Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN: 9781337679480
Author: GREEN
Publisher: Cengage
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Scenario: You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call? If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example.
“Hi, I would like to make an appointment to see the doctor. I had my X-ray done yesterday, and let me tell you, it was quite an ordeal. First, I had a hard time getting down to the hospital. Then, I got lost… I’m not sure how that can even happen, but then this really nice lady offered…”
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Scenario: You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call? If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example.
“I have been trying to get through to you for over an hour. What is wrong with you people? Do you leave the telephone off the hook? Don’t you realize that there are sick people wanting to get in touch with you? Can’t you afford another telephone line? This is ridiculous!”
You are the MOA in a busy family practice. The following calls come in to your office. For each situation, respond in the most appropriate manner. How would you handle each call? If it is for your physician, do you put the call through? Do you take a message? Can you handle the call yourself? Provide a brief explanation for each example.
“Hi, my mother was in to see the doctor yesterday. Ever since then she has been quite upset. She won’t talk to me about it. I want to know what is going on.”
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- Indicate a situation when a nurse can be an advocate other than for a single patient. Hello, Can you please help me with this question? Thank you in advance!arrow_forwardPatient is moved to end of life care. His daughter asks "How will I tell my dad if he asks what is going on? What do I say?" How to respond.arrow_forwardCommunication: Therapeutic/Nontherapeutic Video scenario Catherine: Hello Ron:hi Catherine:My name is catherine, and i'll be asking you some questions.could you please tell me your name and your date of birth? Ron: Yes, Ron Toledo. september 14th, 1958. Catherine: All right, Mr. toledo. Are we felling any better now? Ron: No, I i still think I'm having a nervous breakdown. I just can't get over loosing my job, and since my mother died, I just don't have anyone. I mean, she did everything for me. I just don't think i can do this. Catherine: And what exactly makes you say that? Ron: I just told you! she did everything for me! Catherine : Dont worry. Things will get better soon. I know exactly how you feel. I felt the same when i lost my father.Perhaps you should just focus on something else to get off your mind. Question: What nontherapeutic communication styles did the nurse use in this scenario? What therapeutic communication styles could the nurse have used instead? In your response,…arrow_forward
- A client has just been admitted to the healthcare facility in an unconscious state and is accompanied by relatives. a. What is the priority nursing action in this situation? b. What step(s) of the nursing process should the nurse perform at this stage?arrow_forwardYou are an administrator in the Intensive Care Unit (ICU). The Physician approaches you for assistance with her patient Mr. Jones and Mr. Jones’ family. The Physician explains that Mr. Jones no longer requires the level of care that is provided in the ICU and wants to transfer Mr. Jones to an acute medical unit. Jones is ‘incapable’ so his daughter is making treatment decisions on his behalf. Jones’ does not have a Power of Attorney for Personal Care, his spouse passed away many years ago, and is daughter ranks next on the substitute decision-maker hierarchy. The issue that the Physician is facing is that Mr. Jones’ daughter does not want her father transferred out of the ICU and is telling the Physician and the staff that she does not give her consent for him to be transferred. Question: Using your critical thinking skills and what you’ve learned about the Health Care Consent Act, what advice do you give the Physician in this case? Explain your…arrow_forwardPatient is moved to end of life care. His daughter asks "What happens now to my dad?" How to respond.arrow_forward
- A client asks the nurse about the significance of black box warnings included on the label of specific prescription medications. What information should the nurse provide to the client? Select all that apply. "They advise the nurse about look-alike or sound-alike drugs." "They advise the client about serious potential risks related to the use of the drug." "They advise the healthcare professional about serious side effects related to the use of the drug." "They advise the healthcare professional about serious potential risks related to the use of the drug." "They advise the nurse about the dosage strength of the drug and the recommended route of administration." "They indicate the need to consult the pharmacist, and seek reliable drug references and U.S. Food and Drug Administration (FDA) recommendations."arrow_forwardThe nurse realizes that the physician’s verbal orders was missing information and requests the missing order information. Before administering the medication, the nurse will review the medication rights to ensure that the medication is correctly given. When thinking of the 10 medication rights, what medication right has missing information from the physician’s order of: Give Sally Smith 5 mg morphine sulfate q6h PRN for pain? Fill in the blank with a one-word answer (your answer must be one word or it will be marked wrong)arrow_forwardAs she hangs up the phone, Ling realizes she has a decision to make. Her sister, Naomi, is being discharged after an unexpected hospitalization and will need nursing care at home for several weeks. As a registered nurse, Ling is used to fielding requests for minor care and advice from family members and friends. This situation however, will be more difficult to navigate. She knows her family will want her to be involved in Naomi’s care, and if she’s honest with herself, she would like to be as well. Questions: 1. But would it be the best approach for everyone involved? 2. How will Ling keep separate her roles as nurse and sister? 3. What information does the CNO standards provide to help guide her decision?arrow_forward
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