Your client receives a payment from the EGHP that may exceed the Medicare prevailing charge and or MAAC (maximum allowable actual charge), regardless of the provider's participating status, the provider may keep the full amount of the payment in this case.

Answers

Answer 1
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Related Questions

the level for coding a patient's history include what?

Answers

Answer:

Evaluation and management coding is a type of medical coding used by physicians and certain other healthcare providers to report their services as part of medical billing. Evaluation and management (E/M) codes are found in the CPT® code set in the range 99202-99499 and cover a variety of services. Many E/M codes, such as those for inpatient care and home visits, include a combination of patient history, examination, and medical decision making (MDM).

These factors — history, exam, and MDM (HEM) — are known as the three key components of E/M level selection. Determining the correct type of history, exam, and MDM can feel intimidating even for seasoned coders because of the many requirements involved. A solid understanding of these three key components will help ensure more accurate coding and reimbursement for E/M codes.

1. determine the type of history . A patient history includes getting the chief complaint and the history of the present illness. The history also may include a review of body systems using questions to identify signs and symptoms, and a review of the patient’s past, family, and social history, depending on what is medically appropriate for the visit. The amount of history taken will determine the type: problem focused, expanded problem focused, detailed, or comprehensive.

2. determine the type of the physical exam. The provider uses clinical judgment to determine the extent of physical examination needed for each of the patient’s body areas and organ systems. The provider will document one of these four types of exam: problem focused, expanded problem focused, detailed, or comprehensive.

3. determine the type of medical decision making (MDM). MDM is how the provider rates the degree of difficulty in establishing a patient’s diagnosis and treatment plan. E/M codes include four types of MDM: straightforward, low complexity, moderate complexity, and high complexity.

4.determine the final code. Once the provider has determined the types of history, exam, and MDM, final E/M code selection can occur based on those three key components. For this example, assume the physician performed a comprehensive history, a comprehensive exam, and medical decision making of high complexity for this new patient. The appropriate code in this case is 99328 Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity.

Explanation:

Social Responsibility Towards Consumers

Answers

Answer:

The responsibility towards consumers that Corporate Social Responsibility includes is as follows: To provide goods of standard quality. To charge fair prices. To provide prompt and courteous after sale services.

Gum disease, as it worsens, progresses from____to____

Answers

Info

Some symptoms include:

- Bad breath.  

- Painful chewing.

- Loose/Sensitive teeth.

gingivitis: causes irritation and redness

periodontitis: severe gum infection with serious consequences

Answer

Gum disease, as it worsens, progresses from gingivitis to periodontitis

Nurse Jane is preparing to interview someone with influenza. What is the MOST appropriate PPE for her to use?GlovesGownMaskN95 respirator

Answers

Given what we know about proper safety measures, we can confirm that if Nurse Jane is preparing to interview someone with influenza, she should use an N95 respirator.

What is an N95 respirator?an N95 respirator is a face mask. It is the most advanced form of face mask that is readily available to the public.This type of mask uses a series of filters, along with a charged metallic net on the inside to ensure that virtually no particles of any kind can penetrate. For these reasons, the N95 respirator offers an effective protection against highly contagious viruses such as influenza

Therefore, given that influenza is a virus that can survive suspended in the air for hours, making it very easier to become infected through breathing infected air, the most appropriate PPE for Nurse Jane to use is an N95 respirator to protect against this situation.

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Amanda has started running as her primary form of exercise, but she's getting bored with it and finds excuses to procrastinate. It's also getting really hot outside now that it's summer, and Amanda's skin is sensitive to the sun. She has a significant budget available to help her fix the problem but is unsure how to spend the money. What might be the most appropriate purchase for Amanda?

A device that checks blood glucose and pairs with an app that evaluates sugar intake per meal
An activity tracking tool that pairs with an app to calculate calorie intake and calories burned
An app that features menu planning with healthy recipes and pairs with a calorie tracking tool
An exercise video g

Answers

Answer:

B

Explanation:

Bing Bong Bing Bong

A worker was just hit by a forklift. The scene is safe and you begin to assess the worker. You see that she is conscious and breathing normally, but obviously in pain. What is the purpose of doing a secondary survey on this victim?

Answers

Answer:

to make sure that the injury isn't severe and seeing if there is anything else that is broken or bleeding

Explanation:

What is the best treatment protocol for Major Depressive Disorder and Schizophrenia?

Answers

Considering schizophrenia, antipsychotics are the most common treatment and have demonstrated good efficacy. Still, side effects of these treatments are commonly reported and may impact adherence to the medication and functioning in patients with schizophrenia.

Each healthcare organization should have a revenue cycle process that oversees the administrative and clinical functions that support the capture, management and collection of charges for delivering patient care.

Explain the role of the revenue cycle in relation to healthcare.
Explain the key elements that ensure accurate reimbursement for the healthcare organization.

