Reimbursement Analysis For Innovative Corrective Helmet For Pediatrics:
A corrective helmet, my innovation for the appraisal and treatment of pediatric head trauma will be utilized on both inpatient and outpatient premise. According to a doled out textbook, Inpatient implies when a patient is expected for a hospital stay of 24 hours or an increasingly or an overnight remain. While outpatient implies regularly patients released around the same time of admission. Be that as it may, as of recent CMS has posted “two-midnight rule” i.e. patient ought to be dealt with as an outpatient until three calendar days of hospital stay. In this way, contingent upon the severity of head injury, the basis as either in/out-patient for utilization of my innovative
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In some cases, Insurance agencies (Private/Government) collaborate with patient & his family to obligate a treatment and the charges are settled later. Location of Procedure: As it consists of wearable technology, generally surgery is not advised. But in case of creation of a terrible head trauma, framework of treatment incorporates surgical inclusion within inpatient hospital setting. Intensive Care Unit(ICU) is often utilized in the performance of surgery within the specialist’s facility setting.
Covering Decisions: Looking over applicable coverage determination that exists and to find the fitting codes and extends of codes to find firmly related data was extremely troublesome. I recuperated information respect to “ICP(Intracranial Pressure) Monitoring”. ICP is the prime factor responsible for the function of my innovation and is the basis for the monitoring of Pediatric head trauma. This information includes favorable positions arrangements covers inpatient hospital settings and specialists’
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A8001 - Helmet, with a hard interface, pre-assembled, defensive, other components & accessories.
A8002 - Helmet, with a soft interface, custom pre-assembled, defensive, other components & accessories.
A8003 - Helmet, with a hard interface, custom pre-assembled, defensive, other components & accessories.
L0112 - Cranial cervical orthotic, innate torticollis, presence/absence of soft interface’s material, custom assembled.
L0113 - Cranial cervical orthotic, torticollis, presence/absence of soft interface’s material, custom assembled incorporates fitting & change.
S06.2x9a - initial encounter, diffuse traumatic injury, loss of consciousness, an undefined period for loss of consciousness.
S06.309a - initial encounter, focal traumatic injury, loss of consciousness, an undefined period for loss of consciousness.
S06.889a - initial encounter, defined traumatic injury, loss of consciousness, an undefined period for loss of consciousness.
S06.9x9a - initial encounter, an undefined traumatic injury, loss of consciousness, an undefined period for loss of consciousness.
ICD-10 CODES WHICH ARE APPLICABLE
“The noise was so terrific, and the concussion so great that I was thrown to the ground and had no idea where the damage was. I flew through the chest and abdo wards and called out: ‘are you alright boys?’ ‘don’t bother about us’ was the general cry.”
The brain is an incredibly complex organ, but also vulnerable to damage from outside forces. “Traumatic brain injury (TBI) is a major cause of death, especially in young adults, and a major cause of disability” (Mayer, 2005, p. 483). Accidents can result in forces that jar the skull, causing the brain to strike the skull walls causing bruising or hemorrhaging. In some cases, swelling can lead to herniation in the brain and restricted blood flow that can lead to cognitive impairment. In more severe cases, the result is either a vegetative state or death. Two scales used to measure the severity of TBI are the Glasgow Coma Scale (GCS), which measures from 3 being comatose to 15 indicating minor trauma based on eye, verbal, and motor responses, and the Abbreviated Injury Scale (AIS), whose last number indicates severity from 1, which indicates minor injury, to 6, indicating certain death. Violence, car accidents, work accidents, and sports injuries are well known causes of TBI.
Did you know, that someone suffers from a brain injury every 21 seconds (Haas)? Children get concussions all the time, and most of the time they go unnoticed. The majority of concussions happen when one is playing a sport such as football, hockey, or lacrosse. Many famous athletes have had their careers, even their lives cut short due to concussions. Brain damage and death can result from serial concussions (Schafer). When one suffers from a concussion, one’s brain needs time to recover physically and mentally. Between 2002 and 2006, statistics showed that 52,000 people died from concussions and about 275,000 were hospitalized (Fundukian). Everyone’s recovery process is different (“Injury and Pain Care”). Although concussions seem minor, they are very serious brain injuries that may result in severe damage to one’s brain.
The injury is defined as a concussion when “it causes a change in mental status such as amnesia, disorientation, mental fogginess, confusion, nausea or vomiting, blurred vision or loss of consciousness.” (Mayo Clinic, n.d.)
The rapid objective methods in the diagnosing, evaluating, and follow up of the battlefield mild traumatic brain injury needs treatment standards. There are standards for the moderate to...
Concussion can also be described as an acute brain injury resulting from mechanical energy to the head from
A tampering rod through the head is how 25-year-old Phineas Gage became the most notable case of Traumatic Brain injury of the 19th century. With more than 1.7 million people each year who sustain an injury, why does this one case become so interesting? The reason behind this is the result of the injury. When Gage had the tampering rod penetrate his skull it completely changed his personality. From a once mild mannered individual to a foul mouth and persistent person, Gage became interesting cases in history. Gage starts us off with our topic of Traumatic Brain Injury (TBI) because in the US there are around 50,000 deaths, 270,000 hospitalizations, and 1.36 million who are treated and released to go home (Alzheimers Organization, 2014). A TBI is defined when an external mechanical force causes brain dysfunction.
When a concussion occurs it goes through a specific process for everything. First the collision occurs on the head with great force. Next a s...
“Bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move
Younis et al (2011) assert that the leading cause of brain trauma is falls. In the United States for example, falls contribute about 32.5% of brain trauma. The prevalence of falls in causing brain trauma is prevalent in the children from 1-14 age groups and the elderly, that is, from 65 years and older ( Younis et al, 2011). The falls rate in the aforementioned in childhood is mainly attributed to a combination of factors amongst which include curiosity, imm...
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture.
trauma patients are persons that have sustained injuries from a car accident, falling from high
Head trauma accounts as one of most common injuries and the leading cause of mortality among pediatric population [CDC]. The seriousness of identifying clinically-important Traumatic Brain Injury (ci-TBI) following head trauma necessitates the use of Computerized Tomography (CT) scan. Currently, CT scans are used as reference standard of diagnostic modality. This imaging modality is highly sensitive in diagnosing intracranial injuries and classifying patients needing neurosurgical intervention. The neurological manifestations following head trauma range from loss of consciousness to life-threatening injuries. The American Academy of Pediatrics (AAP) identifies Minor Head Injury (MHI) in otherwise healthy children more than 2 years of age as
Any blow to the head can warrant a concussion. Sport accidents, falls, fights, and car accidents are th...
Paramedics are frequently presented with neurological emergencies in the pre-hospital environment. Neurological emergencies include conditions such as, strokes, head or spinal injuries. To ensure the effective management of neurological emergencies an appropriate and timely neurological assessment is essential. Several factors are associated with the effectiveness and appropriateness of neurological assessments within the pre-hospital setting. Some examples include, variable clinical presentations, difficulty undertaking investigations, and the requirement for rapid management and transportation decisions (Lima & Maranhão-Filho, 2012; Middleton et al., 2012; Minardi & Crocco, 2009; Stocchetti et al., 2004; Yanagawa & Miyawaki, 2012). Through a review of current literature, the applicability and transferability of a neurological assessment within the pre-hospital clinical environment is critiqued. Blumenfeld (2010) describes the neurological assessment as an important analytical tool that evaluates the functionality of an individual’s nervous system. Blumenfeld (2010) dissected and evaluated the neurological assessment into six functional components, mental status, cranial nerves, motor exam, reflexes, co-ordination and gait, and a sensory examination.