Your aunt has had back problems for years, and rather than have surgery, she decides to research alternative medicine. Her daughter had never heard of this type of medicine and was curious if it can help people.

What do you understand by Complementary and Alternative Medicine (CAM)? In your culture, what are some alternative "medicines" that people use? Have you ever tried CAM? or if not, would you be willing to try?

Feel free to share your experiences.

Evaluation and Management Section: Assign a CPT code for preventive medicine service to a 56-year-old established patient.

Mrs. Tom, a 79 year old female presents to the ER with complaints of a persistent productive cough, fatigue, fever and shortness of breath. Mrs. Tom reports that she has had a persistent cough and shortness of breath with activity for several months. She was given a prescription for antibiotics for a presumed infection 4 weeks ago, with only slight improvement in symptoms. Her past medical history includes stroke 6 months ago. She also smokes 20 cigarettes per day. On exam, she has a fever with decreased lung sounds bilaterally to auscultation with the right side slightly more obvious than the left. She is obviously short of breath and presents with 4-word dyspnea. Her vital signs are BP 110/70, HR 99, SP02 94% on 4 L of oxygen via nasal prongs, Temp 38.9.

1. Identify the infection of inflammatory response that Mrs. Tom is experiencing? (2)

2. Explain the pathology of how smoking affects the innate defense system of the lungs? (5)

3. What diagnostic tools could you expect to be used in this case? (xray,CT,laboratory data etc). (2)

4. Identify risk factors that Mrs. Tom has that are associated with the diagnosis? (3)

5. Internal medicine assesses Mrs. Tom and orders a STAT lactate and arterial blood gasses. Based on the patient’s vital signs above, what would you expect to see in the results of these tests? (5)

Imagine you are working in a medical office. The physician says that he/she would like you to take intensive training to learn more about the billing notes for Medicare due to the number of claims that are being rejected. What are three (3) examples of wrong billing that could affect the claim such as a denial, and what can you do to avoid future problems? For this essay, please explain the topic in 350-450 words with examples from the reading and discussion board posts to support your answer.  Be sure to provide details in a clear, organized flow of thought that is grammatically correct and easy to understand that follow the essay rubric.

Also can you put references