Medical necessity - Study guides, Class notes & Summaries

Origin: Chapter 1, 1 1. The nurse providing family-centered care in a hospital setting reflects on the focus of the health care provided in today's society. Which statement best describes the current definition of health? A) Health is described as 'an absence of disease.' B) Health is measured by monitoring mortality and morbidity of a group. C) Health is a state of complete physical, mental, and social well-being. D) Technological gains made in health care are shared equally among all...

Test Bank for Potter and Perry's Canadian Fundamentals of Nursing, 7th Edition by Astle 1.The nurse is using the population health promotion model to develop actions for improving health. After asking, “On what should we take action?”; “How should we take action?”; and “Why should we take action?” the nurse will ask which of the following questions? a.“With whom should we act?” b.“When should we take action?” c.“Which government should take action?” d.“Where sho...

CCMA EXAM (2022/2023) (NHA) QUESTIONS WITH CERTIFIED SOLUTIONS CELL STRUCTURES IS THE SOURCE OF ENERGY FOR A CELL? MITOCHONDIRA A MA IS TESTING A PATIENT'S VISUAL ACUITY USING A SNELLEN CHART. WHICH ACTIONS SHOULD MA TAKE? MAKE SURE THE PATIENT DOES NOT LEAN FOWARD DURING THE TEST. DURING A ROUTINE VENIPUNCTURE. THE PATIENT BECOMES PALE & DIAPHORETIC. WHAT CONDITION IS MOST LIKELY TO OCCUR IN THIS PATIENT? SYNCOPE A PATIENT CALLS THE CLINIC TO CANCEL A POSTOPERATIVE APPOINTMENT & STATES THAT...

Davis Advantage for Fundamentals Of Nursing (V2), 4th Edition, Judith M. Wilkinson, Leslie S. Treas, Karen L. Barnett, Mable H. Smith-Latest Complete and Elaborated Test Bank - Updated 2023COMPLETE - Elaborated Test Bank for Davis Advantage for Fundamentals Of Nursing (V2), 4th Edition, Judith M. Wilkinson, Leslie S. Treas, Karen L. Barnett, Mable H. Smith-Latest Complete and Elaborated -Updated 2023COMPLETE Elaborated Test Bank Davis Advantage for Fundamentals of Nursing (2 Volume Set), 4E...

True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - Answer-True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - Answer-1.Protect our programs 2.Protect your patients 3.Protect the Provider At which level of the Medicare Part A or Part B appeals process is the appea...

An insurance adjustor requests a patient's progress notes following a motor vehicle crash. Which of the following should guide the EHR specialist in releasing this information? A. meaningful use B. continuity of care C. assignment of benefits D. minimum necessity - Answer-D. minimum necessity Which of the following is a feature of clinical decision support? A. allows patients access to educational material B. allows patient care to be tailored to published guidelines C. allows for...

Medical Billing and Reimbursement Systems Chapter 6 with Complete Solutions How does the fee-for-service reimbursement model work? The fee-for-service model reimburses healthcare providers for each service performed, allowing them to bill separately for every procedure or visit. What is capitation in medical billing? Capitation is a reimbursement model where healthcare providers receive a fixed amount per patient for a specific period, regardless of the number of services provi...

The term used to indicate that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care is 1. appropriateness. 2. evidence-based medicine. 3. benchmarking. 4. medical necessity. (Ans- 4. medical necessity. Use the following table to answer the question. (See the word file) This information is the numerical identification of the service or supply. Each item has a unique number with a...

Texas State Nursing Home Administrator Test Questions And Answers Graded A+ All residents, including, but not limited to private-pay. Medicaid applicants and recipients, VA patients, and Medicare recipients, who are admitted to and reside in a Medicaid certified facility or a Medicaid-certified distinct part of a facility. These requirements do not apply to SNFs licensed under the Health and Safety Code Chapter 241, participating only in the Medicare program ANS Medicaid specific requirements ...

CASE 1 R/O MRSA - Central line catheter Clinical Indications:(Clinical indications provide medical necessity when there are no other findings.) Patient with fever not responsive to antibiotics Collected: 03/30/XX 17:45 Accession Num: TXXXXX Status: Authenticated Method: Single nucleic acid sequence (Note the method used to identify the infectious agent and/or resistance.) Culture: Methicillin Resistant Staphylococcus aureus (MRSA) isolated (Select the diagnosis code based on the findings...