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When do you believe medications are warranted for treating psychological disorders?

Now this is one area of psychology that contains a diversity of opinions, both learned and ‘personal’. So, here goes a few thoughts to get you thinking.

1. When do you believe medications are warranted for treating psychological disorders? [Distinguish your answer between children and adults.] Sadly, some who need medication for their disorders refuse to use them.

2. Until you read this chapter, what did you think of ‘mental illness’ compared to how you now understand it to be? Did your opinions change on this matter?

3. If you know someone with a mental illness and feel comfortable posting it, how is the person treated (or refuse to be treated) and how difficult has the person’s progress been over the years?

I kept these somewhat general so your answers can reflect diversity of opinions…While the DSM-5 is the current manual, there are still those who still use the DSM-IV-TR, this question is a fusion between both manuals.

Some points:

1. Agoraphobia is no longer linked to Panic Disorder

2. Go with my descriptions of Bipolar Disorder from my notes- after reviewing the DSM-5 and what has been noted in several texts, there is definitely some misinterpretation of what the manual is actually saying.

explain how to improve documentation to support coding and billing for maximum reimbursement.

EVALUATION AND MANAGEMENT (E/M)

Insurance coding and billing is complex, but it boils down to how to accurately apply a code, or CPT (current procedural terminology), to the service that you provided. The payer then reimburses the service at a certain rate. As a provider, you will have to understand what codes to use and what documentation is necessary to support coding.

For this Assignment, you will review evaluation and management (E/M) documentation for a patient and perform a crosswalk of codes from DSM-5-TR to ICD-10.

RESOURCES

Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.

WEEKLY RESOURCES

· American Psychiatric Association. (2022). ICD-10-CM Codes Update Links to an external site. . https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/updates-to-dsm-5-tr-criteria-text

· American Psychiatric Association. (2022). Changes to ICD-10-CM Codes for DSM-5 Diagnoses Links to an external site. . https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm/coding-updates

· American Psychiatric Association. (2020). Updates to DSM–5 criteria, text and ICD-10 codes Links to an external site. . https://www.psychiatry.org/psychiatrists/practice/dsm/updates-to-dsm-5

· American Psychiatric Association. (2013). Insurance implications of DSM-5 Links to an external site. . https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM_Insurance-Implications-of-DSM-5.pdf

· Clicking on this link will initiate the download of the PDF.

· American Psychiatric Association. (2020). Coding and reimbursement Links to an external site. . https://www.psychiatry.org/psychiatrists/practice/practice-management/coding-reimbursement-medicare-and-medicaid/coding-and-reimbursement

· American Psychiatric Association. (2022). Numerical listing of DSM-5 diagnoses and codes (ICD-10-CM). In Diagnostic and statistical manual of mental disorders Links to an external site. (5th ed., text rev.). https://go.openathens.net/redirector/waldenu.edu?url=https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425787

· Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.

· Chapter 9, “Reimbursement for Nurse Practitioner Services”

· Centers for Medicare & Medicaid Services. (2020). Your billing responsibilities Links to an external site. . https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/ProviderServices/Your-Billing-Responsibilities

· Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.) . Jones & Bartlett Learning.

· Chapter 15, “Reimbursement for Nurse Practitioner Services”

· Walden University Academic Skills Center. (2017). Developing SMART goals Links to an external site. . https://academicguides.waldenu.edu/ld.php?content_id=51901492

· Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.

· Chapter 4 “Neuroanatomy, Physiology, and Mental Illness”

· Document: E/M Patient Case Study

TO PREPARE

Reflect on the study plan you created in NRNP 6665. Did you accomplish your SMART goals? What areas of focus still present opportunities for growth

· Review this week’s Learning Resources on coding, billing, reimbursement.

· Review the E/M patient case scenario provided.

THE ASSIGNMENT

· Assign DSM-5-TR and ICD-10 codes to services based upon the patient case scenario.

Then, in 2 pages address the following. You may add your narrative answers to these questions to the bottom of the case scenario document and submit altogether as one document.

· Explain what pertinent information, generally, is required in documentation to support DSM-5-TR and ICD-10 coding.

· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

· Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.

Prepare at least 9 questions and answers designed to help your audience members learn about the characters and their actions in the readings

*THEMES: A Nation of Laws and Movements, Equal Opportunity, Muhammad Ali, Angela Davis, Malcolm X, etc.

*Imagine you are a talk show host and interview the main character (s) from the readings. Prepare at least 9 questions and answers designed to help your audience members learn about the characters and their actions in the readings

*PLEASE look at power points & talk show example

*No specific word count

How will you encourage persistence and a growth mindset throughout this lesson?

