If it's known that a service may not be covered, a
may be performed.
A. preauthorization
B. prepermission
C. preapproval
D. preconsent

Answers

Answer 1

Answer:

A. pre-authorization

Explanation:

Is it an authorization or a precertification?

Per Healthcare.gov, a decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification. Your health insurance or plan may require preauthorization for certain services before you receive them, except in an emergency. Preauthorization isn’t a promise your health insurance or plan will cover the cost. This concept is not the easiest to understand. It would make sense that a notification and “approval” from an insurance company would then mean services will be paid. This is not the case and is precisely where the predetermination of benefits come into play, in addition to understanding reimbursement policies set up by payers themselves.


Related Questions

What condition would an increase in bicarbonate ion lead to? A. acidosis B. diabetes mellitus C. alkalosis D. renal calculi

Answers

C ::: alkalosis

hope that helps !!

C. alkalosis it should be lmk if it’s right:)

Using your own life experience, can you provide examples of environmentally influenced leared behaviors?

Answers

One of the new habits I've developed as a result of environmental change is to use as little plastic as possible and to only throw waste in trash cans. Environmentally friendly procedures should be used to get rid of smog and other dangerous inhalers.

What are environmental changes?

Environmental changes are defined as a modification or disturbance of the environment that is frequently brought on by human activities and ecological processes at play.

Given that heredity is involved, the first explanation might be parental impact. My mother instilled this habit in me, and I still like performing regional traditions with her. She used to get up early, take a bath, and perform these rituals every day. Another illustration would be cultural influences, such as how my behavior has been molded by my family's habits, traditions, and conventions and how I now behave similarly.

Thus, one of the new habits I've developed as a result of environmental change is to use as little plastic as possible and to only throw waste in trash cans. Environmentally friendly procedures should be used to get rid of smog and other dangerous inhalers.

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A nurse is caring for a postoperative client who is at risk for thrombus formation. Which of the following interventions should the nurse delegate to an assitive personnel (AP)?
A). Apply thromboembolic stockings?
B). monitor the circulation in all four extremities
C). Record the condition of the clients skin
D). Reinforce teaching about performing range-or-motion exercise

Answers

Answer:

A). Apply thromboembolic stockings

Explanation:

A thrombus formation is one of the dangerous action that happens in the body of an individual.  This could led to death if care is not taken. A thrombus is known as a blood clot that happens in the arteries, or vein of a person as a result so many factors with the most significant factor being atrial fibrillation.

In-order to reduce thrombus formation, there are various approach to adopt like raising your legs 6 inches above your heart from time to time, wearing special stockings (called compression stockings) if your doctor prescribes them doing exercises your doctor gives you. as well as changing your position often, especially during a long trip.

Thrombus formation is defined as a dangerous phenomenon that takes place in the body of an individual. The thrombus is a formation of a blood clot that interferes with blood flow and circulation.

The correct option is:

Option A. Apply thromboembolic stockings

A thrombus formation is the clotting of the blood, which under severe circumstances can lead to death.

In order to reduce the formation of thrombus, special stockings or thromboembolic stockings are used. There are several other techniques to reduce the thrombus such as exercising, changing the position ofter especially during a continuous sitting.

Therefore, option A is correct.

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Yvette contracted AIDS from a tainted blood transfusion. She is most likely to be prescribed _____, which work by slowing down HIV's reproductive cycle.

Answers

Answer:

ILIIIO8I8IKKKIKIKLKIKKKLKKLKLIKLKLKLKLKLKLKLLOLKLKLKLKL

Explanation:

Yvette contracted AIDS from a tainted blood transfusion. She is most likely to be prescribed a combination of antiretroviral drugs, which work by slowing down HIV's reproductive cycle.

What is AIDS?

AIDS is an autoimmune deficiency syndrome and is a life-threatening disease which is caused by HIV. The disease attacks the immune system of the person, damaging and weakening it.

