Payers Study guides, Class notes & Summaries

NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+   NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+ 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases e...

Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? - Answer- The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any. The patient experience includes all of the following except: - Answer- Recognition that revenue cycle processes must be patient-centric and efficient. This is especially true in the areas...

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...

MIdterm for Ethics EDF 6557 EXAM 2023 with 100% correct answers 1. 1.04 Practicing within a Defined Role: provide services only after defining and documenting their professional role with relevant parties in writing. 2. Scope of practice: Defined at the level of the profession-The range of activities in which members of a profession may be authorized to engage in by virtue of holding a credential or license-The range of activities might be defined by a credentialing body, certifying agency...

HOSA Physical Therapy Questions and Answers Graded A When was the ADA signed into law? July 26th, 1990 What is the term for action requiring significant difficulty or expense taking into consideration direct and net cost of accomodations, the facitilies financial resources, number of persons employed and impact of operations. Undue Hardship What is the term for an employer excluding a qualified individual from employment if they pose a direct threat to the health and safety of oth...

What is the purpose of Hospital Billing, and where is it used? Correct Answer Hospital Billing is how we bill for the services provided and resources used by patients at a hospital. Hospital billing charges are often technical charges. Most of the time, Resolute Hospital billing is only used to bill for charges that accrue in a hospital though it can be used for any technical charges used in the organization. What is accounts receivable? Correct Answer accounts receivable refers to a faciliti...

As an advanced practice nurse, you want to learn more about the CDC's initiatives relative to asthma care and management in order to advocate for asthma sufferers at the state legislative level. Your goal is to reduce medications costs to patients. Which CDC recommendation supports your goal? a. The CDC recommends that payers and employers promote healthy workspaces to decrease environmental trigger exposures. b. The CDC recommends that providers prescribe the most cost-efficient long-actin...

Which of the following statements are true of HFMA's Financial Communications Best Practices - Answer-The best practices were developed specifically to help patients understand the cost of services, their individual insurance benefits, and their responsibility for balances after insurance, if any. The patient experience includes all of the following except: - Answer-The average number of positive mentions received by the health system or practice and the public comments refuting unfriendly po...

NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+   NRNP 6675-15; NRNP 6675 Week 6 Midterm Exam 2022 100% solved -Graded A+ 1. Which of the following are risk factors for neuroleptic malignant syndrome? Select all that apply Age Rapid dose escalation Parental route of administration Higher potency typical antipsychotics 2. Antipsychotic medications provide D2 blockade in the mesocortical pathway causing which of the following effects? Reduces negative symptoms Increases e...

HIPPA Health Insurance Portability and Accountability Act of 1996 and the Healthcare Fraud and abuse control program. Far-reaching program to combat fraud and abuse in healthcare including both public and private health plans. Individuals protected health information Demographic data, name, address, birth date, and SS number. central focus of clinical documentation should be to demonstrate the quality of care provided to the patient with detail and accuracy to facilitate optimum...