Instructions
You do not need to write your proposal in APA format. You do need to complete a cohesive, coherent, organized, and well-written proposal. Much of the information you include in your proposal will come from your previous assessments. Be sure your proposal includes all of the following headings and your narrative addresses each of the bullet points.
Introduction

Explain what information you propose to collect.
Provide the reasons for collecting this information.
Describe how could this information be used to validate or improve the quality of care at your facility.

Data Collection Plan

Propose an implementation plan and detail the information you plan to collect at your facility, including where and how it will be collected:
Specify the following:

The time period you propose to review.
The system applications you will use to collect the health information.

Write a narrative, create a timeline, build a flowchart, or use any other method of your choosing to demonstrate the flow of health record information through the information life cycle from creation to destruction. Identify those sections within the life cycle from which you will retrieve information.
Explain the use of information from an HIE and describe how it may affect patient care, clinical knowledge, and population health data.
Detail the personnel required to complete the health information review, including their needed skills and required training and job aids.
Describe strategies that will be employed to help personnel implement the review study.

Data Security Plan

Plan measures to protect PHI.
Apply laws governing health information confidentiality, privacy, and security.
Plan for the impact of HIPAA on health care personnel, policies, and procedures.

Benchmarking Plan

Identify the sources of national data and quality measures.
Describe how you will use the national data and quality measures as benchmarks to compare with data from your facility.
Explain how you will ensure data standardization, along with any other factors you need to take into account, so the data from these sources is compatible with the data you plan to collect.
Explain how the collected data will be compared to the benchmarking and quality standards.

Quality and Change Management Strategies

Explain how data outcomes could be used to perform quality improvement reviews and recommend evidence-based best practices for policies and procedures based on outcomes.
Recommend best practices for departmental workflow that will support the information review you are proposing.
Describe relevant evidence-based best practices and procedures from peer-reviewed articles or Internet resources that could facilitate needed changes.

Implementation

Detail the steps for implementing the information review study along with the expected time frames.

Conclusion

Summarize how the proposed study will improve the quality of patient care for your physician group.

Assignment 1: 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 to ICD-10. 

To Prepare

Review this week’s Learning Resources on coding, billing, reimbursement.
Review the E/M patient case scenario provided.

The Assignment

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

Then, in 1–2 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 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.   

Learning Resources
Required Readings (click to expand/reduce)
American Psychiatric Association. (2020). Updates to DSM–5 criteria, text and ICD-10 codes. https://www.psychiatry.org/psychiatrists/practice/…

American Psychiatric Association. (2013). Insurance implications of DSM-5. 
https://www.psychiatry.org/File%20Library/Psychiat…

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

American Psychiatric Association. (2020). Coding and reimbursement.
https://www.psychiatry.org/psychiatrists/practice/…

American Psychiatric Association. (2013). Numerical listing of DSM-5 diagnoses and codes (ICD-10-CM). In Diagnostic and statistical manual of mental disorders (5th ed.).https://dsm-psychiatryonline-org.ezp.waldenulibrar…

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. https://www.cms.gov/Medicare/Coordination-of-Benef…

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. https://academicguides.waldenu.edu/ld.php?content_…

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 

Critical Thinking: Corporate Strategy and Diversification 
Corporate diversification strategies raise a wide range of strategic management issues. For this week’s critical thinking assignment, read the case study found in your textbook (Case 19): Google Is Now Alphabet—But What’s the Corporate Strategy?
Remember, a case study is a puzzle to be solved, so before reading and answering the specific case and study questions, develop your proposed solution by following these five steps:

Read the case study to identify the key issues and underlying issues. These issues are the principles and concepts of the course area which apply to the situation described in the case study.
Record the facts from the case study which are relevant to the principles and concepts of the course area issues. The case may have extraneous information not relevant to the current course area. Your ability to differentiate between relevant and irrelevant information is an important aspect of case analysis, as it will inform the focus of your answers.
Describe in some detail the actions that would address or correct the situation.
Consider how you would support your solution with examples from experience or current real-life examples or cases from textbooks.
Complete this initial analysis and then read the discussion questions. Typically, you will already have the answers to the questions but with a broader consideration. At this point, you can add the details and/or analytical tools required to solve the case.

Case Study Questions:

What is Google’s corporate strategy? Does Google have a clear vision of what it wants to become?
Use Porter’s Essentials Test (Chapter 12) to determine if this strategy creates competitive advantage. If so, how? If not, why not?
Look beyond the conventional sources of synergy and consider complementarities, bargaining power, and rivals. What threats does Google face?
Does Google need to refocus? How should Google delineate its corporate boundaries and which businesses, or products would you recommend abandoning or divesting, if any?