Answers

Answer:

the role of the revenue cycle in relation to health care is that The Healthcare Revenue Cycle is the Healthcare Financial Management Association as the set of all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. ... Some patients have no health insurance and may be billed directly for services.

what word means: the confidence and worth that you feel
about yourself.

Answers

Answer:

Yes.

Explanation:

Because confidence is a word.

Which statement BEST describes antibiotic resistance?


Antibiotic resistance occurs when the body builds up a resistance to antibiotics.

Antibiotic resistance can occur when bacteria are exposed to an antibiotic.

Antibiotic resistance occurs when antibiotics are not used.

Antibiotic resistance is a big problem in the United States, but not the world.

Answers

I would say "when bacteria are exposed to an antibiotic" but just so you know, it has to be exposed several times before it developes resistance.

In swine reproduction, how many females can a yearling boar service?

A: 10
B: 15
C: 20
D: 25

Answers

Answer should be C- 20 females

What vitamin is neither fat nor water soluble

Answers

Vitamin H is neither fat nor water soluble
Vitamins A, D, E, and K
Unlike water-soluble vitamins, fat-soluble vitamins are stored in the body when they are not in use.

Are most domestic abusers

Narcissists or sociopaths

Answers

Answer:Narcissists they only think about themselves

Explanation:

Which statement describes the movement of water when a cell swells up and bursts due to osmosis?
® Water went into the cell because the concentration of water inside the
cell was lower than the concentration
outside the cell.
Water went out of the cell
outside the cell.
becayse the concentration of water inside the cell was
higher than the concentration
C The cell membrane used energy to move water into the cell through passive transport.
The cell membrane used energy to move water out of the cell through passive transport.

Answers

Answer:

A. Water went into the cell because the concentration of water inside the

cell was lower than the concentration

outside the cell.

Explanation:

Osmosis occurs when there is low solute concentration to a higher solute concentration, thus the water outside the cell (having low concentration), would want to go inside the cell where there is a higher concentration. Hope this helps!

how can we control our emotion and mind set in positive way?​

Answers

Answer:

Journaling your emotions each day can help you sort through positive and negative reactions. Relaxation and breathing techniques are a common management technique that can help with all emotions. Living a healthy lifestyle can also contribute to the ability to control emotions.

Alan is a behavior analyst consulting with a family on helping Cam their seven year old son go to bed without tantrums. Right now her tantrums last two to three hours and it is keeping the whole family awake at night. He interviews the family, collects ABC data, collects scatterplot data, and after collecting the data schedules a second interview with the family as part of the conjoint behavioral consultation course. In this interview, they willl look at the data collected, talk about what the hypothesized function of the behavior is , as well as collaboratively develop an intervention plan. Which interview in the CBC process are they going to have?

Answers

Considering the situation described above, the second interview in the CBC process they will have is the "Conjoint Needs Analysis."

What is Conjoint Needs Analysis?

Conjoint Needs Analysis is the second stage or interview in the Conjoint Behavioral Consultation that involves formulating solutions over established settings based on gathered behavioral

data.

Given that Alam has collected ABC data and scatterplot data, the following or second interview is the Conjoint Needs Analysis.

The Conjoint Behavioral Consultation process is in four stagesConjoint Needs IdentificationConjoint Needs AnalysisPlan ImplementationConjoint Plan Evaluation

Hence, in this case, it is concluded that the correct answer is "Conjoint Needs Analysis."

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How can inequality make us ill?

Answers

Answer:

yes

Explanation:

Can inequality make us ill? Poor health and poverty do go hand-in-hand. But high levels of inequality, the epidemiological research shows, negatively affect the health of even the affluent, mainly because, researchers contend, inequality reduces social cohesion, a dynamic that leads to more stress, fear, and insecurity for everyone.

Solve for x: 8−3(6x+8)=7x+34

Answers

Answer: x=-2

Explanation:

Answer: -2

Explanation:

1. 8−3(6x+8)=7x+34

2.8−18−24=7+34

3. −16−18=7+34

4. −18−16= 7x + 34

5. −18−16+16=7+34+16

6. −18=7+50

7.−18−7=7+50−7

8. −25=50

9. -25x/-25 = 50/-25

10. x = -2

I hope this helped have a great day!!!

Which behavior is most likely to indicate alcohol use

Answers

Anger! People whom are drinking tend to get mad at simple things and scream!

Explanation:

sluring or words, the smell of alcohol, stumbling/tripping, eyes super glossy, and can't stand up straight

hope this helps :)

Your is how long you can do a physical activity without getting exhausted

A. agility

B. exercising

C. endurance

Answers

Endurance is how long you can do a physical activity without getting exhausted.

why FITT principles are important in our life?​

Answers

Answer:

Regardless of your experience level, F.I.T.T helps ensure that your body reaps the full benefits of regular workouts. By the same token, it protects you from eventual exercise burnout.

