What prohibits a payer from notifying the provider about payment or rejection of unassigned claims or payments sent directly to the patient/policyholder

Answers

Answer 1

The Federal privacy act of 1974 is the act which prohibits a payer from notifying the provider about payment or rejection of unassigned claims or payments sent directly to the patient/policyholder.

What is Federal privacy act of 1974?

This act was set up by the appropriate authorities so as to ensure restriction of disclosure of personally identifiable records which are maintained by different types of agencies.

It however performs this action by prohibiting a payer from notifying the provider about payment or in the rejection of unassigned claims or payments sent directly to the patient/policyholder thereby making it the correct choice.

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Related Questions

The intellectual Dimension of health deals with a persons ability to solve problems

True

False

Answers

Your answer is gonna be False

The intellectual Dimension of health deals with a persons ability to solve problems. Thus, the given statement is true.

What is health?

Health has been defined as a state in which the person has been feeling completely healthy either physically or mentally as well as socially. There are various concepts of health and these are sense of humor, energy, copying well being, nature, and function.

In this world health has the biggest wealth because a person who has been free from disease has the richest person of the world so it has been said that health is wealth.

So, to maintain the health people must exercise daily for 20 to 25 minutes and take a diet which has been completely nutritious and provide nutrition to the body.

Therefore, The intellectual Dimension of health deals with a persons ability to solve problems. Thus, the given statement is true.

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1. How long can enteral tubing bags and tubing be used before washing with soap and water?

2. How often are suction catheters changed?

3. What are the alternative steps to cleaning a leg bag?

4. What three contaminates are found on a nurse's bag?

5. Where must one perform hand hygiene?

6. What are the five elements of the hand hygiene summary?

7. Why is hand hygiene compliance so low?

8. How many colony-forming units of bacteria do healthcare providers come in contact with during clean activities?

9. Name three reasons why hand hygiene is so important.

10. When ____________________occurs, address it _______________________________.

11. What are the principles of surgical asepsis?

12. Practices designed to render and maintain objects and areas maximally free from microorganisms is known as what?

13. What are the four principles of medical asepsis?

14. What is the purpose of medical asepsis?

15. what is the emphasis of surgical asepsis?

Answers

A because with need points and it’s a

In your own words, describe the impact of an inaccurate the DRG:

Answers

The impact of an inaccurate DRG is that it could end up in improper patient care at another observe, or for a specific service.

Design and development of the Diagnosis Related Groups (DRG) Prospective payment rates supported Diagnosis Related Groups (DRGs) are established because the basis of Medicare's hospital compensation system. Medicare and numerous alternative insurance firms have established DRGs because the foundation of the hospital compensation system. The compensation of the claim relies on the case combine quality.

Patient care refers to the interference, treatment, and management of unwellness and also the preservation of physical and mental well-being through services offered by health professionals.

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A condition that has many causes but can be caused by poor diet and exercise and cause cells to multiply out of control is _____.

atherosclerosis
cancer
diabetes
obesity

Answers

Answer:

Cancer or Diabetes

Explanation:

Im leaning towards cancer

I think it’s diabetes

using a lancet over 2.5mm to 3mm is acceptable when?

Answers

when the patient has calluses fingers

Using a lancet over 2.5mm to 3mm is acceptable when the patient has callused fingers.

What are callused fingers?

The thick, hardened layers of the skin known as calluses and corns form as the skin try to protect itself from pressure and friction.

They typically appear on the fingers, hands, or toes and feet. The calluses and corns might seem unpleasant.

The pressure and friction that result from wearing improperly fitted shoes, skipping socks, and using hand tools or musical instruments are the main contributors to the development of corns and calluses.

Thus, it can be claimed that an increase in the production of epidermal cells causes the development of calluses and corns.

Therefore, using a lancet over 2.5mm to 3mm is acceptable when the patient has callused fingers.

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Which of the following is most likely to result from a lack of critical thinking?

Answers

Poor critical thinking leads to depression, wrath, and low self-esteem.

Lack of critical thinking skills can result in lost opportunities, cash, relationships, and even life. Arguably the only quality that is more crucial to quantify is critical thinking skills.

Critical thinking: What is it?

One can build a critical opinion by critically analyzing the available information, including facts, evidence, observations, and arguments. The subject is complex, and there are numerous possible definitions, but they all often entail a study or review of factual material that is rational, skeptical, and objective.

Gaining a deeper understanding of who you are will enable you to put more emphasis on your abilities and avoid any kind of constricting or negative ideas.