TEXAS ESSENTIAL KNOWLEDGE AND SKILLS:

LEARNING OBJECTIVE(S): The student will

ASSESSMENT/PERFORMANCE MEASURE:

MATERIALS and SETTINGWhat materials do you need for this lesson? What is the setting? Are students in pairs, groups, stations, floor, library, science lab?
KEY VOCABULARY and ACADEMIC LANGUAGEWhat vocabulary terms must students know to understand the concept being taught?
FOCUS ACTIVITY/ANTICIPATORY SETWhat activity will students engage in that will pique their interest about the upcoming lesson? Think of this like a preview for an upcoming movie – something that ignites curiosity
CONNECTION TO PRIOR LEARNING OR REAL WORLDThis is what you say to students about what they have already learned and how it prepares them for what they are about to learn; review what they have learned to prepare them for the upcoming lesson.
OBJECTIVE STATEMENT (be sure to include the performance measure)This is what you say* to students about what students will learn today, and how they will show they have learned the content (that is the performance measure)*
PURPOSE OF LEARNINGWhy do students need to learn this today? This should be written in what you will say to students and should include both why it is important to the content and why it is relevant in their lives.
INSTRUCTIONAL STEPSInclude:Step by Step InstructionsKey PointsDirections to give
LITERACY STRATEGIES USED
STUDENT USE OF TECHNOLOGY
CLOSURE:Review: How will you cement the learning that has taken place in this lesson?Connect to future learning: How will what students learned today help them in upcoming lessons?

REFLECTION QUESTIONS: Answer each of the following questions in the text box provided. Your answer should be written in complete sentences and be at least one and no more than three paragraphs per question.

1. Explain how the instructional strategies you chose for this lesson help your students learn the material. Consider the diverse learning needs in a typical classroom, including your students who are below grade level or English learners.

2. Explain what criteria you will use to group students. Include things such as group size, learner characteristic, special needs of specific students, etc.

3. Explain how this lesson plan supports what we know about how learning occurs and how learners develop, construct meaning, and acquire knowledge and skills

4. How will you encourage persistence and a growth mindset throughout this lesson?

Is the process of approval the same across all health care facility?

Importance of budgeting for a change project in healthcare.

Who are the stakeholders that are involved in a change project ?

Is the process of approval the same across all health care facility?

1 page

describe the difference between job order costing and process costing.

Please describe the difference between job order costing and process costing. Please provide three examples of companies that would use either and explain why one way would be preferred over the other.

How would a master budget support planning, directing, and control for Domino’s?

Read Case 13-4. How would a master budget support the three objectives of planning, directing and control for Domino’s?

Submission Instructions:

Your initial post should be 200-300 words, formatted and cited in current APA style.

Domino’s Pizza LLC operates pizza delivery and carryout restaurants. The annual report describes its business as follows:

We offer a focused menu of high-quality, value priced pizza with three types of crust (Hand-Tossed, Thin Crust, and Deep Dish), along with buffalo wings, bread sticks, cheesy bread, CinnaStix®, and Coca Cola® products. Our hand-tossed pizza is made from fresh dough produced in our regional distribution centers. We prepare every pizza using real cheese, pizza sauce made from fresh tomatoes, and a choice of high-quality meat and vegetable toppings in generous portions. Our focused menu and use of premium ingredients enable us to consistently and efficiently produce the highest-quality pizza. Over the 41 years since our founding, we have developed a simple, cost-efficient model. We offer a limited menu, our stores are designed for delivery and carry-out, and we do not generally offer dine-in service. As a result, our stores require relatively small, lower-rent locations and limited capital expenditures.

How would a master budget support planning, directing, and control for Domino’s?

Name 3 differential diagnoses based on this patient presenting symptoms?

Female Genitourinary, & Musculoskeletal

Case 1

Chief Complaint (CC)

“I have a tumor on my left breast”

History of Present Illness (HPI)

A 55-year-old African American social worker presents to your clinic with a finding of a lump in her left breast while in the shower this past week.

Drug Hx

I took birth control pills for 10 years, starting when I was 20 I am not on hormone replacement

Family Hx

My grandmother had breast cancer when she was 76 years old

Subjective

Denies any fever or chills. No changes in vision or hearing, no difficulty chewing or swallowing. Supple neck, states that she does self-breast-exams on occasion. Menopause at 52 No skin changes or nipple discharge from the left breast

Objective Data

Vital signs

temperature 98.6°F; respiratory rate (RR) 16; heart rate (HR) 80, regular; blood pressure (BP) 130/84; height: 5′8″; weight 160 lbs; body mass index (BMI) 24

General

well developed, nourished, healthy-appearing female

HEENT

Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.

