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.”
Commotio cordis occurs after a blunt, non-penetrating blow to the precordial area of the chest wall that results in the induction of an often fatal ventricular fibrillation in a heart that does not have a preexisting structural or electrophysiological cardiovascular disease (Yabek, 2011). The blow is often perceived to be irrelevant, yet can cause a debilitating injury or even death. Death may be sudden or after a brief period of lucidity with purposeful movement prior to collapse (Yabek, 2011). The emphasis of commotio cordis in this paper will be on it occurring in sports, as it is most commonly happens there. It has also been known to occur when impact of the chest occurs, such as a steering wheel during a motor vehicle accident, playful boxing, bodily contacts, parental discipline, and even a closed fist punch to the chest (Maron, Goham, Kyle, Estes III, & Link, 2002).
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.
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.)
Thesis Statement: Our veterans deserve for the procedures implicated in the treatment of all mild head injuries to have detailed diagnostic testing, in-depth evaluations, and follow up so there are not adverse future effects.
In the case of Mr. B’s, an investigation into the events surrounding to and leading up to his untimely death would be required. Once the problem has been identified and described, data of events are collected and formatted into a timeline. From the events, any problems in the care of the patient which may have contributed to the end result are identified and determined whether they are causative. In appendix A, the timeline of the event is outlined.
Concussion can also be described as an acute brain injury resulting from mechanical energy to the head from
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
trauma patients are persons that have sustained injuries from a car accident, falling from high
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.
Any blow to the head can warrant a concussion. Sport accidents, falls, fights, and car accidents are th...
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
5: to break down in vital energy, stamina, or self-control through exhaustion or disease; especially: to fall helpless or unconscious