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There are 16 areas of responsibilities in the Scope of Practice in Nursing Administration. You are a Nurse Administrator in your health organization. What do you consider as your 10 priority areas of responsibility. Identify and explain what these are and why

Answers

What are considered to be your top 10 areas of responsibility are fall risk, infection control, safe staff, visit control, structure, good practices, medication safety, communication and safe surgery.

What is areas of responsibilities in the Scope of Practice in Nursing Administration?

Quality is related to the level of satisfaction of service users, assuming that they receive timely, effective and safe assistance (technical quality of care processes) in appropriate material and ethical conditions (perceived quality or reception)

On priority areas for client safety, nurse managers expanded in priority areas that translate in the following categories: Communication, Safe Surgery, Safety of the customer, Falls, Pressure ulcers, Risk of infection, Safe staffing, Good practices, Control of visits and Structure.

In view of the areas they consider to be a priority for customer safety, Service Accidents, Biological Hazards, Ergonomics, Violence, Falls, Burnout, Work Breaks, Satisfaction, Communication, Visit Control, Secure Staffing and Structure.

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The formal study of heredity began in the
nineteenth century when a monk named Gregor
Mendel took an interest in the heredity of

Answers

Gregor Mendel researched how traits were inherited by plants.

In the life cycle of a social group, which stage completes the life cycle and might be triggered by conflict or personality clashes?

Question 8 options:



Forming




Norming




Adjourning




Storming

Answers

Answer:

storming

Explanation:

Storming stage

Everyone works differently and has their own style, but this can sometimes cause personalities to clash and affect how a team works. During the conflict, team members will become increasingly frustrated and will lose motivation for the task or project

A gymnast would like to add a backflip to her floor routine to increase the difficulty and influence the judge's score in a favorable way. Our gymnast can insure she is able to perform this new movement by improving her:

Leg power to increase jumping height
Reaction time to the start signal
Shoulder flexibility
Upper body arm strength

Answers

By increasing the power of legs to increase jumping height, a gymnast can ensure that she will be able to perform backflip properly. Thus, the correct option is A.

What is Gymnastics?

Gymnastics is a sport which includes physical exercises that requires balance, strength, flexibility, agility, coordination, dedication and endurance. The movements involved in gymnastics helps in the overall development of the arms, legs, shoulders, back, chest, and abdominal muscles of the body.

Backflips are the flips which help in developing the flexibility and strength of the Quadriceps, Gluteus Maximus, Hamstrings, and Calves muscles of the body.

Therefore, the correct option is A.

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which of the following statements bellow is true with regards to Acute Respiratory Infections (ARIs)?
A.Symptoms can arise within hour, days or weeks of exposure to a pathogen
B.There can be a range of outcomes from mild-flu-like symptoms to death
C. Acute respiratory infection can be latent, can be considered as ‘asymptomatic infection’
D. All of the above

Answers

Symptoms can arise within hour, days or weeks of exposure to a pathogen this Statement is true regarding Acute respiratory infection

Who is susceptible to a severe upper respiratory infection?

In the US, the most typical reason for visits to the doctor is a cold. Through aerosol droplets and direct hand-to-hand contact, URIs can be passed from one person to another. These circumstances include more risk:

Droplets containing the viruses are released into the air when a sick person sneezes or coughs without covering their mouth and nose.when there are lots of people around or when it is crowded. The close contact in hospitals, institutions, schools, and daycare facilities puts more people at danger.

Upper respiratory tract infections (URIs) or lower respiratory tract infections are the two categories under which acute respiratory infections (ARIs) are categorized (LRIs). The airways from the nose to the larynx, including the middle ear and paranasal sinuses, make up the upper respiratory tract.

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Radley had a swollen arm after slipping and falling down the stairs. His doctor explained what had happened to his arm. Use the most appropriate words to
complete the doctor's explanation.
Cells send out
to attract white blood cells to the damaged tissue. Local blood capillaries become more
moves from the capillaries to the damaged tissue, causing
The extra fluid

Answers

The extra fluid cells send out to attract white blood cells to the damaged tissue. Local blood capillaries become more and moves from the capillaries to the damaged tissue.

What is capillary and how doctor's concluded the problem?We know about nerves, blood and blood vessels , there are small or minute blood vessels that forms a network throughout the bodily tissues.This widespread network of blood vessels spread across the human body is called capillary.In our body there is certain need of exchange of substances like oxygen , nutrients etc. This exchange of substance takes place through capillaries between the blood and the tissues.

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According to the authors of your textbook, the definition of a psychological disorder is typically associated with all of the following EXCEPT
a. distress.

b. impaired functioning.

c. culturally unexpected responses.

d. psychotic symptoms.

