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What can be delegated to Assistive personnel (AP)? - ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O - VS (stable clients A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client...

A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? bounding pulse A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique a. This technique decreases the risk of subcutaneous infiltration 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which o...

A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to enter data for her because the AP has forgotten her password and needs to leave. Which of the following actions should the nurse take? Tell the AP to contact the IT department for charting assistance. A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse should instruct the parents to place the car seat in a.... Rear-facing position in the back s...

A nurse is reinforcing teaching with a postpartum client. Which of the following should the nurse explain as the most important reason for staff to wear identification? Reducing the risk of newborn abduction A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of the following statements indicates an understanding of the instructions? I will feed my baby six to eight times a day A nurse is reinforcing teaching with a client diagnosed with oste...

a nurse is caring for a client who is taking alprazolam. Which of the following prescriptions should the nurse clarify with the provider? ceftriaxone a nurse is assessing a client who is postoperative following abdominal surgery. The client states "I feel like my incision ripped open" the nurse notes dehiscence of the incision. which of the following actions should the nurse take? place the client in a low-fowlers position a nurse is caring for a client who is receiving radiati...

Credit balances may be created by any of the following activities except: (Pre-Test 4) Credits to pharmacy charges posted before the claim final bills. 3 MULTIPLE CHOICE OPTIONS Which of the following statements represent common reasons for inpatient claim denials? (Pre-Test 4) Failure to obtain a required pre-authorization; failure to complete a continued stay authorization and services provided which were not medically necessary. 3 MULTIPLE CHOICE OPTIONS A 68-year-...

The disadvantages of outsourcing include all of the following EXCEPT: a) The impact of customer service or patient relations b) The impact of loss of direct control of accounts receivable services c) Increased costs due to vendor ineffectiveness d) Reduced internal staffing costs and a reliance on outsourced staff d) Reduced internal staffing costs and a reliance on outsourced staff The Medicare fee-for service appeal process for both beneficiaries and providers includes all of the ...

The 501(r) regulations require not-for-profit providers 501(c) (3) to do which of the following activities? A. Complete a community needs assessment and develop a discount program for patient balances after insurance payment. B. Pursue extraordinary collection activities with all patients eligible for financial assistance. C. Implement a financial assistance program for uninsured and underinsured patients. D. Discount all charges to self-pay patients to an amount generally billed to all othe...

Which option is NOT a main HFMA Healthcare Dollars and Sense revenue cycle initiative? A) Patient Financial Communications B) Medical Account Resolution C) Price Transparency D) Process Compliance D) Process Compliance Approximately what ______% of billing information is obtained during the registration process (Patient Access). 40% What is the objective of the HCAHPS initiative? A) To conduct evaluations concerning patients' perspective on hospital care. B) To provide a s...

Consents are signed as part of the post service process. (True or Flase) False Patient service costs are calculated in the pre-service process for scheduled patients.(True or False) True The patient is scheduled and registered for service is a time of service activity (True or False) False The patient account is monitored for payments is a time of service activity (True or False) False case management and discharge planning service are a post service activity ( Tr...

The disadvantages of outsourcing include all of the following EXCEPT: a) The impact of customer service or patient relations b) The impact of loss of direct control of accounts receivable services c) Increased costs due to vendor ineffectiveness d) Reduced internal staffing costs and a reliance on outsourced staff D The Medicare fee-for service appeal process for both beneficiaries and providers includes all of the following levels EXCEPT: a) Medical necessity review by an indepe...

What do Case Managers do? Monitor high resource cases to ensure effective utilization What is HIM responsible for? all pt medical records: transcribe, coding, release to biling, answer requests for documentation What is utilization management responsible for? manage cases: services correct, on time What are the three types of utilization review? Prospective, Concurrent, Retrospective Where can home health services be offered? Home, Assist Living, neighbors: just ...

Which of the following statements are true of HFMA's Patient Financial Communications Best Practices? 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: Recognition that revenue cycle processes must be patient-centric and efficient. This is especially true in the areas of scheduling...

Overall aggregate payments made to a hospice are subject to a computed "cap amount" calculated by The Medicare Administrative Contractor (MAC) at the end of the hospice cap period Which of the following is required for participation in Medicaid Meet Income and Assets Requirements In choosing a setting for patient financial discussions, organizations should first and foremost Respect the patients privacy A nightly room charge will be incorrect if the patient's Transfer...

Important revenue cycle activities in the pre-service stage include; Obtaining or updating patient and guarantor information In the pre-service stage, the cost of the scheduled service is identified and the patient's health plan and benefits are used to calculate; The amount the patient may be expected to pay after insurance. Demographic and health plan edit failures are identified and resolved within the Patient Access area. Census activity is processed, Discharges are complete...

Net Days in AR Measures how fast receivables are collected. It is a trending indicator of overall A/R performance & revenue cycle efficiency. A/R Aging Reports divide the AR into 30, 60, 90, and 120 day categories, based on discharge. Credit Balances - Days Outstanding The dollars in credit balance at the account level divided by the three month daily average of total net patient service revenue. Credit balances should be resolved timely and should be benchmarked at <1% of th...

Which of the following statements are true of HFMA's Financial Communications Best Practices 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: The average number of positive mentions received by the health system or practice and the public comments refuting unfriendly posts on soci...

Through what document does a hospital establish compliance standards? code of conduct What is the purpose OIG work plant? Identify Acceptable compliance programs in various provider setting If a Medicare patient is admitted on Friday, what services fall within the three-day DRG window rule? Non-diagnostic service provided on Tuesday through Friday What does a modifier allow a provider to do? Report a specific circumstance that affected a procedure or service without chan...

What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates What customer service improvements might improve the patient accounts department? Holding staff accountable for customer service during performance revi...

What are collection agency fees based on? A percentage of dollars collected Self-funded benefit plans may choose to coordinate benefits using the gender rule or what other rule? Birthday In what type of payment methodology is a lump sum or bundled payment negotiated between the payer and some or all providers? Case rates What customer service improvements might improve the patient accounts department? Holding staff accountable for customer service during performance revi...