. 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 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.
In: Nursing
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.
In: Nursing
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 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
development of the health care policy.
In: Nursing
Define Medical Terminology
In: Nursing
Define medical Terminoloy
In: Nursing
Define Medical Terminology
In: Nursing
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.
In: Nursing
Which of the following are false?
Question 1 options:
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A hospital in NY City will get paid more than one in Macon for the same operation. |
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Medicare is a service type plan |
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Medicare uses experience ratings to determine its fee structure. |
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Medicaid uses community ratings to determine its fee structure |
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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:
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Under Medicare the federal gov't sets the rules and the state oversees that they are carried out. |
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Under Medicaid the federal gov't sets the rules and the state oversees that they are carried out. |
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both of the above are true |
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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:
Question 8 (10 points) Which law prohibits kickbacks? Question 8 options:
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:
Question 10 (10 points) The U.S. has a social insurance health care payment system Question 10 options:
Question 11 (10 points) Saved Under Medicaid, physicians get paid on a perspective payment system Question 11 options:
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In: Nursing
Analyze the scope, challenges, and impact of eHealth, mHealth, telemedicine, and social media use in health care and public health.
In: Nursing
In: Nursing