Utilization review - Study guides, Class notes & Summaries

Midterm Exam: NR 599 / NR599 Nursing Informatics for Advanced Practice (2023/ 2024 Newly Updated) Midterm Exam Review| Grade A| Verified Answers- Chamberlain 1. What is the definition of computer literacy? ~ Answer: knowledge and understanding of computers with effective use 2. How do you identify problems? ~ Answer: Locate current literature and related concepts 3. What is the three things needed when looking for information online? ~ Answer: Purpose, focus, an...

CSPR - Certified Specialist Payment Rep (HFMA) Questions and Answers 2023 Steps used to control costs of managed care include: Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage HMO Conventional PPO and POS H...

ATI Fundamentals Remediation Exam 2024 A nurse is explaining differences among various agencies that address healthcare. Nurse should note which of following are health care regulatory agencies? (Select all that apply.) A: American Nurses Association (ANA) B: Joint Commission C: State boards of nursing D: National League for Nursing (NLN) E: Food and Drug Administration (FDA) -Answer-B, . Joint Commission; C. State Boards of Nursing; E. Food and Drug Administration (FDA) Nurse is expla...

NSG 526 Exam 1 Question and answers 100% correct NSG 526: Exam 1 DSM-5 TR: How is it utilized? - correct answer Utilized in diagnostic assessment process only, DSM-5 TR: What does it not suggest? - correct answer Treatment strategy. Accurate Documentation: Why is it significant? - correct answer Significant for legal protection, regulatory standards compliance, reimbursement, liability reduction, consistency in therapeutic intervention, and assistance with utilization review. Jo...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Essentials of Nursing Research; Appraising Evidence for Nursing Practice 10th Edition Polit Test Bank. Research utilization is a process that begins with which of the following? A) A clinical problem that needs to be solved B) A problem-focused trigger C) A knowledge-focused trigger or research finding D) A well-worded clinical question 2. Which of the following is an example of a systematic review? A) An RCT study published in the journal Nursing Research B) A meta-analysis from the Coch...

Test Bank For Evidence Based Practice for Nurses: Appraisal and Application of Research By Schmidt & Brown 3rd Edition Complete . Which of the following is the best definition of research? a. Critically thinking about problems that occur in health care to determine possible solutions. b. Information that is based on personal experience or tradition. c. Planned and systematic activity that leads to new knowledge and/or the discovery of solutions to problems or questions. d. Trying a variety...

ATI Nursing Fundamentals - Safe, Effective Care Environment Chapters 1-9 Exam Questions and Answers A nurse discussing restorative health care with a newly licensed nurse. Which of the following examples should the nurse include in the teaching? (Select all that apply) A. Home Health Care B. Rehabilitation Facilities C. Diagnostic Centers D. Skilled Nursing Facilities E. Oncology Centers - Answer- A, B, D A. CORRECT: Restorative health care involves intermediate follow-up care for rest...

Test Bank for Intermediate Accounting 11e 11th Edition by David Spiceland and Mark Nelson and Mark Nelson and Jennifer Winchel and Wayne Thomas and Jennifer Winchel. ISBN-13: 4526 Full Chapters test bank PDF Section 1: The Role of Accounting as an Information System Chapter 1: Environment and Theoretical Structure of Financial Accounting Chapter 2: Review of the Accounting Process Chapter 3: The Balance Sheet and Financial Disclosures Chapter 4: The Income Statement, Comprehensive I...

Hondros NUR 212 - EXAM 1 Latest Update(scored A) A nurse is explaining the differences among the various agencies that address health care. The nurse should note that which of the following are health care regulatory agencies? (select all that apply) a. American Nurses Association (ANA) b. joint commission c. state boards of nursing d. national league for nursing e. food and drug administration - ANSWER b, c, e A nurse is explaining the various types of heath care coverage pts m...