Physiscians - Study guides, Class notes & Summaries

A request to the plan to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (medicare) is a/an: - ANSWER a.APPEAL A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later than __ calendar days from the date of the event or the date the member is made aware of the issue. - ANSWER 60 An LEP is assessed by CMS when a member goes___days or longer without creditable prescription drug cove...

PCA CERTIFICATION EXAM SOLVED 100% CORRECT!! providing reminders on when to perform these exercises what is the pca responsible for during restorative rehabilitation activities? removing iv catheters what is the pca responsible for prior to patient discharge? physiscians who removes sterile dressings? the pca who is tasked with changing not sterile dressings? monitor the patient, remove any obstacles, be prepared to assist patient what should a pca do during independent transfer? if...