Questions
. When it comes to supporting an effective and efficient revenue cycle, some desired system capabilities...

. When it comes to supporting an effective and efficient revenue cycle, some desired system capabilities are:


Patient Demographics and Insurance Capture – This step is the starting point of “front-end” processing. Staff must be alert to potential red flags that can result in identity theft.


Eligibility and Benefits Verification – Before patients are scheduled to be seen, their insurance coverage must be verified.


Co-pay Collection – Collection costs increase when co-pays are not paid upfront.


Patient Financial Counseling – Available to patients who are unable to make their co-pay or at risk for not paying their balance after insurance.


Case Management – A collection of services including utilization management, discharge planning, and care coordination performed by a case manager.

What else can be add it to this


need to add more information

In: Nursing

List the contraindications and precautions for use of propofol, the prototype intravenous anesthetic Due to its...

List the contraindications and precautions for use of propofol, the prototype intravenous anesthetic

Due to its formulation, what special precautions are necessary when administering propofol?

In: Nursing

Compare health and disease disparities between the American population and people in other countries.

Compare health and disease disparities between the American population and people in other countries.

In: Nursing

Explain the role of macro and micronutrients for nutritional health and well-being.

Explain the role of macro and micronutrients for nutritional health and well-being.

In: Nursing

Identify the influence of eating behaviors on disease development and prevention.

Identify the influence of eating behaviors on disease development and prevention.

In: Nursing

Distinguish the different aspects or domains of change in the health industry and how those domains...

Distinguish the different aspects or domains of change in the health industry and how those domains impact leadership capability, and explain how the synergy of those changes impacts leadership capability and organizational success.

In: Nursing

Case study: Ian is a CST with several years of experience, working at a large urban...

Case study: Ian is a CST with several years of experience, working at a large urban hospital. Ian often serves as a preceptor (a CST who trains students during their clinical experience) for surgical Technology students from the local community college. Today, a new student is working with Ian in orthopedic OR. They have just completed positioning the patient when the circulator asks Ian if he will prep the patient's leg while she performs the final check of the video monitors.

                        Questions
1. What role is Ian performing, and are there any restrictions to that role?

2. What are the roles of the various OR team members, and how do they interrelate?

3. What extra responsibilities is Ian assuming by helping to train the student?

In: Nursing

New Question:Health care policy discuss the health and societal issues that had an impact on the...

New Question:Health care policy
discuss the health and societal issues that had an impact on the development of the health care policy.

In: Nursing

Define Medical Terminology Afterload Atrioventricular node (AV node) Automaticity Autoregulation Capillary Cardiac cycle Cardiac output Coronary...

Define Medical Terminology

  1. Afterload
  2. Atrioventricular node (AV node)
  3. Automaticity
  4. Autoregulation
  5. Capillary
  6. Cardiac cycle
  7. Cardiac output
  8. Coronary artery
  9. Depolarization
  10. Diastole
  11. Diastolic blood pressure
  12. Ejection fraction
  13. Epinephrine
  14. Inferior vena cava (pl., cavae)
  15. Inotropic agents
  16. Laplace law
  17. Left coronary artery (LCA)
  18. Left heart
  19. Left ventricle
  20. Lymph

In: Nursing

Define medical Terminoloy Lymph node Mean arterial pressure (MAP) Mediastinum Myocardial contractility Myocardial oxygen consumption (MV̇O2)...

Define medical Terminoloy

  1. Lymph node
  2. Mean arterial pressure (MAP)
  3. Mediastinum
  4. Myocardial contractility
  5. Myocardial oxygen consumption (MV̇O2)
  6. Myocardium
  7. Natriuretic peptide (NP)
  8. Nitric oxide (NO)
  9. P wave
  10. Perfusion
  11. Pericardium
  12. Peripheral vascular system
  13. PR interval
  14. Preload
  15. Pulmonary artery
  16. Pulmonary vein
  17. Pulmonic semilunar valve
  18. Pulse pressure
  19. Purkinje fiber
  20. QRS complex

In: Nursing

Define Medical Terminology Repolarization Rhythmicity Right atrium Right coronary artery (RCA) Right heart Right ventricle Semilunar...

Define Medical Terminology

  1. Repolarization
  2. Rhythmicity
  3. Right atrium
  4. Right coronary artery (RCA)
  5. Right heart
  6. Right ventricle
  7. Semilunar valve,
  8. Sinoatrial node (SA node, sinus node)
  9. Stenosis
  10. ST interval
  11. Stroke volume
  12. Superior vena cava (pl., cavae)
  13. Systemic circulation
  14. Systemic vascular resistance (SVR)
  15. Systole, p. 572
  16. Systolic blood pressure
  17. T-wave
  18. Tricuspid valve
  19. Troponin
  20. Vasoconstriction
  21. Vasodilation

In: Nursing

Case Study Mr. KIM is a 57-year-old male who consulted his physician after noticing marked leg...

Case Study

Mr. KIM is a 57-year-old male who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis is the cause of his discomfort.

  1. Discuss the development of atherosclerosis, including the predisposing factors in this case and the pathophysiologic changes.
  2. Discuss the complications that may develop in this case.
  3. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the atherosclerosis, maintaining circulation in the leg, and treating complications.
  4. Describe ankle-brachial index (ABI)
  5. Define intermittent claudication.

In: Nursing

Which of the following are false? Question 1 options: A hospital in NY City will get...

Which of the following are false?

Question 1 options:

A hospital in NY City will get paid more than one in Macon for the same operation.

Medicare is a service type plan

Medicare uses experience ratings to determine its fee structure.

Medicaid uses community ratings to determine its fee structure

A doctor in NYC can get paid a different fee as one in Macon for the same operation.

Question 2 (10 points)

A state must cover holders of a green card under its Medicaid system.ust

Question 2 options:

True
False

Question 3 (10 points)

States must provide payment for pharmaceuticals to beneficiaries under Medicare

Question 3 options:

True
False

Question 4 (10 points)

Medicare Part A is free to the beneficiary

Question 4 options:

True
False

Question 5

Which of the following is true?

Question 5 options:

Under Medicare the federal gov't sets the rules and the state oversees that they are carried out.

Under Medicaid the federal gov't sets the rules and the state oversees that they are carried out.

both of the above are true

neither of theabove are true

Under Medcaid, flu payment reimbursement is $3,000 and pneumonia is $5,000. Macon Hospital bills everyone coming in with the flu as having pneumonia to receive the higher fee. This an example of

Question 7 options:

kickback

upcoding

RVS-type allowance

DRG

Question 8 (10 points)

Which law prohibits kickbacks?

Question 8 options:

Stark laws

Medicaid review laws

DRG

Payor Power

Question 9 (10 points)

Saved

Federal law says most hospitals cannot turn away a patient in the Emergency Room before diagnosis and stabilizing them. This is an example of ..

Question 9 options:

Payor Power

Medicare

Police Power

Performance payment system

Question 10 (10 points)

The U.S. has a social insurance health care payment system

Question 10 options:

True
False

Question 11 (10 points)

Saved

Under Medicaid, physicians get paid on a perspective payment system

Question 11 options:

True
False

In: Nursing

Analyze the scope, challenges, and impact of eHealth, mHealth, telemedicine, and social media use in health...

Analyze the scope, challenges, and impact of eHealth, mHealth, telemedicine, and social media use in health care and public health.

In: Nursing

-Explain standard safety precautions of drug administration. -List and describe the "five rights" of drug administration....

-Explain standard safety precautions of drug administration.
-List and describe the "five rights" of drug administration.
-Discuss some special patient considerations when administering drugs.

In: Nursing