I'm having a hard time understanding why the answer is d. Psychotic symptoms. PLEASE HELP.

Answers

Psychotic symptoms is not associated with psychological disorders.

A psychological disorder is, broadly, a condition characterized by distressing, impairing of atypical thoughts, feelings, and behaviors. It is also associated with depression, anxiety, stress, psychosis, sleep, and more. They can also affect differently in peoples in terms of severity .

Psychological disorder affect person and causes dysfunctional pattern of thought, emotion, and behavior .Psychological factors involve lifestyle, personality of a person, and stress levels the person is having. Social factors include things like social support , family relationships, and cultural beliefs. The five major prospect in psychology are biological, psychodynamic, behavioral, cognitive and humanistic.

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Which external influence most effects physical activity?
personal feelings
role models
experiences
likes

Answers

The answer is role models,have a nice day

17. entails emotional and physical responses as well as one's individual experiences in response to a situation or a change in life. A. Stress O B. Emotions OC. Mindfulness O D. Wellness​

Answers

Stress entails the emotional and physical responses as well as one's individual experiences in response to a situation or a change in life which makes the correct answer option A.

How does Stress affect wellbeing?

Stress is defined as the body's way of reacting physically, emotionally and mentally to aggravating circumstances and stimuli. These circumstances become coping mechanisms for future challenges.

When we experience challenges like stress, our body responds emotionally, physically even mentally to accommodate adjustments to situations. An individual's life changing experiences are part of the triggers for these response that leads to stress.

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Exam Instructions
Question 7 of 20:
Select the best answer for the question.
7. Which statement is true about handwashing?
O A. You should dry your hands with a disposable paper towel.
O B. You should scrub your hands together for at least 10 seconds.
C. Rinsing your hands with warm water removes germs.
O D. You can use hand sanitizer in place of soap.
K
O Mark for review (Will be highlighted on the review page)

Answers

A. You should dry your hands with a disposable paper towel.

Explanation: Most studies have found that paper towels can dry hands efficiently, remove bacteria effectively, and cause less contamination of the washroom environment.

When exercising, you have little influence over your personal safety.

Answers

When exercising, you have little influence over your personal safety. Thus, the given statement is true.

What is health?

Health has been defined as a state in which the person has been feeling completely healthy either physically or mentally as well as socially. There has been various concepts of the health and these are sense of the humor, energy, copying well being, nature, and function.

In this world health has the biggest wealth because a person who has been free from the disease has the richest person of the world so it has been said that health is wealth.

So to maintain the health people must exercise daily for 20 to 25 minutes and take a diet which has been completely nutritious and provide nutrition to the body.

Therefore, When exercising, you have little influence over your personal safety. Thus, the given statement is true.

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Starting a new exercise regimen without consulting a doctor first can be dangerous, especially if you have previous injuries.

Answers

True, starting a new exercise regimen without consulting a doctor first can be dangerous, especially if you have previous injuries.

Injuries- A physical harm to the body is a significant one. There are two primary categories of physical trauma: Blunt force trauma occurs when a bodily part is struck by an item or force, frequently causing concussions, serious wounds, or fractured bones. An instrument piercing the skin or body causes penetrating trauma, which typically results in an open wound.

Exercise- Any physiological action that improves as well as maintains physical fitness & general health and wellness is referred to as physical exercise. Physical activity is typically thought of as being done primarily to increase one's physical fitness and overall health.

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What does the combing form "sangi/o" mean

Answers

Terms in this set (10) Angi(o) Angi means blood vessel

Formulary is defined as

Answers

Answer:

formulary is defined as a drug list

Explanation:

like what drugs are covered

Maslow believed that people move back and forth from one need to another . True or false

Answers

This statement is false cognition, that  Maslow believed that people move back and forth from one need to another .

Describe cognition.

Cognition is referred to as the mental action or process of learning through experience, thought, and the senses. "The mental action or process of obtaining knowledge and understanding through thought, experience, and the senses" is the definition of cognition. At Cambridge Cognition, we define it as the mental operations involved in information input, information storage, and the subsequent application of that information to direct behavior.

Maslow argued that some wants are more important than others and that people are motivated to fulfill them.

One need can only be met at a time by a person. Maslow thought that humans were always aware of their motivations.

Maslow asserts that self-actualization is a need that people work very hard to satisfy.

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Your exercise program only needs to include cardio activities. A. True B. False

Answers

Answer:

False. You could include stretching and yoga as well.

Explanation:

Hope it helps! =D

B. False

An exercise program should conclude of multiple exercise activities that aren't just cardio. For example, weightlifting.

What are the requirements of your role in relation to documenting and reporting support plans and related processes?

