Billranker

Abuse Answer Actions inconsistent with accepted, sound medical business or fiscal practice Accept Assignment Answer Provider accepts as payment in full whatever is paid on the cliam by the payer (except for any copayment and or coinsurance amounts.) Accounts Receivable Answer The amount owed to a business for services or goods provided. Accounts Receivable Aging Report Answer Shows the status (by date) of outstanding claims from each payer, as well as payments due from patients. Acco...

A 6 year-old is seen in the pediatrician office for the first time. He has insurance coverage through both his mother (DOB: 02/08/86 and his father (DOB: 05/15/85). Whose insurance is primary? A. Mother's insurance plan B. Father's insurance plan C. The policy that has the best benefits D. Either mother's or father's insurance plan depending who brings the child in for medical care. Answer A. Mother's insurance plan Which managed care plan has the patient receiving care from pa...

Health plan, clearinghouses, and any entity transmitting health information is considered by the Privacy Rule to be a: Answer covered entity Which of the following is not a covered entity in the Privacy Rule Answer healthcare consulting firm A request for medical records is received for a specific date of service from patient's insurance company with regards to a submitted claim. No authorization for release of information is provided. What action should be taken? Answer release reqt to i...

Joe and Mary are a married couple and both carry insurance from their employers. Joe was born on February 23, 1977 and Mary was born on April 4, 1974. Using the birthday rule, who carries the primary insurance for their children for billing? A. Joe, because he is the male head of the household. B. Mary, because her date of birth is the 4th and Joe's date of birth is the 23rd. C. Mary, because her birth year is before Joe's birth year. D. Joe, because his birth month and day are before...

Who is covered by champva? A) veterans with service - connected disabilities and their families B) active duty military and their families C) retired military and their families D) active duty military over the age of 65 answer a) veterans with service - connected disabilities and their families Rationale: the civilian health and medical program of the department of veterans affairs (champva) covers veterans who are permanently and totally disabled due to a service-related disability a...

1. You are a network administrator for a company that maintains LANs in Los Angeles and Paris. You want to use PPTP to create a VPN connection between the LAN in Paris and the LAN in Los Angeles. A PPTP server has been configured on each LAN. Which protocol should you use to establish a connection between the PPTP servers? a) HTTP b) PPP c) SLIP d) Telnet Answer b) PPP 2. What is the advantage of using wireless bridges over E1/T1 leased lines? a) Wireless bridges generate less nois...

A nurse is monitoring a client who is to our postop and a prescription for opioid analgesics. Which of the following actions provides the nurse with the priority data to determine the clients need for analgesia? Answer Ask the client to rate their pain level A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching? Answer Increase fluid intake A nurse is re...

A nurse is monitoring a client who is to our postop and a prescription for opioid analgesics. Which of the following actions provides the nurse with the priority data to determine the clients need for analgesia? Answer Ask the client to rate their pain level A nurse is reinforcing teaching with a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse include in the teaching? Answer Increase fluid intake A nurse is re...

A client with a history of polysubstance abuse is admitted to the facility. He complains of nausea and vomiting 24 hours after admission. The nurse who assesses the client notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through withdrawal from which substance? Answer Opioids Explanation: Piloerection, pupillary dilation, and lacrimation are specific to opioid withdrawal. A client with alcohol withdrawal would show elevated vital signs. Ther...

Lumbar Puncture Answer Needle inserted into subarachnoid space. Position client in lateral recumbent fetal position at edge of bed. Arthroplasty (x2) Answer Surgical replacement of joint with artificial joint. Hemiarthroplasty: replacement of the head of femur - position leg in abduction (pillows btwn legs) Knee: encourage deep breathing and coughing after procedure. Medications: Antianxiety Answer Contraindications: narrow-angle glaucoma, shock, coma, combination with other depressiv...