Limiting charge - Study guides, Class notes & Summaries

CCS Exam Domain 2 Latest Update 100% Pass Mycobacterium tuberculosis is the organism that causes tuberculosis (TB), typically a respiratory disorder. It is currently experiencing resurgence in the United States and many other countries. What is the average time frame in which all patients with new, previously untreated TB must have daily antibiotic therapy? 4-7 years 4-7 days 6-9 weeks 6-12 months 6 to 12 months Many bacterial diseases are transmitted directly from person to person. Which of t...

What does the change in membrane voltage depend on? - ️️depends on the ion channels opened, not the neurotransmitter some neurotransmitters can have both excitatory and inhibitory effects; depends on the ligand gated channels in postsynaptic cell and the ion channels determining EPSP or IPSP When are large axons used? - ️️rapid responses- cockroach startle/escape response; sensory filiform hair receptors on back synapse to giant axon that goes to thoracic region and then synapses ...

N Comprehensive Online Practice 2019 A with NGN A nurse is caring for a client who has hypertension and is taking captopril. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? Obtain the client's blood pressure before the nurse administers medication. The nurse can delegate obtaining blood pressure before and after medication administration because this task is within the range of function for an AP. Initiate a referral with a dietitian for the cl...

CPOC Official AOA Exam Questions and Answers 100% CorrectCPOC Official AOA Exam Questions and Answers 100% CorrectCPOC Official AOA Exam Questions and Answers 100% CorrectCPOC Official AOA Exam Questions and Answers 100% Correct May a participating Medicare provider charge the patient more than the limiting charge for covered services? - ANSWER - No Where should the claim be sent when billing for post cataract eyeglasses? - ANSWER - To the carrier for DMEPOS For your region/area What are ...

Which of the following Medicare policies determines if a particular item or service is covered by Medicare? -Correct Answer National Coverage Determination (NCD) A patient's employer has not submitted a premium payment. Which of the following claim statuses should the provider receive from the third-party payer? -Correct Answer Denied A billing and coding specialist should routinely analyze which of the following to determine the number of outstanding claims? -Correct Answer Aging repor...

Medicare Part B correct answers Financed by the Supplementary Medical Insurance (SMI) Trust Fund, which is funded through general tax revenue and premiums paid by benefit recipients. Assignment correct answers If a doctor has accepted a Medicare assignment, the doctor will bill the patient directly. The patient then fills out a Medicare claim form and attaches the itemized bills from the doctor. These providers are known as Non-participating providers or suppliers. Non-participating providers...

HESI FUNDAMENTALS EXAM TEST BANK 2022/23 UPDATED Assured Correct Answers HESI FUNDAMENTALS QUESTION BANK 2022/2023 UPDATE An elderly client with a fractured left hip is on strict bedrest. Which nursing measure is essential to the client's nursing care? A. Massage any reddened areas for at least five minutes. B. Encourage active range of motion exercises on extremities. C. Position the client laterally, prone, and dorsally in sequence. D. Gently lift the c...

IPPS - ANSWERinpatient prospective payment system OPPS - ANSWEROutpatient Prospective Payment System fee-for-service (FFS) - ANSWERa written fee schedule for each treatment and/or service provided MS-DRG - ANSWERMedicare Severity Diagnosis Related Group Case-Mix Index (CMI) - ANSWERthe average relative weight of all patients treated at a specific facility or by a specific physician to measure clinical severity or resource utilization Ambulatory patient classifications (APC) - AN...

Calculate the following amounts for a participating provider who bills Medicare: Submitted charge (based on provider's regular fee for office visit)$ 75 Medicare physician fee schedule (PFS)$ 60 Coinsurance amount (paid by patient or supplemental insurance)$ 12 Medicare payment (80 percent of the allowed amount)$ ????? Medicare write-off (not to be paid by Medicare or the beneficiary)$ ????? - Medicare payment (80 percent of the allowed amount) $48 Medicare write-off (not to be paid by M...

Organizational Effectiveness - ️️sustainable high performance in using resources to accomplish mission and objectives Sustainable Innovation - ️️New products and production methods that have reduced impact on the environment Sustainable Business - ️️A business that both meets customer needs and protects the well being of the environment Intellectual Capital - ️️the collective brain power or shared knowledge of a workforce Knowledge Workers - ️️Workers whose intelligen...