traits that align in ways that work for them and others. Understanding how a person in a certain profession may display personality traits (e.g., the doctor you choose to deliver your baby, the mechanic who changes your brakes, or the teacher you learn from) can help you achieve your goals as you move forward in life.Looking for traits in people is a practice that, in conjunction with what you have already learned about personality, will allow you to better understand people and how people interact in the world. It also opens your mind to personality traits and qualities you may have been previously unaware of, or even misinformed about, but now understand. This can help with day-to-day interpersonal interactions in the world. It could also help with preconceived notions, which may have hindered or separated us from others. Learning and understanding all levels of personality will only help us interact while being different.For this assignment, you will consider different professions and the role that personality traits might have on professionals in that field. These are the types of relationships between professions, professionals, personality traits, and potential stress in the workplace that you will be exploring in this assignment. An example, using the role of a lawyer, has been provided for each criterion in the prompt below. This milestone prepares you for Project Two, due in Module Seven.Professions:DoctorNurseMental health professionalTeacherCustomer service representativePolitical figureBusiness ownerPolice officerPromptTo begin your milestone, you will first select one of the professions from the list provided. Next, use your Project Two Milestone Template Word Document to address each of the following rubric criteria in about 3 to 5 sentences:Personality and the IndividualIdentify one trait from the Big Five (openness, also known as intellect/imagination; conscientiousness; extraversion; agreeableness; or neuroticism, also known as emotional stability) that you think is particularly important for your selected profession and justify your response.For example, it may be important for a lawyer to possess the trait of conscientiousness. Reliability and diligence seem to be an important part of the job. Being disorganized and impulsive might not serve a lawyer’s clients well.Describe whether it would be most ideal for your selected professional to be low, high, or mixed for the Big Five trait you identified for most situations and justify your response.For example, it may be important for a lawyer to score low on neuroticism (high on emotional stability) since they need to listen and think things through. It seems best if negative affect does not interfere with their ability to present a case. However, there are times when lawyers can be seen as emotional and even aggressive.Explain whether you think the effectiveness of the Big Five trait you selected depends on the situation. To justify your response, provide a real or imagined example where the trait would benefit the professional and an example where the same trait would not benefit the professional.For example, maybe openness would be important when a lawyer searches for evidence in favor of the client, but the appearance of openness to new ideas might not be as important while advocating for the client in court.Personality and TeamsIdentify another trait from the Big Five for your selected profession and describe how scoring low, high, or mixed on that trait might influence how that professional conducts their work or interacts with others.For example, it may be important for a lawyer to score average to low on agreeableness. They need to be able to present an opposing view and fight for their clients, but they also must be able to cooperate and work with others within the court system.Explain whether you think it is better to have a diversity of traits within the same profession or among professionals with the same role or whether it is better for the professionals to exhibit the same traits. Justify your response.For example, some lawyers are extroverted and some are introverted. Regardless of how they fall on this trait dimension, they can likely perform their job well. Also, some lawyers are less agreeable than others. Depending on the case, having a choice in the type of lawyer selected can be helpful to meet client needs.Personality, Stress, and CopingDescribe how you would expect your selected professional to cope with stress using a trait you identified previously or a new trait of your choosing.For example, a lawyer would likely cope better with stress if they score lower on the neuroticism trait dimension. This means they would be more emotionally stable and less impulsive.Explain what kind of support you would expect from a person in this profession if you were seeking help or advice. Consider how much emotional intelligence you might expect your selected professional to display.For example, a lawyer would likely be open to hearing a client’s story and seeing it from their perspective. The lawyer would likely want to help the client and offer sound legal advice and a clear plan of action. To be able to advocate for a client, a lawyer would need to be able to step into the client’s shoes and also use legal training and knowledge to leverage the best chance for success.Guidelines for SubmissionSubmit your completed Project Two Milestone Template. If you cite external resources, you must use APA citation style.

Write a 2–3-page report on the professional organizations integrating information from the journal articles.

For this assignment, you will examine the various associations in psychology as they relate to your interests in psychology. For example, if you are interested in Forensic Psychology you would research professional organizations or associations associated with Forensic Psychology.For this assignment, you will choose two professional organizations.Find two recent scholarly journal articles (within the last 2–3 years) related to the two fields of psychology for the professional organizations you have chosen.Write a 2–3-page report on the professional organizations integrating information from the journal articles.

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