Antiretroviral drugs are the drugs for controlling and managing the infection of HIV. It contains a group of drugs.

Thus, option D, a combination of antiretroviral drugs is correct.

The options are attached in the image below:

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A client is prescribed ampicillin 250mg PO four times a day for 10 days. The pharmacy has 125 mg per 5 mL on hand. Calculate the complete dose given in the 10 days in milliliters.

Answers

10ml=250mg. 10ml four times daily =40ml. 40ml x 10 days=400ml. Patient would need 400ml. 400ml is the total that would need to be dispensed.

The complete dose given in the 10 days is 400 milliliters

Since ampicillin 250mg was prescribed four times a day for 10 days. Hence:

Dosage in a day = 250 mg * 4 = 1000 mg

Dosage for 10 days = 1000 mg * 10 days = 10000 mg.

Since the dosage is in 125 mg per 5 ml, hence:

Dosage in 10 days in ml = 10000 mg / (125 mg per 5 ml) = 400 ml.

The complete dose given in the 10 days is 400 milliliters

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white plaques in mouth​

Answers

Leukoplakia appears as thick, white patches on the inside surfaces of your mouth. It has a number of possible causes, including repeated injury or irritation. It can also be a sign of precancerous changes in the mouth or mouth cancer.

9. Dr orders Glynase 50mg. On hand you have 100mg/0.5mL.

Answers

Answer:

The correct answer is - 0.25

Explanation:

Calculation of administration right of the dose is very important as higher or low dose can be harmful or lethal as well. If the dose is solution-based then it becomes more complex.

strength of solution: 100mg/0.5ml

So, available dose = 100 mg

Volume would be = 0.5 ml

The dose required 50 mg

Then from "nursing formula":

dose to administration = dose required * volume of solution/dose available

= 50*0.5/100

=0.25ml

What the name of the smaller portion of a solution that's dissolved a.solvent b.dilient c.solute d dissolvent

Answers

C i guess, because all the others “work” in the solution. They do something, they don’t receive/get smthg
Solute is always smaller than solvent.

For example a solute of NaCl (table salt) is poured into a cup of water. You would want the table salt which is the solute to be smaller than the cup of water which is the solvent.
So C is your answer

The Joint Commission may A) monitor the World Health Organization's work in African countries, B)supply medication to treat HIV symptoms. C)ensure that the Centers for Disease Control and Prevention (CDC) publishes an annual report about national epidemics. D)evaluate a patient's complaint about a particular health-care organization.

Answers

Answer:

D)evaluate a patient's complaint about a particular health-care organization.

Explanation:

Answer:

d edge 2021

Explanation:

Which are duties of a pharmacy technician in a hospital? Select all that apply.
compounding and performing sterile work
filing medical orders
dispensing patient medications
delivering patient medications to nurses working the drive-thru window
working with nuclear medicine
stocking crash carts
explaining medicine interactions to patients​

Answers

Answer:

Here are the duties of a pharmacy technician in a hospital

Compounding intravenous (IV) solutions.

Delivering medications to and from satellite pharmacies.

Restocking automated medication dispensing systems.

Mixing and dispensing orally-administered medications.

Unit-dosing tablets from a bulk bottle.

Hope this helps, have a great day/night, stay safe, and happy thanksgiving!

The duties of pharmacy technicians are compounding and performing sterile work. Thus, options A, B, C, D, and H are correct.

What are the roles of pharmacy technicians?

Pharmacy-related functions are performed by pharmacy technicians. They work under pharmacist supervision. The responsibilities of a pharmacy technician are explained below.

Compounding drugs, means mixing two or more drugs according to Doctor's prescription. They can make customized medicines according to the requirement of the patient's condition.

Filing medical orders, they fill prescription orders written by pharmacists. They count medicines or drugs and label completed orders. They deliver patients' medications to nurses and work with pharmaceutical companies and drug wholesalers. They manage the supply of drugs.

