Managed care exam 3 - Study guides, Class notes & Summaries

the right of payer to recover any legal settlement or award dollars associated with healthcare costs if a member was harmed by a third party. correct answersSubrogation Under _________, people who lose their employer-based group coverage due to a life event are usually able to extend that coverage for up to 18 months (or 36 months in some cases). correct answersCOBRA Employers are not compelled to offer group health benefits, so employment by itself does not necessarily mean an employee wi...

Complete|HESI EXIT Family Nurse Practitioner/APRN 2024 Final Exam|100% Verified With Rationale|Graded A+ Which of the following nursing actions demonstrates that the nurse understands the nursing process? a) Prioritizing patient goals, documenting all health records precisely, conducting the health history, and documenting the nursing diagnosis b) Reviewing health record, documenting patient goals, identifying etiology of the nursing problem, and evaluating treatment outcome. c) Assessing f...

TEST BANK FOR PARAMEDIC CARE – PRINCIPLES AND PRACTISE 6th EDITION VOLUME 1 UPTO 5 BY BRYAN BLEDSOE, ROBERT PORTER AND RICHARD CHERRY. / ALL CHAPTERS INCLUDED 2023/2024. 1 Paramedic Care: Principles & Practice V. 1-5, 5e (Bledsoe) Volume 1 Introduction to Advanced Prehospital Care Chapter 1 Introduction to Paramedicine 1) What is one of the emerging roles and responsibilities of a paramedic in the 21st century? A) Third-party biller B) Managed health care C) Health promotion D)...

NR 602 WEEK 4 MIDTERM EXAM LATEST 2023(4 DIFFERENT VERSIONS )/ NR 602 MIDTERM EXAM 200 MIDTERM EXAM QUESTIONS AND ANSWERS(GUARANTEED PASS 100%) VERSION 1 • Role-play with equipment during the course of a physical examination would be most beneficial with which of the following groups? • Preschoolers/Toddlers • What is the Ortolani Sign? -Assess for congenital hip dysplasia • When performing a physical examination of a toddler, which of the following body parts would examine...

IAHSS Supervisor Exam 2023 Questions and Answers 100%Verified. What always stays constant regardless of where you work? - Correct answer-Change What is the goal of managed care systems? - Correct answer-To control cost Which category in the institutions organizational chart best describes line officers' position? - Correct answer-Employee What is the most important factor in being a security officer? - Correct answer-Honesty and integrity What does CMS stand for? - Correct answer-Centers...

WGU C425 Final Exam Questions With 100% Verified Answers | Latest Update 2023/2024. What Is Health? - ANSWER--U.S. health care has followed a medical/biomedical model. - It assumes illness or disease thereby emphasizing clinical diagnosis and medical in the treatment of disease or its symptoms. - It emphasizes • Clinical diagnosis and medical interventions to: - Treat disease or its symptoms. - Have a clinical diagnosis and medical interventions. Largely governed by the medical model/...

ATI PHARMACOLOGY PROCTORED EXAM RETAKE GUIDE (GRADED A+) LATEST VERSION A patient newly diagnosed with hypothyroidism is prescribed Levothyroxine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement ...

TEST BANK FOR FOUNDATIONS OF MATERNAL NEWBORN AND WOMENS HEALTH NURSING 8TH EDITION BY MURRAY 2024 EXAM QUESTIONS WITH VERIFIED ANSWERS CORRECT Chapter 01: Clinical Judgement and the Nursing Process Foundations of Maternal-Newborn & Women’s Health Nursing, 8th Edition MULTIPLE CHOICE 1. A nurse educator is teaching a group of nursing students about the history of family-centered maternity care. Which statement should the nurse include in the teaching session? a. The Sheppard-Towner ...

HESI Pharmacology Exit Exam with NGN 1 . A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a postoperative infection. It is most important for the nurse to assess for what additional drug allergy before administering this prescription? A) Penicillins. B) Aminoglycosides. C) Erythromycins. D) Sulfonamides. A) Penicillins. Cross-allergies exist between penicillins (A) and cephalosporins, such as cephalexin monohydrate (Keflex), so checking for penicilli...

ANCC Risk mgt / ethics / research Exam 93 Questions with Verified Answers What are some systematic components to reducing risk? What does it begin with? - CORRECT ANSWER Begins with a formal written plan -organizational goals -delineation of program scope, components, methods -delegating responsibility for implementation and enforcement -commitment of the board -guarantees of confidentiality and immunity for those who squeal goals -> scope/methods -> delegation -> board b...