Lungs

clear to auscultation

Cardiac

regular rate and rhythm (RRR)

Breast

Examined in sitting and supine positions. In sitting position, no evidence of skin changes, right breast is slightly larger than the left, symmetrical movement with the arms above the head and at the side and with flexion of the pectoral muscles; 5-mm nonmobile, non-tender, firm mass felt at 10 o’clock position, 5 cm from the areola. Right breast without dominant masses or tenderness. Nipples without inversion or evidence of nipple discharge. Breast mass is palpated in the supine position in the same manner as in the sitting position

Lymph

negative axillary, infraclavicular, and supraclavicular lymphadenopathy

Abd

normoactive bowel sounds x 4

Bladder is non-distended.

Integument

good skin turgor noted, moist mucous membranes

Muscles are smooth, firm, symmetrical. Full ROM. No pain or tenderness on palpation.

Neuro

No obvious deformities, CN grossly intact II-XII

Once you received your case number, answer the following questions:

1. What other subjective data would you obtain?

2. What other objective findings would you look for?

3. What diagnostic exams do you want to order?

4. Name 3 differential diagnoses based on this patient presenting symptoms?

5. Give rationales for your each differential diagnosis.

6. What teachings will you provide?

Your initial post should be at least 550 words, formatted and cited in current APA style with support from at least 3 academic sources.

develop figures/charts/pseudo-codes showing such architecture along with the main components and the functions per component.

In this option, you will select only one of the following topics, do enough readings on the selected topic from important research resources, and finally develop a 4-page research document summarizing your findings and answering the questions listed under the selected topic in enough details.

Topic	Description
1	While using paging for memory management, we need a *page replacement algorithm* to select a page to be replaced when a new page is required. First In First Out (FIFO), Least Recent Used (LRU), and Least Frequent Used (LFU) are three methods for the page replacement.What is page replacement? and how does each of these methods work? – Describe the steps and provide example(s).
2	Demand paging in a memory management system requires a *frame allocation algorithm* . When there are multiple processes, this algorithm is used to decide how many frames to allocate to each process.What is frame allocation? what is the difference between equal allocation and proportional allocation? and what is the difference between global and local allocation?
3	The *banker’s algorithm* is a resource allocation and deadlock avoidance algorithm. The algorithm is used to check the safety of the system before deciding whether allocation of a resource should be allowed or not.What is this technique? and how does it work? – Describe the steps and provide example(s).
4	I am interested in another operating-systems related topic (e.g., Multi-processor scheduling and load balancing) and I would like to do a research on such topic instead.In this case, you need to discuss the topic with me first and get my confirmation before you can start working on it.

Step1: Select one topic from those listed in the table above, the best way to do this step is to do a quick read on each of these topics and accordingly select a topic of your interest.

Step2: Use the Internet to prepare at least two references ( research papers, chapters from textbooks) that will assist you developing the required research. Don’t consider a blog or a Wikipedia page or a YouTube video to be a reference – these can be side resources not references.

Step3: You will develop a minimum of 4-pages research document (Use Times New Roman, font size 12, Single Spaced) summarizing your findings and answering the questions listed under the selected topic in enough details, as follows:

· Use your own words to describe the topic in an appropriate way, make your target readers to be with no pre-knowledge of your topic , so don’t use abbreviations or keywords without explaining them.

· Develop appropriate figures/charts/pseudo-codes that help you describe your topic in a smooth way. For example, if your topic is about an algorithm to avoid deadlock, develop figure/figures/pseudo-codes showing such the steps and include the essential information on the figures/charts/pseudo-codes. If your topic presents certain architecture, develop figures/charts/pseudo-codes showing such architecture along with the main components and the functions per component.

· Use the tool you find appropriate to develop figures/charts/pseudo-codes. (you are not allowed to copy figures from online/offline resources – develop your material, plagiarism will be checked and will receive zero).

Explain how you would describe to the management team the difference between a compliance and a substantive audit.

Assignment Description

Graduate Programs Discussion Boards

Discussion Boards (DB) are a key component of online learning. They foster active participation of learners and dialogue with fellow learners and instructors. Graduatelevel courses require learners to create original posts to course DBs and to engage in dialogue by responding to posts created by others throughout the course. Original posts and responses should be substantive, and if references are made to the works of others, APA guidelines for intext citations and references apply.

Minimum Weekly DB Expectations

Post an original and thoughtful Main Post to the DB prompt. Respond to at least 2 other posts from learners and/or the instructor (Response Posts). The first contribution (Main Post or Response Post) must be posted before midnight (Central time) on Friday of each week. Two additional responses are required after Friday of each week. For DB assignment prompts with a Part One and Part Two, Part One should be addressed in the first week of the unit with a Main Post and minimum of 2 Response Posts, and Part Two should be addressed in the second week of the unit with a Main Post and a minimum of 2 Response Posts.