Goal: Display tactful behavior when communicating with providers when communicating with medical providers regarding third party requirements. Show sensitivity when communicating with patients regarding third party requirements.

Scenario: Patients preauthorization was denied because a second opinion is required. You must explain to the provider new policies from the insurance company requires a second opinion before they will approve the procedure. You will explain to the patient the new policy of their insurance carrier requiring a second opinion for corroboration of medical necessity before the procedure will be approved.

Answers

Answer 1

Answer:

See below

Explanation:

The explanation could go as follows

"Hello, sir/madam. We apologize for the inconvenience this may have caused, but there has been a slight change in our insurance policy that you need to be updated with. We require our patients to acquire a second opinion from a doctor of your choosing that supports the first one. Only then will we be able to process your pre-authorization. Thank you for your understanding and cooperation."


Related Questions

Concerning parenteral drug admininistration, which of these is untrue? A) more predictable compared to oral administration route B) not acceptable for unconscious patients C) rate of drug systemic absorption insensitive to drug solubility in interstitial fluid D) drug bypass first-pass metabolism

Answers

Answer:

not acceptable for unconscious

jenna’s company allows occasional personal ise of work computers and phones as long as it isn’t excessive or inappropriate which actions is most likely to be permitted? A. Missing a computer email because you have too many personal emails B. Using a company computer to search for a new job. C. Being a few minutes late for a meeting because you’re placing an online shopping order. D. Calling your doctor to say you’ll be late for an appointment after work.

Answers

D because it is a personal health reason

The action that is most likely to be permitted is calling your doctor to say you’ll be late for an appointment after work. Thus, the correct option for this question is D.

What are the working uses of computers?

Computers are used for several reasons. Some of them may include online bill payment, home tutoring, watching movies, entertainment, accessing social media, accessing the internet, playing games, etc.

According to the context of this question, the company of Jenna permits to use of the computer occasionally for personal work. It only includes calling your doctor to say you’ll be late for an appointment after work. This is because the other options make no sense in personal work.

Therefore, the action that is most likely to be permitted is calling your doctor to say you’ll be late for an appointment after work. Thus, the correct option for this question is D.

To learn more about the Uses of computers, refer to the link:

https://brainly.com/question/21474169

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What are the causes of taste sensation blindness

Answers

The main causes of taste disorders are head trauma, infections of upper respiratory tract, exposure to toxic substances, iatrogenic causes, medicines, and glossodynia ("burning mouth syndrome (BMS)")

Answer:

uper respiratory tract

Explanation:

Explain the frequent occurrence of skeletal metastases in the lower vertebral column and pelvic bones of patients with carcinoma of the prostate.​

Answers

Answer:

Bone metastasis

Explanation:

the relative incidence of bone metastasis by type of tumor,...... Mixed, if a patient has both osteolytic and osteoblastic lesions

A multinational pharmaceutical company is faced with the ethical dilemma of telling the general public the truth about a mishap in the company's drug labelling which has resulted in the death of four unborn children and leaves many more at risk if the drugs are not retrieved from the market immediately. But the challenge the company faces is that admitting this truth could attract crippling legal charges drastic reduction in patronage and reputation crisis. Give a reasoned ethical advice to the company showing clearly the Ethical basis of your advice the challenges you envisaged and how to deal with the identified challenges.​

Answers

Answer:

The setback has just brought about the death of four unborn children which is very grievous. The absolute first obligation of a pharmaceutical organization is to save lives.  

As indicated by Deontology/Kantian Ethics, the organization ought to take back all the medications from the market as soon as possible as it is a threat to many unborn lives.

As indicated by Utilitarianism/the best great, an organization should be sensitive towards such issues as it involves one's life.  

There might be the implication of the law of these activities yet at the same time organization ought to take the plunge as it is their obligation and duty.  

On the off chance that the organization doesn't start for it and further numerous other children might lose there lives. The organization may confront significantly more serious activities in the future.

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