Your well-written paper should meet the following requirements:

Be 7 to 8 pages in length, which does not include the title page or required reference page, which are never a part of the content minimum requirements.
Use Saudi Electronic University academic writing standards and APA style guidelines.
Support your submission with course material concepts, principles, and theories from the textbook and at least two scholarly, peer-reviewed journal articles unless the assignment calls for more.
It is strongly encouraged that you submit all assignments into the Originality Check before submitting it to your instructor for grading. If you are unsure how to submit an assignment into the Originality Check tool, review the\ Originality Check—Student Guide for step-by-step instructions.
Review the grading rubric to see how you will be graded for this assignment.

This assignment asks you to reflect on process writing. You’ll view videos about process writing that show teachers implementing it in their classrooms. Then you’ll answer some questions that relate the videos to English language learners. Lastly, you’ll give some thoughts about process writing with your current or future students.To complete this assignment, work through the 2 parts below:Part 1: Watch and respond to the following 4 (or 5 🙂 videos:1. Video: (02:53)The Writing Process (Links to an external site.)Note – There is a typo in this video. Sigh. But the information is sound.How might you implement the writing process with a group of intermediate language learners? (min. 3 sentences)________________________________________________________________2. Video: optional (03:02):What is Writing Workshop? (Links to an external site.)Captioned video: What Is Writing Workshop? (Links to an external site.)Note – This ends abruptly, but does go over the parts of writing workshop. So if you are unfamiliar with writing workshop check this video out before the next one.Video (09:44):Writers Workshop (Links to an external site.)Captioned video: Writers’ Workshop (Links to an external site.)Note – This shows a minilesson, then students writing. The sharing portion is not included.What changes would you make in the lesson to accommodate beginning or intermediate English learners? (min. 3 sentences)________________________________________________________________3. Video: (7:51)Differentiating Instruction Through Writer’s Workshop (Links to an external site.)How does the writing workshop process seem to work for the students in the class? How would you use the process with intermediate English learners? (min. 3 sentences)________________________________________________________________4. Video: (01:26)Writers’ Workshop | Chagrin Falls High School (Links to an external site.)Captioned video: Writer’s Workshop | Chagrin Falls High School (Links to an external site.)Note – This is a brief example of peer editing.Which aspects of the procedure would work well with English learners? What modifications would you make to better serve English learners? (min. 3 sentences)______________________________________________________________________________________________________________________________Part 2: Answer the questions below (min. 3 sentences each):5. Have you used process writing – either personally or with students? Which parts worked well? Why? Which didn’t? Why? (If process writing and writer’s workshop are totally new to you, then discuss your writing experiences in school.)6. How do you think process writing or writing workshop would work with your students? Explain. (If you are teaching in middle school or high school (or that’s where you want to teach) in a content area other than English Language Arts, don’t tell me why it won’t work. Rather, tell me how you could make it work if you had to do it. 😉

Summarize the case in half a page page (Font Size 12/ Paragraph Spacing 1.5/ Font Type Times New Roman) and answer the following questions:Describe clearly each the accounting changes Harnischfeger made in 1984 as stated in Note 2 of its financial statementsWhat is the monetary effect of the depreciation accounting method change on the reported income in 1984?How and by how much ($) will this change affect profits in future years? (provided numerical answers)What is the monetary effect of the depreciation lives change? How and by how much ($) will this change affect future reported profits? (provided numerical answers)The depreciation accounting changes assume that Harnischfeger’s plant and machinery will last longer and will lose their value more slowly. Given the business conditions Harnischfeger was facing in its primary industries in 1984, are these economic assumptions justified?In Note 7, Harnischfeger describes the effect of LIFO inventory liquidation on its reported profits in 1984. Describe what is meant by LIFO liquidation and how liquidation affects a company’s income statement and balance sheet. What is the monetary impact ($) of this LIFO liquidation on 1984 income? (provided numerical answers)Note 8, states Harnischfeger’s allowance for doubtful accounts. Compute the ratio of the allowance to gross receivables (receivables before the allowance) in 1983 and 1984. What would the allowance have been ($) if the company maintained the ratio at the 1983 level? How much did the pre-tax income increase ($) as a result of the changed ratio in 1984? (provided numerical answers)Note 9, page 216, states that Harnischfeger decreased R&D expense in 1984 relative to the previous two years. Do you think this change was motivated by business considerations or accounting considerations? How and by how much ($) did this change affect the company’s reported profits in 1984? (provided numerical answers)Note 11, describes a number of changes in Harnischfeger’s pension plans in 1984. Describe these changes as clearly as you can. What are the economic consequences of these changes to Harnischfeger and its workers?How and by how much ($) did the pension plan changes affect Harnischfeger’s financial statements in 1984? Are these changes likely to affect future profits? If so by how much ($)? (provided numerical answers)Summarize all the accounting changes Harnischfeger made in 1984, and their monetary impact on revenues ($), pre-tax profits ($), and cash flows ($) in 1984. (provided numerical answers)The financial accounting statements are used by: investors, lenders, customers, employees, and governments in dealing with Harnischfeger. Among these groups, who is most likely to “see through” the above accounting changes, and who is least likely to do so?Are the accounting changes likely to help or to hinder Harnischfeger’s ability to implement its business plan? Be as specific as possible.