Chapter 4, Problem 21R

You receive an EOB for a patient who is covered by an HMO. The HMO did not pay for services received on May 5, which is when the patient visited Dr. Larsen for her annual Pap smear. You check your records and find that the same insurance carrier paid for previous Pap smears for the same patient in past years. What should you do? Check the accuracy of the codes. Check the insurance plan for any changes in benefits during the last year. Bill the patient since it was not covered. Check for code accuracy and insurance changes.

Proper patient identification meansa. actively involving patients in their own identification.b. asking a second person to verify your ID procedure.c. checking the requisition against the patient’s room number.d. scanning patient ID bands with barcode readers only.

Create a table comparing the British, Chinese, and Canadian health care systems with respect to financing, availability, and costs of care. How do they compare with the system in the United States.  Note:- Please avoid using ChatGPT and refrain from providing handwritten solutions; otherwise, I will definitely give a downvote. Also, be mindful of plagiarism. Answer completely and accurate answer. Rest assured, you will receive an upvote if the answer is accurate.

Base on the information below please answer those questions. Patient medication: Eliquis, Toprol, Metformin, Lasix, citalopram, atorvastatin, lorazepam, metolazone What is causing the abnormal lab values in YOUR PATIENT? 2. Are the abnormal lab values at the patient's baseline, or worse? 3. What labs that were drawn specifically correlate to your patient's medical diagnoses? 4. Trend labs, note which ones are getting better and why and which ones are getting worse and why. 5. What nursing interventions do you expect to complete to correct the abnormal lab value(s) in THIS patient?

Describe the differences between the federal Medicare program and the Medicaid program in  massachussetts and how they impact financial reimbursement from the perspective of the healthcare system