Review Melissa’s story: Match the healthcare responsibility to the healthcare professional.
______ A. Physician
1. Providing more information about mono
______ B. Medical and Health Services Manager
2. Diagnosing illness
______ C. Health Coach
3. Processing diagnosis and CPT codes
Health Literacy: Melissa has a responsibility for improving her health. Which of the following demonstrates health enhancing behaviors recommended by the health coach?
After two days of rest, Melissa feels almost normal and returns to school because she has a big test
Melissa was not sure her physician’s diagnosis was correct, so she checked with the athletic trainer to see if they will clear her to play soccer
Melissa’s friend has a prescription for back pain relief and shared two pills with Melissa because they weren’t aspirin
Melissa does not play in the championship soccer game until she is cleared by her physician
Health Literacy: Melissa tells her soccer coach that she cannot play in the championship game. They decide to call Dr. Smith to confirm that Melissa has mononucleosis. What do you think Dr. Smith will tell Melissa’s soccer coach?
Dr. Smith will confirm Melissa’s diagnosis
Dr. Smith is unable to tell her soccer coach anything because of the HIPAA rule
Dr. Smith will tell her soccer coach that Melissa cannot play in the state championship because she could rupture her spleen
Dr. Smith will tell her soccer coach that Melissa’s condition is not serious and she is able to play in the game
Health Literacy: Why is an antibiotic not going to help cure Melissa’s mono?
Antibody: A substance produced by the body to fight disease.
(“Antibody.” Merriam-Webster. Merriam-Webster, n.d. Web. 06 August 2014.)
Infectious Mononucleosis: A specific viral infection (with the Epstein-Barr virus) in which there is an increase of white blood cells that are mononuclear (with a single nucleus).
(“Infectious Mononucleosis.” Medterms. N.P., n.d. Web. 05 August 2014.)
Viral Infection: Infection caused by the presence of a virus in the body. Depending on the virus and the person’s state of health, various viruses can infect almost any type of body tissue, from the brain to the skin. Viral infections cannot be treated with typical antibiotics; in fact, in some cases the use of antibacterial antibiotics may cause side-effects that complicate the viral infection. The vast majority of human viral infections can be effectively fought by the body’s own immune system, with a little help in the form of proper diet, hydration and rest.
(“Viral Infection.” Medterms. N.p., n.d. Web. 24 July 2014.)
Spleen: An organ that is located in the upper-left part of the abdomen, not far from the stomach. It produces lymphocytes, which are important elements in the immune system.
(“Spleen.” Medterms. N.p., n.d. Web. 05 August 2014.)
Aspirin: A medicine that relieves pain and reduces fever.
(“Aspirin.” TheFreeDictionary.com. N.p., n.d. Web. 05 August 2014.)
Reye’s Syndrome: An extremely rare but serious illness that can affect the brain and liver, occurs most commonly in kids recovering from a viral infection.
(“Reye Syndrome.” KidsHealth. Ed. Yamini Durani. The Nemours Foundation, Oc Oct. 2011. Web. 05 August 2014.)
Antibiotic: A drug used to treat bacterial infections. Antibiotics have no effect on viral infections. Originally, an antibiotic was a substance produced by one microorganism that selectively inhibited the growth of another. Synthetic antibiotics, usually chemically related to natural antibiotics, have since been produced that accomplish comparable tasks.
(“Antibiotic.” Medterms. N.p., n.d. Web. 05 August 2014.)
ICD-10-CM Diagnosis code: The abbreviated way to refer to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS).
(“ICD-10 Code Set to Replace ICD-9.” American Medical Association. N.p., n.d. Web. 26 August 2014.)
Current Procedural Terminology (CPT): A formal classification of diagnostic and therapeutic procedures performed by physicians and other health care providers, published in annual revisions since 1996 by the American Medical Association (AMA). Each procedure is assigned a 5-digit code. The system was developed by the Health Care Financing Administration (HCFA) to assist in the assignment of the reimbursement amounts to providers by Medicare carriers. Many managed care and other insurance carriers base their reimbursements on the values established by HCFA.
(“Definition: Current Procedural Terminology.” Current Procedural Terminology. N.p., n.d. Web. 5 August 2014.)