Bundle: Understanding Health Insurance: A Guide To Billing And Reimbursement, 14th + Law, Liability, And Ethics For Medical Office Professionals, 6th ... For Green's Understanding Health Insu
14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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Medicare and other payers may consider a procedure to be non covered service when performed in an ASC for several reasons. List two
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how would you respond to those who do not agree with medicare for all. Explain where you believe that they err.
A patient's insurance policy states:
Annual deductible: $300.00
Coinsurance: 70-30
This year the patient had made payments totalling $533 to all providers. Today the patient has an office visit (fee: $80). The patient presents a credit card for payment of today's bill. What is the amount that the patient should pay?
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- 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_forwardIndicate 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_forwardWhat part of the nursing care plan is the patient's complaint? Don't plagiarism.arrow_forward
- Respond to the questions below use between 4-6 sentences in a paragraph form and grammar error free format. The cardiology department of Smithville Community Hospital wants to expand the cardiovascular lab to include additional procedure rooms and equipment. Several cardiologists have mentioned that there seems to be an increase in the number of patients and number of cardiac procedures performed. The hospital CIO was asked to evaluate the request and provide an initial report to the Board of Directors. The CIO worked with the VP of clinical operations to write the report. Using the physician and procedure indices within EHR, the CIO and VP completed a 10-year historical analysis of all cardiac patients and procedures. They identified inpatient and outpatient procedures, documented the number of outpatients who were also cardiac inpatients at some point, and reviewed wait times for scheduling of procedures. Four years of historical data was available in the current EHR for wait-time…arrow_forwardTELEPHONE TRIAGE 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!”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_forward
- I need help completing the chart and Explaining the importance of healthcare policy and its impact on healthcare determinants. Part 2 Complete the following chart. Use the weekly textbook readings and other resources you have researched to support your answers: Identify the four different forms of health care policy. Identify an example of each form identified. Classify the form identified into one of the two categories of the health care policy. Describe why the health care form identified fits in the category identified (15 to 45 words). 1. 2. 3. 4. Part 3 Respond to the following prompt using 90 to 175 words: Describe how the different forms of health care policy can be used to shape future policies.arrow_forwardDescribe the role advocacy plays in health education/promotion. Please answer .arrow_forwardThis is for Ethics in Health Care Please answer both parts in a total of no less than 350 words or more than 450. 1. List and describe five material principles (criteria) according to which scarce resources might be distributed. How would the different theories of justice assess these as potential candidates for just distribution of medical resources? 2.You are on an ethics advisory committee that has been tasked with developing a policy for determining who receives organs through cadaveric organ transplantation. In your proposal address such questions as the relevant material principle(s) of justice that you are using (and their relative priority), as well as whether (or in what cases) citizenship is a relevant criterion for being admitted to transplantation waiting lists.arrow_forward
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