Entries by Naomi

How Is ‘Underuse’ ‘Overuse’ And Medically Necessary Defined?

Providers and payers use UM to eliminate underuse and overuse of medically necessary healthcare services. The purpose of UM is to ensure that patients receive only medically necessary services at the least possible cost. Clinical practice guidelines, research evidence, and professional consensus are considered when identifying overuse and underuse of healthcare services. According to your […]

 

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Define The Terms Written In In Bold For Us. How Do You Use These Trends In Your Organization?

Utilization trends can be reviewed before a patient receives services through prospective review, during the delivery of services through concurrent review, or after the patient receives services through retrospective review Define the terms written in in bold for us. How do you use these trends in your organization? 150 words or more   “Looking for […]

 

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Unit III Essay Data Entry At The Point Of Care And Unit IV Essay Understanding Electronic Orders

Data Entry at the Point of Care After reading the required chapters on Increased Familiarity with the Software and Data Entry at the Point of Care, complete and submit the following in an APA formatted scholarly essay: · Begin your essay with an introduction explaining the purpose of the essay. · In no more than […]

 

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Managed Care Issues

The “Maine” Issues in Managed Care Election time is coming up again in Maine, and gubernatorial challengers have started raising concerns about the steady rise of taxes in the state. The media focus is becoming more intense, and the present governor, George Mayes, is looking for ways to save money – and his job. After […]

 

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Question Help Set 1 & 2

Question set 1 1. Who can sign a medical release form (authorization) to obtain PHI? Your response should be at least 75 words in length. 2. What are the civil and criminal penalties for misappropriation of personal health information (PHI)? Your response should be at least 75 words in length. 3. Which EHR signatures are […]

 

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Discussion – Patient Compliance

Module 11 Discussion – Patient Compliance 1 full page. No need for APA formatting. thanks . Just read the sentences and answer the questions. Edith Dawson came to Rasmussen Clinic because she was experiencing sight disturbances, constant thirst, and fainting spells. After examining Edith, Dr. Sobiech ordered a glucose tolerance test. Certified Medical Assistant Wanda […]

 

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Putting a Band-Aid on Nebraska Medicaid

You are the assistant director for the Medicaid program in the state of Nebraska. The director has decided that it is time to review why the managed care and public policy objectives of implementing the program are not producing the results originally contemplated. Nebraska’s Medicaid staff is limited. Its administrative functions are generally dispersed across […]

 

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Coaching and mentoring should be a core competency of nurses prepared at the graduate level.

Answer the following: Coaching and mentoring should be a core competency of nurses prepared at the graduate level. Do you agree or disagree with this statement? Defend your response. Based on your graduate specialization, identify one coaching activity that you can do in this advanced practice role. What strategies would you employ for this activity? […]

 

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Developing An Epidemiological Profile

“Dunn” In? An Epidemiological Profile You are the sociologist for a medical investigation team. The purpose of this team is to gather information on patients who have recently died prematurely at Indianapolis-area hospitals. You have been on the team for about three months now, and the other members of the team, a pathologist, a forensic […]

 

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