Utilization Samenvattingen, Aantekeningen en Examens

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...

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) - B, . Joint Commission; C. State Boards of Nursing; E. Food and Drug Administration (FDA) Nurse is explaining various types of healthcare coverage clie...

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...

TEST BANK FOR NURSING RESEARCH IN CANADA: Methods, Critical Appraisal, and Utilization, 4TH EDITION LoBiondo-Wood ISBN: 0984 Great Text to better understand and apply research to your everyday practice and help ground you in the processes behind nursing research and evidence-informed practice. Part I: Research Overview Research Vignette: A Program of Research in Transcultural Nursing 1. The Role of Research in Nursing 2. Theoretical Framework 3. Critical Reading Strategies: Overview of the Resea...

Test Bank - Nursing Research in Canada: Methods, Critical Appraisal, and Utilization, 4th Edition (LoBiondo-Wood, 2018), Chapter 1-20 | All Chapters

Test Bank - LoBiondo-Wood and Haber's Nursing Research in Canada: Methods, Critical Appraisal, and Utilization, 5th Edition (Singh, 2022), Chapter 1-21 | All Chapters. Part 1: Research Overview Research Vignette: Nursing research to improve immunization in Canada Chapter 1 The Role of Research in Nursing Chapter 2 Theoretical Frameworks Chapter 3 Critical Appraisal Strategies: Reading Research Chapter 4 Developing Research Questions, Hypotheses, and Clinical Questions Chapter 5 Finding and Appr...

TEST BANK for Marketing Health Services 4th Edition. by Thomas Richard. ISBN 1596. TABLE OF CONTENTS: Chapter 1. The Origin and Evolution of Marketing in Healthcare Chapter 2. Basic Mar keting Concepts Chapter 3. Marketing and the Healthcare Organization Chapter 4. The Nature of Healthcare Markets Chapter 5. Healthcare Consumers and Consumer Behavior Chapter 6. Healthcare Products Chapter 7. Factors in Health Services Utilization Chapter 8. The Changing Environment for Healthcare Marketing Chapt...

Test Bank - Nursing Research in Canada: Methods, Critical Appraisal, and Utilization, 3rd Edition (LoBiondo-Wood, 2013), Chapter 1-20 | All Chapters

When considering the regulatory requirements for healthcare, which agencies primarily oversee the use of medication? - FDA and DEA The FDA (Federal Drug Administration) and DEA (Drug Enforcement Agency) focus on medication compliance and medication utilization. How would you follow up on a denied claim? - Make sure resubmissions are marked as "corrected claim" and include the reference number from the denied claim. What information should you supply when you are calling to discuss a clai...

IDIS 343 Final Real Exam Questions with Complete Solutions / Correct Answers Which of the following product characteristics is the most related to the utilization of the transportation equipment and the inventory space? •Value-to-weight ratio Value of the product Weight-to-volume ratio Substitutability - Correct Answer Weight to Volume Ratio Which of the following products would more likely need a responsive supply chain? Ball point pens Christmas ornaments Customized birthday gifts...