If it's known that a service may not be covered, a
may be performed.
A. preauthorization
B. prepermission
C. preapproval
D. preconsent

Answers

Answer 1

Answer:

A. pre-authorization

Explanation:

Is it an authorization or a precertification?

Per Healthcare.gov, a decision by your health insurer or plan that a health care service, treatment plan, prescription drug or durable medical equipment is medically necessary. Sometimes called prior authorization, prior approval or precertification. Your health insurance or plan may require preauthorization for certain services before you receive them, except in an emergency. Preauthorization isn’t a promise your health insurance or plan will cover the cost. This concept is not the easiest to understand. It would make sense that a notification and “approval” from an insurance company would then mean services will be paid. This is not the case and is precisely where the predetermination of benefits come into play, in addition to understanding reimbursement policies set up by payers themselves.


Related Questions

The nurse is triaging several children as they present to the emergency room after a school bus accident. Which child requires the most immediate intervention by the nurse?
a. A 12-year old reporting neck, arm and lower back discomfort
b. An 8 year old with a full leg air splint for a possible broken tibia
c. An 11 year old with a headache nausea and projectile vomiting
d. A6 year old with multiple superficial lacerations of all extremities

Answers

Honestly, I’m not learning the topic you’re learning, and I’m just in 10th grade and am taking anatomy and physiology this year

But personally speaking, I would treat the 8 year old with the possible tibia first, mostly because it’s a broken bone and could be causing extreme pain (and it’s an issue we already know). My second patient would be the 12 year old with the neck, arm, and lower back discomfort because there could be a serious underlying cause (my cause of concern would be if the problem is neural). My third patient would be the 46 year old with the superficial lacerations because although it’s just superficial, it’s worth giving a look at. And my 4th one would be the 11 year old with the headache, nausea, and vomiting because it could simply be a simple flu. Although once again, take my answer with a pinch of salt

9. Dr orders Glynase 50mg. On hand you have 100mg/0.5mL.

Answers

Answer:

The correct answer is - 0.25

Explanation:

Calculation of administration right of the dose is very important as higher or low dose can be harmful or lethal as well. If the dose is solution-based then it becomes more complex.

strength of solution: 100mg/0.5ml

So, available dose = 100 mg

Volume would be = 0.5 ml

The dose required 50 mg

Then from "nursing formula":

dose to administration = dose required * volume of solution/dose available

= 50*0.5/100

=0.25ml

OK KNOW IM GIVVING A BUNCH OF POINTS WITH NO MISTAKES!!!

Answers

Answer:

thx bro ur nice...........

:O thank you! Have a GREAT rest of your day!

A person eats a candy bar, and the sugar level in her blood gets very high. Her body releases insulin into her blood. The insulin causes extra sugar to be stored in the muscles, and the sugar level in the blood returns to normal. This is an example of

Answers

Answer:

Homeostasis

Explanation:

The importance of communication ??​

Answers

Answer:

Being able to communicate effectively is perhaps the most important of all life skills. It is what enables us to pass information to other people, and to understand what is said to us. ... Communication, at its simplest, is the act of transferring information from one place to another.

Hope this helps, have a great day/night, stay safe, and happy thanksgiving!

Hehe it got 420 points.. u know what that means

Answers

you don’t have enough points for chicken nuggets

Which are duties of a pharmacy technician in a hospital? Select all that apply.
compounding and performing sterile work
filing medical orders
dispensing patient medications
delivering patient medications to nurses working the drive-thru window
working with nuclear medicine
stocking crash carts
explaining medicine interactions to patients​

Answers

Answer:

Here are the duties of a pharmacy technician in a hospital

Compounding intravenous (IV) solutions.

Delivering medications to and from satellite pharmacies.

Restocking automated medication dispensing systems.

Mixing and dispensing orally-administered medications.

Unit-dosing tablets from a bulk bottle.

Hope this helps, have a great day/night, stay safe, and happy thanksgiving!

The duties of pharmacy technicians are compounding and performing sterile work. Thus, options A, B, C, D, and H are correct.

What are the roles of pharmacy technicians?

Pharmacy-related functions are performed by pharmacy technicians. They work under pharmacist supervision. The responsibilities of a pharmacy technician are explained below.

Compounding drugs, means mixing two or more drugs according to Doctor's prescription. They can make customized medicines according to the requirement of the patient's condition.

Filing medical orders, they fill prescription orders written by pharmacists. They count medicines or drugs and label completed orders. They deliver patients' medications to nurses and work with pharmaceutical companies and drug wholesalers. They manage the supply of drugs.

One of the most important roles of a pharmacy technician is to prepare sterile and non-sterile compounds and dispense patient medications. Thus, options A, B, C, D, and H are correct.

Learn more about pharmacy technicians, here:

https://brainly.com/question/28848047

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Victor, a 25-year-old male, has had surgery to remove one of his testes due to seminoma. Can he still father a child? ​

Answers

Answer:

i think no

Explanation:

its not possible

if only one is removed then his chances of being able to impregnate have dropped severely but it is still possible, unless the other testes has been damaged.

The Joint Commission may A) monitor the World Health Organization's work in African countries, B)supply medication to treat HIV symptoms. C)ensure that the Centers for Disease Control and Prevention (CDC) publishes an annual report about national epidemics. D)evaluate a patient's complaint about a particular health-care organization.

Answers

Answer:

D)evaluate a patient's complaint about a particular health-care organization.

Explanation:

Answer:

d edge 2021

Explanation:

white plaques in mouth​

Answers

Leukoplakia appears as thick, white patches on the inside surfaces of your mouth. It has a number of possible causes, including repeated injury or irritation. It can also be a sign of precancerous changes in the mouth or mouth cancer.

List for commonly used histology fixatives

Answers

Answer:

   Phosphate buffered formalin

   Formal calcium

   Formal saline

   Zinc formalin (unbuffered)

   Zenker’s fixative

   Helly’s fixative

   B-5 fixative

   Bouin’s solution

   Hollande’s

   Gendre’s solution

   Clarke’s solution

   Carnoy’s solution

   Methacarn

   Alcoholic formalin

   Formol acetic alcohol

Explanation:s

how is the thing kinda weird and

Answers

do be kinda weird doe

Yvette contracted AIDS from a tainted blood transfusion. She is most likely to be prescribed _____, which work by slowing down HIV's reproductive cycle.

Answers

Answer:

ILIIIO8I8IKKKIKIKLKIKKKLKKLKLIKLKLKLKLKLKLKLLOLKLKLKLKL

Explanation:

Yvette contracted AIDS from a tainted blood transfusion. She is most likely to be prescribed a combination of antiretroviral drugs, which work by slowing down HIV's reproductive cycle.

What is AIDS?

AIDS is an autoimmune deficiency syndrome and is a life-threatening disease which is caused by HIV. The disease attacks the immune system of the person, damaging and weakening it.

Antiretroviral drugs are the drugs for controlling and managing the infection of HIV. It contains a group of drugs.

Thus, option D, a combination of antiretroviral drugs is correct.

The options are attached in the image below:

Learn more about AIDS, here:

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