Answers

Documentation and reporting are the major communication techniques used by the healthcare providers.

What do you mean by documentation and reporting?

Documentation is the interaction between and among health professionals, clients, their families and health care organization.

Reporting is known as verbal communication of data regarding the client’s health status, needs, treatments, outcomes and responses.

Quality service delivery that satisfies individual needs is supported by accurate and current record-keeping. Documentation of actions is done in a way that increases responsibility and accountability. Support staff and coordinators play a crucial role in completing reporting and documentation. In home and community services settings, a wide variety of reports and documentation are used. These documents could be about service users, employees, or the organisation and how it runs. Support staff must be aware of and adhere to organisational norms, policy requirements, and legal obligations for the completion, upkeep, and storage of documentation and reports.

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There are people who oppose giving children vaccines. What is the BEST argument for vaccines?
OA.
B.
OC.
D.
Thanks to vaccines, dangerous diseases have been eradicated.
As long as some children in a group are vaccinated disease does not spread.
Many childhood diseases leave those who have them with life-long disabilities.
Preventative care can minimize the impact of childhood diseases if a child gets one.
Reset
Next

Answers

Answer:

Preventative care can minimize the impact of childhood diseases if a child gets one.

Explanation:

always want to try to prevent first

4. At dinner, Robert ate 50% of his meal and 8 ounces of coffee. Usually he has a better
appetite. He has a course cough and you notice his face is flushed. He is not complaining
that anything is wrong. After dinner he requests to go to bed early. As a DCP you:
a. Report your observations at the end of your shift.
b. Report immediately to your supervisor.
c. Call his doctor.
d. Call his family.

Answers

Answer: it would go, C. B. and then D.

Explanation: I answered a health question about tortillas and now i can only think of WET TORTILLAS

Life changes, health problems, and financial losses can all be considered __________ in people’s lives that can affect a person’s physical and emotional well-being.



Question 1 options:



pathogens




stressors




avoidances




eustress's

Answers

Answer:

STRESSORS.

A stressor is an event or situation that causes stress. Just about anything can be a stressor as long as it is perceived as a danger.

Stressors, as changes can stimulate stress

Standards of beauty have always been the exact same, across diffeerent historical periods and in different cultures. T or F?

Question 2 options:
True
False

Answers

Answer: True

Explanation: Not only do perceptions of beauty in different cultures vary, but it also differs between individuals. Beauty really is in the eye of the beholder. Whilst true beauty comes from within, external cultural beauty has different standards.

5 kilometer run what energy you will use in doing this?

Answers

Answer:

Anaerobic Glycolytic

Explanation:

Because Anaerobic Lactic system(glycolytic) an energy system that supplies energy for medium to high intensity physical activities Lactic acid builds up in blood and muscle cells. As the intensity increases, it become increasingly difficult for the body to provide enough oxygen to fuel aerobic pathways.

For a 5-kilometer run, we will use an Anaerobic Glycolytic form of energy, An energy system that provides energy for medium-to-high-intensity physical activity is the anaerobic lactic system (glycolytic). In muscle and blood cells, lactic acid accumulates. It gets harder for the body to supply adequate oxygen to power aerobic pathways as the intensity rises.

Putting one foot in front of the other and letting it happen naturally is how we run.That's how we begin, but as we progress in our running, we want to learn more about how to increase our step frequency and step length to increase our speed, which foods will provide us the most energy during our runs, and which energy systems we use during a 400-meter sprint. Running raises a lot of questions, and there is a lot to learn. These are the areas you probably want to start focusing on if you want to be the best runner you can be.

While knowing what to eat before, during, and after each type of training run is very important, I should first discuss the physiology of energy metabolism during various levels of exercise. if you want to increase your running speed, you probably already know that it is actually not your speed holding you back, but rather your aerobic endurance.You have come to the right site if you require an explanation of the aerobic energy system. In order for you to understand how you are able to run as quickly as you can, how the anaerobic energy system functions, and what the aerobic energy system is, we will now break down the three energy systems.

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Which is a way to limit the impact of harmful social factors to human health?

Get indoor plants.
Keep our oceans, lakes, and rivers clean.
Always wash your hands.
Eat the same foods every day.

