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Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

Exam 1: NUR257/ NUR 257 (New 2023/ 2024 Update) Aging and Chronic Illness in Nursing Exam Review| 100% Correct- Galen QUESTION are eligibility? does medicare cover Answer: be eligible for social security t services & must be medically necessary QUESTION costs of medicare Answer: ed by employer & employee tax of 2.9% iciary in form of premiums, deductibles, co-pays QUESTION medicare part A Answer: care or short term rehab if receive social sec...

AS BIOLOGY 7401/2 Paper 2 Mark scheme 2022 Version: 1.0 Final *206A7401/2/MS* MARK SCHEME – AS BIOLOGY – 7401/2 – Mark schemes are prepared by the Lead Assessment Writer and considered, together with the relevant questions, by a panel of subject teachers. This mark scheme includes any amendments made at the standardisation events which all associates participate in and is the scheme which was used by them in this examination. The standardisation process ensures that the mark s...

Practice test 1 & 2 for Esthetician Written Exam 2023 Which of the following terms defines the study of maintaining and improving the skin? Select one: a. onychology b. esthetics c. ethical conduct d. personal hygiene How many hours of sleep do most people need to function properly? Select one: a. 1 to 2 hours b. 3 to 4 hours c. 6 to 8 hours d. 9 to 12 hours The energy contained in food is measured in: Select one: a. calories b. degrees c. fat content d. protein content ...

Question 1 of 25 You put your tee shot 4 meters from the target. Your putt hits the side of the catch tray and rolls 35 meters down a hill and into a pond, quickly sinking beneath the water. The rules sheet says "Pond OB." There is no drop zone. You know that the best decision is to re-putt with a penalty, but another player in the group insists you have to throw from down by the pond. What section(s) of the Official Rules of Disc Golf support your claim? - correct answer A. Both 810.D and ...

the transfer of an insured's right to seek damages from a negligent party to the insurer is found in which of the following clauses? correct answer: Subrogation the purpose of managed care health insurance is to correct answer: control health insurance claims expenses a man works for company A and his wife works for company B. The spouses are covered by health plans through their respective companies that also cover the other spouse. If the husband files a claim correct answer: the ins...

Pharmacotherapeutics for Advanced Practice Nurse Prescribers 5th Edition Woo & Robinson Test Bank UNIT I. THE FOUNDATION Chapter 1. The Role of the Nurse Practitioner as Prescriber Chapter 2. Review of the Basic Principles of Pharmacology Chapter 3. Rational Drug Selection Chapter 4. Legal and Professional Issues in Prescribing Chapter 5. Adverse Drug Reactions Chapter 6. An Introduction to Pharmacogenetics Chapter 7. Nutrition and Neutraceuticals Chapter 8. Herbal Therapies and Cannabis Chapter...

Test Bank For Physical Examination and Health Assessment 8th Edition By Carolyn Jarvis Test Bank For Physical Examination and Health Assessment 8th Edition by Carolyn Jarvis Chapter 1-32 |Complete Guide Newest Version 2023 Test Bank Physical Examination and Health Assessment, 8th Edition by Carolyn Jarvis ISBN NO: 0323510809 ( All Chapters Covered) Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 1 A test bank for Physical Examination and Health Assessment 8th...

Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank Maternity and Pediatric Nursing 4th Edition Ricci Kyle Carman Test Bank Chapter 1 1. When integrating the principles of family-centered care into the birthing process, the nurse would base care upon which belief? A. Birth is viewed as a medical event. B. Families are unable to make informed choices due to stress. C. Birth results in changes in relationships. D. Families require little information to make appropriate...

Exam 2: NUR230/ NUR 230 (NEW 2023/ 2024) The Childbearing/Child Caring Family Exam Review| Questions and Verified Answers| 100% Correct- Galen QUESTION Why is the first sign that the baby is not oxygenating well Answer: Low HR QUESTION What is involution of the uterus? and how many cm should it return postpartum per day? within in the first 12 hours ? within 24 hours? Answer: return of uterus to prepregnant state Uterine involution should occur at a rate of 1-2 c...