What would a physician utilize if he/she wanted to know if a treatment is covered under an insured’s plan and at what rate it will be paid?
-Prospective review
-Concurrent review
-Comprehensive review
-Supplementary chart
If a physician wanted to know if a treatment is covered under an insured’s plan and at what rate it will be paid, the physician would utilize the prospective review.
Prospective review would be the process that a physician would utilize if he/she wanted to know if a treatment is covered under an insured’s plan and at what rate it will be paid. A prospective review is a process that reviews an insurer's decisions regarding coverage for medical procedures before the procedures are performed. It is a process of evaluating the necessity and appropriateness of medical treatments before they are given. Prospective reviews are used to avoid unnecessary treatments that could cause financial harm to patients and to prevent unneeded expenses.
The main goal of this method is to determine whether the treatment is necessary, cost-effective, and appropriate for the patient.
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Patient health status: Does the EHR contain the following data elements when on the Patient Profile tab of the Pharmacy section? Answer with yes (if complete) and no (if missing or incomplete). Explain your answers. Hint: These core data sets are defined on page 5 of the resource Understanding the Continuity of Care Record. (Corepoint Health, 2016) 8. Diagnoses, problems, and conditions Yes- the problem, diagnosis, and conditions data element are the main elements of a patients profile. 9. Adverse reactions and alerts list allergies by agent and symptom No, listing of sulfa only and there are no symptoms included. 10. List of current medications including name, code, dose, schedule/refill dates, prescribing provider, and comments 11. Comprehensive immunizations documentation including dates and disease identifier 12. Vital signs information, including readings and date signs were taken 13. Laboratory results information 14. Procedures/assessments information including description, dates, times, locations, and codes. 15. Health status section for optional greater details at the discretion of the provider 16. Care documentation: Does the EHR contain this data when on the Patient Profile of the Pharmacy section? Answer Yes (if all information is present) or No (if information is missing or not all information is present). Provide rationale for your answer. a. Yes
8. Yes, 9. Yes, 10. Yes, 11. Yes, 12. Yes, 13. Yes, 14. Yes, 15. Yes, 16 a) Yes.
Based on the given information from the resource "Understanding the Continuity of Care Record" by Corepoint Health (2016), here are the answers regarding the data elements in the EHR's Patient Profile tab of the Pharmacy section.
8. Diagnoses, problems, and conditions: Yes - The EHR should contain information about the patient's diagnoses, problems, and conditions. This helps provide a comprehensive view of the patient's health status and allows for appropriate medication management.
9. Adverse reactions and alerts list allergies by agent and symptom: Yes - The EHR should include an adverse reactions and alerts list that specifies allergies by agent and associated symptoms. This is essential for medication safety and preventing adverse reactions.
10. List of current medications including name, code, dose, schedule/refill dates, prescribing provider, and comments: Yes - The EHR should have a list of the patient's current medications, including details such as name, code, dose, schedule/refill dates, prescribing provider, and any relevant comments. This information assists in medication management and coordination of care.
11. Comprehensive immunizations documentation including dates and disease identifier: Yes - The EHR should contain comprehensive documentation of the patient's immunizations, including dates and disease identifiers. This helps ensure proper vaccination management and preventive care.
12. Vital signs information, including readings and date signs were taken: Yes - The EHR should include vital signs information, including the readings and the dates when the signs were taken. Vital signs provide important information about the patient's overall health status and help in monitoring their response to treatment.
13. Laboratory results information: Yes - The EHR should contain information on the patient's laboratory results. This includes test results, values, and any relevant comments or interpretations. Laboratory results assist in diagnosing and monitoring the patient's health conditions.
14. Procedures/assessments information including description, dates, times, locations, and codes: Yes - The EHR should include information about procedures and assessments, including descriptions, dates, times, locations, and codes. This helps in tracking and coordinating the patient's care and treatment.
15. Health status section for optional greater details at the discretion of the provider: Yes - The EHR may include a health status section that allows providers to add additional details as needed. This optional section provides flexibility for providers to document specific health information relevant to the patient's care.
