[Expert Solution]: In this assignment, you will be conducting…

In this assignment, you will be conducting this precertification authorization for three patients that need a tonsillectomy/adenoidectomy procedure performed. You will find the precertification criteria and the history and physical for the three patients below. The criteria are triggered by the patient’s diagnosis. For example, if a patient has been diagnosed with Obstructive tonsillar hypertrophy, then criteria 400 will apply. In criteria 400, all three indicators (410 Symptoms (Sx)/findings; 420 3+/4 tonsillar enlargement by physical exam (PE); and 430 Normal palate by PE) must be met for approval. Under the indicator 410 Sx/findings, one item in 411–415 must be present, and if the indicator is 415, one item list under 415 (-1 Weight loss, -2 Failure to thrive, or -3 Dysphagia with solids) must be present. Using the precertification criteria and patient histories (shown in the figures that follow), compare the three patients’ histories to the criteria for tonsillectomy/adenoidectomy. Determine whether the patient should be approved for the procedure or not. Submit to your instructor for grading a summary page that includes the patient number and which criteria you used for each patient (for example, 200 Chronic Tonsillitis), and then identify the specific criteria that the patient met (for example, 211 Throat pain and 212-4 documented increase in tonsil size) or explain why the patient did not meet the criteria for the procedure.