One of the most important roles of a pharmacy technician is to prepare sterile and non-sterile compounds and dispense patient medications. Thus, options A, B, C, D, and H are correct.

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3. Which of the following statements is true concerning epidemic diseases?
a) They are usually not very contagious.
b) At the end of an epidemic, a disease spreads at an increasing rate and then abruptly disappears.
c) They usually appear and disappear seasonally
?

Answers

Answer:

B

Explanation:

i just did this!

They usually appear and disappear seasonally. Therefore option C is correct.

Epidemic diseases often exhibit seasonal patterns, meaning they tend to have higher incidences during specific times of the year.

Factors such as weather conditions, human behavior, and the life cycles of disease-causing agents contribute to this seasonality.

For example, the flu tends to peak during the winter months, while diseases like malaria may increase during the rainy season when mosquito populations thrive.

Understanding these seasonal patterns is crucial for public health planning and resource allocation to combat outbreaks effectively.

While some epidemics can have abrupt endings, it's more common for epidemic diseases to gradually decline in incidence and become endemic, with periodic outbreaks occurring seasonally or in irregular intervals.

Therefore option C They usually appear and disappear seasonally is correct.

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How is the unusual flexibility of the human shoulder joint related to the habitat of our primate ancestors?

Answers

Answer:

Explanation:

In the theory of evolution, we evolved from primates such as monkeys. These primate ancestors created habitats high above the ground in the trees. To make this possible and make traversal easier they developed flexible shoulders over the years which allowed them to easily swing from tree to tree, in order to traverse their habitats, reach different foods, and escape from predators with ease. Since this trait was useful to their survival it stuck from generation to generation and is why we as humans have unusual flexibility in our shoulder joint.

List for commonly used histology fixatives

Answers

Answer:

   Phosphate buffered formalin

   Formal calcium

   Formal saline

   Zinc formalin (unbuffered)

   Zenker’s fixative

   Helly’s fixative

   B-5 fixative

   Bouin’s solution

   Hollande’s

   Gendre’s solution

   Clarke’s solution

   Carnoy’s solution

   Methacarn

   Alcoholic formalin

   Formol acetic alcohol

Explanation:s

Consider all of the regulations we have on automobile safety and thoroughly explain the ways we could apply these regulations to improve gun safety and regulate guns.

Answers

Explanation:

If humans took more care about gun laws the same way they do for their cars we would have the crime and death rates drop tremendously. Shootings are one of the top acts of deaths in the USA.

In China, a special force officer is required to check your house every month to suspect the location of your gun and how you have been using it. for instance, if you were taking it out for a drive.

I’m sorry I don’t what to do

A hospital that focuses on providing treatment to a specific population is considered a: O Government run hospital O Religious organization run hospital Specialized hospital​

Answers

Answer:

specialized hospital

Explanation:

they will treat a certain criteria of people.

The nurse is triaging several children as they present to the emergency room after a school bus accident. Which child requires the most immediate intervention by the nurse?
a. A 12-year old reporting neck, arm and lower back discomfort
b. An 8 year old with a full leg air splint for a possible broken tibia
c. An 11 year old with a headache nausea and projectile vomiting
d. A6 year old with multiple superficial lacerations of all extremities

Answers

Honestly, I’m not learning the topic you’re learning, and I’m just in 10th grade and am taking anatomy and physiology this year

But personally speaking, I would treat the 8 year old with the possible tibia first, mostly because it’s a broken bone and could be causing extreme pain (and it’s an issue we already know). My second patient would be the 12 year old with the neck, arm, and lower back discomfort because there could be a serious underlying cause (my cause of concern would be if the problem is neural). My third patient would be the 46 year old with the superficial lacerations because although it’s just superficial, it’s worth giving a look at. And my 4th one would be the 11 year old with the headache, nausea, and vomiting because it could simply be a simple flu. Although once again, take my answer with a pinch of salt

Calcium regulation occurs in:
a.) Compact Bone
b.) Spongy Bone
c.) Medullary Cavity
d.) Periosteum

Answers

Answer:

I think it'smedullary cavity

Answer:

C

Explanation:

it is what it is

OK KNOW IM GIVVING A BUNCH OF POINTS WITH NO MISTAKES!!!