Hope that helps. x

How are food-contact surfaces to be handled between uses

A. Wash, rinse, and sanitize
B. Wipe down with cleaner
C. Clean and rinse
D.Wipe down with cleaner and sanitize

Answers

Answer:

B. Wipe down with cleaner

Wash, rinse, and sanitize is the correct order to be handled for food-contact surfaces, option A is correct.

Food-contact surfaces should be properly handled between uses to maintain cleanliness and prevent the spread of bacteria and contaminants. The recommended procedure involves a three-step process: washing, rinsing, and sanitizing. First, the surface should be washed with hot water and a suitable detergent to remove visible dirt, grease, and residue. After washing, the surface should be thoroughly rinsed with clean water to remove any remaining soap or detergent.

Finally, to ensure proper sanitation, the surface should be treated with an approved sanitize solution, such as a chlorine or quaternary ammonium compound, following the manufacturer's instructions. This final step kills any remaining bacteria or pathogens, making the surface safe for food contact. This comprehensive approach helps maintain hygiene and prevents cross-contamination in food preparation areas, option A is correct.

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What do you do when you have a bad cold.

Answers

You should take medicines in your age range
Have steamed baths
Rest a lot
Social distance from others
And drink hot thinks
Stay hydrated. Water, juice, clear broth or warm lemon water with honey helps loosen congestion and prevents dehydration.
Rest. Your body needs rest to heal.
Soothe a sore throat.
Combat stuffiness.
Relieve pain.
Sip warm liquids.
Try honey.
Add moisture to the air.

Hope this helps!!

blood flows through your body to the where it gets new oxygen
a. liver
b. kidney
c. lungs

Answers

Answer:

lungs

Explanation:

goes from the heart to the lungs to get oxygen

2. What is the main reason kettlebells have become so popular?

They come in different colors.

They allow a person to more closely mimic real movement.

They come in a larger variety of weights.

They have a handle​

Answers

Answer:

"They allow a person to more closely mimic real movement:

Explain when you should seek treatment for depression

Answers

When depression begins to affect daily life and makes problems in participating in daily activities then medical help and treatment should be sought. This condition is referred to as a major depression. This depression is characterized by a persistent feeling of sadness and a lack of interest in the environment and other people.

Answer:

When depression begins to affect the daily life and makes problems in participating in daily activities than medical help and treatment should be seeked. This condition is referred to as major depression. This depression is characterized by a persistent feeling of sadness and a  lack of interest fro the environment and other people.

Explanation:

What is a health service, and how can we evaluate them?

Answers

Answer:

Definition of 'health service'

1. a service that provides medical treatment and care to the public or to a particular group. the cost-effective delivery of health services to remote areas.

Explanation:

Health care evaluation is the critical assessment, through rigorous processes, of an aspect of healthcare to assess whether it fulfils its objectives. Aspects of healthcare which can be assessed include: Effectiveness – the benefits of healthcare measured by improvements in health.

PLEASE HELP
To this day, American heroes are some of the most well-known in all of history, and they placed enormous value on victory.

A.
True

B.
False

Answers

The statement is true that "heroes are well known in history and they placed enormous value on victory."

Who are American heroes?

American heroes are those individuals that have made outstanding contributions to the success of the American nation. These people have written their names in Gold in the annals of American history.

The American heroes are well known in history and enormous value will always be placed on what they have done.

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Using the results from your pre-fitness assessment, write a three-paragraph reflection addressing the following questions. Be sure to address all portions of the prompt of the questions in your reflection. Journal prompt to be answered in 3 fully developed paragraphs citing specific examples from the pre-assessment. In paragraph 1, summarize your results for each part of the assessment. Were there areas that surprised you about your results(able to complete more or less than you thought)? In paragraphs 2 and 3, respond to the following: What is the purpose of completing a pre-assessment? How can you analyze the data and use it to create a plan? What areas of the assessment would like to improve upon?

Answers

Based on the information given, it should be noted that pre-assessments are the methods that are used to determine the knowledge and skills of athletes or students.

Your information is incomplete as the result of the pre-fitness assessment isn't included. Therefore, an overview will be given. Pre-fitness assessment are used in measuring the physical level of students or athletes.

It should be noted that they are important as they provide teachers or coaches with the appropriate data to understand the student's fitness.

This is important to enable the teacher or coach to know where to begin instructions. The best way to analyze the assessment information is to simply present the data in relation to the goals of the program.

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what role does Administrative costs in higher health care ?

Answers

Answer:

One reason the healthcare administration industry is so important is because it keeps costs down. ... If a patient does not pay for medical care, the hospital may pass those costs onto other patients. Administrators can also work with a patient's insurer and find ways to cover the total cost of any services provided.

GO THROUGH THIS !

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