16. Care documentation: Yes - The EHR should contain care documentation within the Patient Profile of the Pharmacy section. This documentation may include information related to medication management, interventions, care plans, or any other relevant details specific to the patient's pharmaceutical care.
a. Yes
The correct question is:
Patient health status: Does the EHR contain the following data elements when on the Patient Profile tab of the Pharmacy section? Answer with yes (if complete) and no (if missing or incomplete). Explain your answers. Hint: These core data sets are defined on page 5 of the resource Understanding the Continuity of Care Record. (Corepoint Health, 2016)
8. Diagnoses, problems, and conditions
9. Adverse reactions and alerts list allergies by agent and symptom
10. List of current medications including name, code, dose, schedule/refill dates, prescribing provider, and comments
11. Comprehensive immunizations documentation including dates and disease identifier 12. Vital signs information, including readings and date signs were taken
13. Laboratory results information
14. Procedures/assessments information including description, dates, times, locations, and codes.
15. Health status section for optional greater details at the discretion of the provider
16. Care documentation: Does the EHR contain this data when on the Patient Profile of the Pharmacy section? Answer Yes (if all information is present) or No (if information is missing or not all information is present). Provide rationale for your answer.
a. Yes
b. No
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Which of the following is true regarding the use of alcohol, tobacco and other drugs?
It can lead to addiction, especially if you start using when you are young.
It is OK as long as you do it at home.
It is legal as long as your parents know about it.
It can make you popular.
Answer:
A is the answer of the question
your overall body type is determined by
heredity
age
gender
activity level
no links please
Answer:
A.) Heredity
Explanation:
I'm pretty sure the body type is heredity because you inherit that from genes you get from your relatives such as your parents and so on.
stata the price of a diamond stone depends on the four cs: caratage, color, clarity and cut. table 3.20 on the companion website gives the following data on 308 diamonds sold in singapore:
The price of a diamond stone depends on four criteria: carat weight, color, clarity, and cut. Table 3.20 on the companion website provides data on 308 diamonds sold in Singapore. These diamonds' average carat weight is 0.56, with a range of 0.2 to 2.5 carats.
On the GIA's color grading scale, which ranges from D to Z, the average color is I, with a range of D to S. The average clarity is SI1, with a range of VS1 to I2. The most frequent cut grade is very good, followed by excellent, good, fair, and poor. The average price per carat is $4,288, with a range of $800 to $21,000. The price of diamonds is determined by the four Cs, which are caratage, color, clarity, and cut. Table 3.20 on the companion website lists data for 308 diamonds sold in Singapore.
The diamonds had an average carat weight of 0.56, with a range of 0.2 to 2.5 carats. The average color grade was I, according to the GIA's color grading scale, with a range of D to S. The average clarity was SI1, with a range of VS1 to I2. The cut grades were predominantly very good, followed by excellent, good, fair, and poor. The average price per carat was $4,288, with a range of $800 to $21,000.
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What is the primary goal of stress management?
O to diagnose patients who have psychosomatic diseases
O to medicate patients so they cannot feel pain
O to prove to patients that their symptoms are not real
O to help patients focus on the positive aspects of life
Answer:
answer is the 4th one, to hep patients focus on the positive aspects of their life :))
Explanation:
The
are the primary organs of the lower respiratory system.
branch(es) into the lungs, allowing for the maximum amount of space for oxygen to be moved into the blood.
The
is the fluid-filled space that surrounds the lungs.
Answer:
i believe so
Explanation:
Answer: The LUNGS are the primary organs of the lower respiratory system.
BRONCHIOLES branch into the lungs, allowing for the maximum amount of space for oxygen to be moved into the blood.
The PLEURAL CAVITY is the fluid-filled space that surrounds the lungs.
Explanation:
It’s right trust me
what is the formula of general fertility rare
Answer:
CBR=b/p×1000
ASFR=b/p×1000
total fertility rate TFR=SamesionASFR×5/1000
Explanation:
hope it is helpful to you
A nurse is giving postoperative care to a client after knee arthroplasty. what is a possible short-term goal for this client?
A possible short-term goal for a client after knee arthroplasty, as part of postoperative care, could be Effective pain management and Early mobilization.
Effective pain management: The short-term goal may involve achieving adequate pain control and relief for the client. This can include minimizing pain levels, promoting comfort, and ensuring the client's ability to perform activities of daily living without excessive discomfort.Early mobilization: Encouraging the client to begin early mobilization and rehabilitation exercises is another important short-term goal. This can involve assisting the client in performing range of motion exercises, walking with assistive devices, and gradually increasing activity levels under the guidance of the healthcare team. Early mobilization helps prevent complications such as joint stiffness and muscle weakness, and promotes the client's functional independence.Wound healing and infection prevention: A short-term goal may focus on promoting wound healing and preventing infection at the surgical site. This can include proper wound care, regular dressing changes, monitoring for signs of infection, and educating the client on signs and symptoms to report to the healthcare provider.Adequate nutrition and hydration: Ensuring the client maintains adequate nutrition and hydration is an important short-term goal. This can involve assessing the client's nutritional status, providing appropriate dietary recommendations, and monitoring fluid intake to support healing and overall well-being.Monitoring vital signs and preventing complications: Another short-term goal is to monitor the client's vital signs, such as blood pressure, heart rate, and respiratory rate, to detect any early signs of complications. This can include preventing deep vein thrombosis (DVT) by using compression stockings or administering prophylactic medications as prescribed, monitoring for signs of respiratory distress, and preventing postoperative complications.To know more about knee arthroplasty, follow the link:
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What is the purpose of an action plan?