Answers

Answer:

thx bro ur nice...........

:O thank you! Have a GREAT rest of your day!

Why is an ABN important to prevent fraud and abuse

Answers

Explanation:

The ABN helps to prevent fraud and abuse because if the waiver is not signed before the services are provided and Medicare denies coverage, it makes it look like the provider is providing free services to Medicare patients, and this is considered fraud.

Hehe it got 420 points.. u know what that means

Answers

you don’t have enough points for chicken nuggets

A physician assistant orders 500 mL of D5NS over 5 hours. How many milliliters per hour will the patient receive? (Round to the nearest whole number)

Answers

Answer:

The patient will receive 100 milliliters per hour.

Explanation:

Milliliter is the unit of measurement that refers to the thousandth part of a liter, that is, 1 liter has 1000 milliliters. In addition, the milliliter has the acronym mL, so when the question above states that the patient should receive 500 mL in 5 hours, it means that he should receive 500 milliliters in 5 hours.

To know then, how many milliliters it will receive in each hour, we must divide 500 by 5. The result will be 100 mL per hour.

how is the thing kinda weird and

Answers

do be kinda weird doe

what neurotransmitter system is often associated with depression

Answers

Answer:

Explanation:

Depression has been linked to problems or imbalances in the brain, specifically with the neurotransmitters serotonin, norepinephrine, and dopamine.

An adult intravenous dose of zidovudine is 2 mg/kg every four hours six times daily. How many mg will a 180-pound patient receive daily?

Answers

Answer:

654.5 mg a day if given QID and 981.8mg if given q4h

Explanation:

A person eats a candy bar, and the sugar level in her blood gets very high. Her body releases insulin into her blood. The insulin causes extra sugar to be stored in the muscles, and the sugar level in the blood returns to normal. This is an example of

Answers

Answer:

Homeostasis

Explanation:

Victor, a 25-year-old male, has had surgery to remove one of his testes due to seminoma. Can he still father a child? ​

Answers

Answer:

i think no

Explanation:

its not possible

if only one is removed then his chances of being able to impregnate have dropped severely but it is still possible, unless the other testes has been damaged.

Some research indicates that if you give a protein synthesis inhibitor during the formation and storage of a new memory, the memory will not be stored in long-term memory. Interestingly, if you give the same drug during the recollection of a memory, that memory is essentially erased from long-term memory. What does this suggest about the nature of recollection?

Answers

Answer: It shows that if you give the drug to some one that dose not have long-term memory it wont affect them as bad as it would to the people that have long-term memory.

Explanation: How i came up with my answer is that in the text it says"of a new memory, the memory will not be stored in long-term memory. Interestingly, if you give the same drug during the recollection of a memory, that memory is essentially erased from long-term memory." so just from that little section of text it shows that the drug would help people with out long-term memory more than the people with long-term memory.

when reciveing food you can refuse to accept it when

Answers

Answer:

You can respectfully decline food is you went to visit a friend's house and you just ate at your house.

This is one example

Explanation:

May I have brainliest please? :)

Your not hungry
Don’t like anything their offering

4. The two basic goals of infection control are: O To protect the patient and health care personnel from infection. O To reduce infections and find out how they started. O To identify patients and health care personnel at risk for infections. o To treat patients and health care personnel for infections.​

Answers

Answer:

To protect the patient and health care personnel from infection. To reduce infections and find out how they started.

Explanation:

What type of agent increases the viscosity of a suspension?
Group of answer choices

Emulsifier

Flocculating agent

Mucilage

Thickening agent

Answers

B, would be correct.

Have a nice day!
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