Lucindajohns

A billing and coding specialist needs to know how much Medicare paid on a claim before billing secondary should refer to - Remittance advice A participating BCBS provider receives an explanation of benefits, the change was $100 BCBS allowed $80 applied $40 to deductible BCBS paid 80% how much should the patient pay - $48 A prospective billing account audit prevents fraud by reviewing and comparing and completed form with - A billing worksheet from the patients account A provider receives a...

1. A billing and coding specialist discovers suspicious activity that may be fraudulent in the workplace. Which of the following actions should the specialist take? - a. Call the U.S. Department of Health and Human Services' (DHHS) anonymous hotline. 1. A billing and coding specialist discovers that one private payer has not reimbursed the provider for any claims submitted in the past year. Clean claims have been submitted to the payer and have been acknowledged. Which of the following ent...

_________ are designed to allow vehicles to slow down and leave the expressways. - Exit ramps __________ are yellow and diamond-shaped, with black lettering or symbols. - Warning Signs A driver entering a traffic circle or rotary, must yield the right-of-way to: - 1. Pedestrians 2. Other drivers in the circle As per New York State law, drivers must stop _____ for a stopped school bus with its red light flashing. even if its on the opposite side of the divided highway. - At least 20 feet awa...

A 'flat' sound is heard when performing diagnostic chest percussion. This sound is most closely associated with A. empty, air-filled space. B. fatty tissue. C. bone. D. consolidation. - C. A 'flat' sound is heard when percussing over bone. A 12-year-old patient diagnosed with bronchiectasis is receiving postural drainage and percussion to drain the basal segments of the right lung. While draining with the head of the bed down 30 degrees, the patient begins to exhibit signs of distre...

1 CEU? - 10 contact hours (4.5 required total) 1 quarter - 10 hours 1 semester - 15 hours 17.5: Consent Orders - A licensee under investigation for charges who admits to at least one misconduct charge or does not contest or cannot successfully defend against allegations shall notify the director A licensed pharmacist may dispense up to a (number) day starter pack of HIV PEP for preventing HIV with a standing order from a physician or NP licensed in state - 7 Acceptable providers for CPR,...

(T/F) A compounding pharmacy can advertise that they compound but cannot advertise a specific medication. - True (T/F) A person cannot compound and manufacture drug products in the same location - True (T/F) A pharmacist can compound non-commercially available sterile/non-sterile preperations based on health professional/patient relationship, or valid prescriptions, anticipation of prescription based on patterns. - True (T/F) A pharmacist cannot distrubute excess compounded pharmaceuticals...

_____ can designate an agent to phone in a verbal prescription on their behalf. A) MDs and DOs B) PAs C) APRNs D) all of the above - D ________ supersedes __________, unless _________ is stricter. a) State law, state administrative rules, the state administrative rule b) State law, federal law, state law c) State law, state administrative rules, federal law d) Federal law, state law, state law - D "For office use" prescriptions: A) authorize the dispensing of controlled substance pr...

A 150-lb (68 kg) is breathing at a frequency of 20/min, with a tidal volume of 550 mL. What is the patient's estimated alveolar minute ventilation? - 8.00 L/min A 23-year old fire fighter is admitted with suspected smoke inhalation. The RRT places him on a nonrebreathing mask. What is the most appropriate method of monitoring the patient's oxygenation? - hemoximetry analysis A 24-year-old woman with asthma has been prescribed MDI corticosteroid and salmeterol. She has developed oral candi...

(State) the board controlled substances rules limitations on employment - Can NOT employ a person: - suffering from substance abuse (except those enrolled in the Health Professional Recovery Program) - suspended, revoke or denied a controlled substance license - suspended or revoke pharmacist license in MI or another state due to controlled substance violation - convicted of a controlled substance crime and currently under sentence of crime 5% rule - Do NOT have to register as a manufact...

Are Michigan board of pharmacy meetings open to the public? - A request must be made to the executive secretary to the Board or its chairperson before the meeting If 5 or more people will attend as a group, they must give advance notice so that size can be arranged Are there circumstances where schedule 2 controlled substances may be partially filled? - 1) When the pharmacy does not have enough of the drug - dispense partial and not it *on the face of the prescription* - and then have *72 h...