Answer:
The purpose of an action plan is to clarify what are required to reach a goal, and there are times when specific tasks need to be completed and determine what resources are required or used.
Which answer would be the least influential for participating in an indoor high intensity cycling class a) cost factor b) personality factor c) equipment factor d) environmental factor
When considering an indoor high-intensity cycling class, the environmental factor would be the least influential for participating in it. Environmental factors include natural circumstances and situations in the external surroundings that can impact one's ability to exercise or participate in an indoor high-intensity cycling class.
Environmental factors include weather, air pollution, and other such factors that can impact one's physical health and condition. However, indoor high-intensity cycling classes are not affected by such external factors, and this factor is thus considered to be the least influential for participating in an indoor high-intensity cycling class.The cost factor, on the other hand, is a significant influence on participating in indoor high-intensity cycling classes.
The cost factor might be too high for some individuals, which might deter them from enrolling in such classes. Personality factors such as the individual's inclination towards physical activities and their competitive nature can also influence their participation in such classes.Equipment factors such as the quality of the bikes, the availability of other equipment, and other such factors might also impact one's decision to enroll in such classes. Thus, the environmental factor would be the least influential factor out of the four given options.
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Sarah always feels left out of group activities or social events. She has become depressed and lonely. According to Maslow, which category of needs has not been fulfilled?
A)love/belonging
B)safety
C)esteem
D)physiological
a nurse is caring for a client who's in labor and is receiving an epidural. which of the following actions should the nurse take?
Option D is correct. A nurse is caring for a client who's in labor and is receiving an epidural. Monitor vital signs, Maternal mobility and Pain levels actions should be taken by nurse.
Monitor vital signs: To ensure stability and identify any alterations or difficulties, the nurse should routinely check the client's blood pressure, heart rate, and oxygen saturation levels.
To make sure the epidural is sufficiently relieving the client's pain, the nurse should routinely examine the client's degree of pain. Comfort and positioning: The nurse should help the client locate and keep a comfortable position.
Assist with maternal mobility: If the doctor or nurse agrees, the patient might be urged to keep moving and take part in activities like walking or position-changing to hasten labor and feel more comfortable.
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Complete question
a nurse is caring for a client who's in labor and is receiving an epidural. which of the following actions should the nurse take?
A. Monitor vital signs
B. Maternal mobility
C. Pain levels
D. All of the above
Which of the following statements is true about trans fatty acids?
A) They are made by the body in large quantities.
B) They are found only in plant products.
C) They decrease the risk of heart disease.
D) They are formed during the hydrogenation process
The correct statement about trans fatty acids is they are formed during the hydrogenation process.
Option (D1) is correct.
Trans fatty acids are a type of unsaturated fatty acids that are formed when liquid vegetable oils are hydrogenated to make them more solid. This process converts the naturally occurring cis double bonds in the fatty acids to trans double bonds. Trans fatty acids are not produced in significant quantities by the body and are not found in plant products in large amounts.
In terms of health effects, trans fatty acids have been shown to increase the risk of heart disease by raising LDL cholesterol levels and reducing HDL cholesterol levels. Due to their negative impact on cardiovascular health, many health organizations recommend minimizing the consumption of trans fatty acids.
Therefore, the correct option is (C).
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Which of the following can help prevent weight gain for those starting college?
A. Managing stress effectively
B. Dining with friends whenever possible
C. Eating whatever seems tasty at the moment
D. Trying new fad diets when you first hear about them
Answer:
A. Managing stress effectively
Explanation:
it's proven that stress can lead to weight gain.
the advanced practice registered nurse is planning interventions for clients in a mental health practice. which are considered basic level?
As a nurse practitioner working with clients in a mental health practice, some basic level interventions that can be used are psychotherapy, health education, and medication management.
Psychotherapy is a basic-level intervention that can be used by an advanced practice registered nurse (APRN) while planning interventions for clients in a mental health practice. Psychotherapy refers to the use of different therapy methods to treat mental illnesses.
Health education is another basic level intervention that can be used by an APRN when planning interventions for clients in a mental health practice. Health education aims to educate clients on the best practices that can help to manage and prevent mental illnesses.