Answers

Eat the same foods every day.

three relevant statistics of positive choices that young people are making in relation of caffeine use

Answers

Answer:

Caffeine is a widely used psychoactive substance in both adults and children that is legal, easy to obtain, and socially acceptable to consume. Although once relatively restricted to use among adults, caffeine-containing drinks are now consumed regularly by children. In addition, some caffeine-containing beverages are specifically marketed to children as young as four years of age. Unfortunately, our knowledge of the effects of caffeine use on behavior and physiology of children remains understudied and poorly understood. The purpose of this article is to review what is known about caffeine use in children and adolescents, to discuss why children and adolescents may be particularly vulnerable to the negative effects of caffeine, and to propose how caffeine consumption within this population may potentiate the rewarding properties of other substances. The following topics are reviewed: 1) tolerance and addiction to caffeine 2) sensitization and cross-sensitization to the effects of caffeine 3) caffeine self-administration and reinforcing value and 4) conditioning of preferences for caffeine-containing beverages in both adults and children. Caffeine is the most commonly used psychoactive substance throughout the world (Nehlig, 1999). It is classified as a stimulant drug that is typically used for its ability to arouse the central nervous system. Although generally recognized as safe by the Food and Drug Administration, caffeine use in excess can result in serious health hazards and, in rare cases, death (Broderick and Benjamin, 2004; Kerrigan and Lindsey, 2005). The safety of caffeine use among children is understudied and poorly understood. Given that some caffeine containing beverages are marketed directly to children (Bramstedt, 2007) and that caffeine use is on the rise among children (Frary et al., 2005), it is important to understand the potential effects of caffeine use within this population.

Explanation:

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A new country has been established after the government was overthrown by its citizens. According to the new constitution, this country is divided into several different regions; however, the central government is in total control. The regions do not have any powers unless the central government delegates those powers. What type of government does this new country have?. A system that enables every location on Earth to be specified by a set of numbers or letters is?A. Satellite System B. Geographic Coordinate System C .Cartography System if you call bacon, bacon... and cookies, cookies.... how come we cook bacon and bake cookies How similar were the actions of the US around the world to those of the Europeans in Africa? Please use evidence in your answer. Diversity management and cultural competency have become buzzwords in all organizations. In a 2-page minimum paper, compare and contrast diversity management and cultural competency. Make sure to define each one. Also, make recommendations on how a healthcare organization should increase their diversity while considering how diversity is defined and how it will be managed. CREATE A short story about the Rise and Fall(...and rise?) of an animal population that you can research online.YOUR STORY MUST BE ORIGINAL AND SHOULD CONTAIN THE FOLLOWING ELEMENTS:THE EFFECTS OF AT LEAST ONE (1) DENSITY - DEPENDENT LIMITING FACTORTHE EFFECTS OF AT LEAST ONE (1) DENSITY - INDEPENDENT LIMITING FACTORTHE BIOTIC POTENTIAL of your fictional populationPOPULATION SIZE vs. CARRYING CAPACITY of your fictional ecosystem. Can anyone tell me 10 vocabulary words in the book called'We beat the streets'? Given the function:g(x)=8-2.5xFind the following values.a) g(6)b) g(0)c) g(-6) The measure of a base angle of an isosceles triangle is 20 degrees. What is the measure of the vertex? as carbon dioxide enters the ocean it: group of answer choices forms carbonic acid. bonds to water molecules to increase the salinity of the ocean is used by animals for respiration. becomes a product of photosynthesis. Elsa is saving money to buy a game. So far she saved $24, which is two-thirds of the total cost of the game. How much does the game cost? 8x 12y = 24 a. x-intercept: b. y-intercept: 10+ C. graph 9 8 7 6 5 4 13 2 -10 -9 -8 -7 -6 -5 -4 -B-2 -1 2 15 4 SI 6 8 9 10 -2 3 -6 -7 -8 9 10 Clear All Draw: Which country do you believe gives its citizens the best care? Why? If you happen to be the financial manager of a company, which would you prefer to issue equity securities or debt securities? Which predator is best adapted to its environment?a.Predator 1b.Predator 2c.Predator 3d.Predator 4Edge2020 Which piece of artwork was produced in the middle ages? a painting of the madonna and child. mary, the mother of jesus, is seated on a throne with her infant son in her lap. he has a halo around his head. people are standing around the throne, looking at the 2 people. they are also wearing haloes. the painting has a flat, stylized, stiff quality. a painting of a man sitting casually in a chair, smoking a pipe and reading a newspaper. a painting of a woman and a young child in a field on a partly cloudy, windy day. the woman is wearing a light colored dress and holds a parasol. Please see image attached on using the diagram to name the ray The pie chart below shows how the annual budget for a certain company is divided by department. If the amount budgeted for sales and research combined is 75,000,000. What is the total annual budget? For triangle XYZ, mX = 47, mY = (2x 18), and mZ = (5x 45). Find mY. mY = 28 mY = 38 mY = 95 mY = 142 will give 30 points if its right need asap please