Medication management is the third basic level intervention that can be used by an APRN when planning interventions for clients in a mental health practice. Medication management involves assessing clients to identify the right medications that can help to manage and prevent mental illnesses.
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Which is an example of a social welfare program in the United States?
A. Income for the elderly
B. Food for the poor
C. Jobs for the unemployed
D. All of the above
AP_EX - Sociology
Answer:
D. All of the above
Explanation:
Just got it right :)
Can Someone help me. ?
Answer:
B. budget cuts at the state level, force schools to do more with less money and resources.
(I'm 90% sure it's B. but it also could be A.)
The daughter of an elderly, confused female patient reports that her mother is having urinary incontinence several times each day. What will the provider do initially?
a. Obtain a urine sample for urinalysis and possible culture
b. Order serum creatinine and blood urea nitrogen tests
c. Perform a bladder scan to determine distention and retention
d. Tell the daughter that this is expected given her mother's age and confusion
Option a is correct. Initially the provider will obtain a urine sample for urinalysis and possible culture.
A urine sample can be taken in order to do a urinalysis and, in certain cases, a culture, which can assist diagnose any underlying infections or other urinary abnormalities that might be causing the incontinence.
To examine kidney function and look for any underlying renal abnormalities, ordering serum creatinine and blood urea nitrogen tests is helpful.
But in this instance, dealing with the reported urinary incontinence is the main issue, so a urinalysis and culture are required to look for any infection. Following a preliminary assessment and if urinary retention or bladder distention are a concern, a bladder scan may be performed.
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4. You must advance the frisbee by passing and not running with it true or false
Answer:
true
Explanation:
what dose it mean when a psychologist visits you?
Answer:
Explanation:
Psychologists can help people learn to cope with stressful situations, overcome addictions, manage their chronic illnesses, and tests and assessments that can help diagnose a condition or tell more about the way a person thinks, feels, and behaves.
It's likely that you have one of these issues or you are dealing with one of these issues.
What causes george wilson’s sickness? what coincidence has occurred?
1. George Wilson's sickness can be seen as a manifestation of his emotional turmoil.
2. The coincidence that occurs in relation to George Wilson's sickness is the revelation of Jay Gatsby's involvement in Myrtle's death.
What is the cause of the sickness?It is possible to interpret George Wilson's illness as a result of his emotional upheaval and extreme stress. His physical and emotional health suffered as a result of the death of his wife and the realization that she had an affair with Tom Buchanan.
The discovery of Jay Gatsby's complicity in Myrtle's death is the coincidence that surrounds George Wilson's illness. When George finds out that Myrtle was hit and killed by Gatsby's car, his rage and hopelessness grow.
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1. The use of alcohol can
choices
an individual's ability to make safe
Answer:
The use of alcohol can diminish an individual's ability to make safe
Explanation:
Hope this helps!
Please mark me as Brainlinieast.
Why be concerned with dating, courtship and marriage?
Answer:
A bit confused with the question but here is two answers.
1. Humans need affection and dating and those other steps are ways to gain affection.
2. Heartbreak and emotions are a
always a cause for concern when entering a relationship.
Explanation:
Hopefully this is the answer you were looking for lol.
Answer:
just bc . i need love to be happy lol
Explanation:
Did anyone else get a notice about earth day because i had to do a survey.
Answer:
Yeah, just now I got one. I answered it 'cause why not. There are no questions relating to personal data
I may have diabetes and I’m scared can someone just help me out please I’m a bit worried and I don’t know what to do.
Answer:
You shouldnt be worried their's nothing to be worried about. Just stay calm and listen to what the doc said its ok everything's gonna be alright
Explanation:
this my puppy! hes a cutie <3
and that's on ☆mental health☆
Answer:
Periodtt he is cutee
Explanation:
:)
plz help
don't answer for points
Due to the structure of the circulatory system, all of the following are functions of the circulatory system except to a. transport nutrients from the esophagus to the stomach .c. transport some waste to the kidneys. b. transport blood away from the kidneys. d. transport oxygen throughout the body.
In the original community mental health act, the place where individuals would be treated was a:
In the original Community Mental Health Act, individuals would be treated in community-based settings.
The act, also known as the Mental Health Centers Act, was signed into law in 1963 and aimed to shift mental health care from large institutional settings to community-based care. The act encouraged the establishment of community mental health centers (CMHCs) as alternatives to psychiatric hospitals.
These centers were intended to provide a range of mental health services, including outpatient care, emergency services, residential treatment, and rehabilitation programs.
The goal was to offer more accessible and comprehensive care within the individual's community, promoting their integration into society and reducing reliance on long-term institutionalization.
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