After a healthcare provider has performed, coded, and billed an insurance company for procedures, the provider expects to receive an
to pay for some or all of the costs of the performed procedure.

Answers

Answer 1

After a healthcare provider has performed, coded, and billed an insurance company for procedures, the provider expects to receive a payment, known as reimbursement, to pay for some or all of the costs of the performed procedure.

What is the healthcare provider doing?

The reimbursement amount is based on the codes and codes description submitted by the provider, and the agreement between the provider and the payer, typically an insurance company. The reimbursement amount may vary depending on the type of service, the codes submitted, and the patient's insurance coverage.

Therefore, If the provider's billing and coding is accurate, they will receive a reimbursement that will cover the cost of the procedure and any additional costs, such as the cost of supplies or equipment used during the procedure. If the reimbursement amount is less than the cost of the procedure, the provider may need to bill the patient or seek additional reimbursement from other sources.

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Related Questions

the study of what development involves assessing how kids absorb and integrate information at each stage of development

Answers

Yes, that’s true because a child’s brain develops and takes in information in order to learn. The brain is a very powerful thing.

Answer:

cognitive

Explanation:

The study of cognitive development involves assessing how kids absorb and integrate information at each stage of development.

A backup of raw sewage and significant lack of refrigeration can result in ?

Answers

Answer: Closure of the operation by the regulatory authority.

Explanation:

Can someone help me plss

Answers

A list of two US Scholarships and their necessary information is given below:

Graduate students, young professionals, and artists can get financing through the Fulbright Scholarship Program to carry out research, study, or teach overseas. Candidates must be US residents, hold a bachelor's degree or its equivalent, and also adhere to the requirements for the nation and course of study for which they are applying. Typically, transcripts, essays, letters of recommendation, and other materials are submitted as part of the application process.

What is the Rhodes Scholarship?

The University of Oxford in the United Kingdom offers financial aid for graduate studies through the Rhodes Scholarship program. Candidates must be US citizens, 18 to 24 years old, and possess a bachelor's degree or its equivalent. Transcripts, essays, letters of recommendation, and a selection committee interview are all required as part of the application procedure.

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Briefly summarize the events surrounding the Jehovah's Witness Blood Transfusion Case.​

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Answer:

The "Jehovah's Witness Blood Transfusion Case" refers to a series of legal cases involving members of the Jehovah's Witnesses religious group who refuse blood transfusions on religious grounds. The refusal of blood transfusions on religious grounds can lead to conflicts between the medical community and Jehovah's Witnesses patients, as well as legal disputes over the rights of parents to make medical decisions for their children, and the rights of patients to refuse medical treatment.

In the United States, these cases have typically involved disputes over whether a court can order a blood transfusion for a child or incompetent adult against the wishes of the patient or their parent or guardian. In many cases, courts have ruled that the state has a compelling interest in preserving life, and that the benefits of a blood transfusion outweigh the religious beliefs of the patient or their parent or guardian.

In some cases, the courts have also recognized that there are alternatives to blood transfusions that can be used in treatment such as cell salvage, bloodless surgery techniques, etc. This can be used as an argument to respect the patient's or parents religious beliefs.

In conclusion, Jehovah's Witnesses Blood Transfusion Case is a legal dispute over the right of patients or parents to refuse blood transfusions on religious grounds, which has led to conflicts between the medical community and Jehovah's Witnesses patients, as well as legal disputes over the rights of parents to make medical decisions for their children, and the rights of patients to refuse medical treatment.

What are five resources that the body requires from foods?

Answers

Answer:

The five resources are protein, fats, vitamins/minerals, carbohydrates, and water

Explanation:

Answer: water, fats, proteins, vitamins, minerals

as a result of stress, the anterior pituitary releases ________, which stimulates release of hormones from the adrenal cortex that retain sodium and water, increase blood sugar, and begin breaking down fats.

Answers

As a result of stress the anterior pituitary releases ACTH, which stimulates realease if hormones from the adrenal cortex that reatain sodium water, increase blood sugar, and begin breaking down fats.

Adrenocorticotropic hormone, a polypeptide tropic hormone, is produced and secreted by the anterior pituitary gland. It's also a drug and a diagnostic tool. ACTH is a hormone that is generated in response to biological stress and is an integral component of the hypothalamic-pituitary-adrenal axis (along with its precursor corticotropin-releasing hormone from the hypothalamus). It primarily increases cortisol production and release by the adrenal cortex. ACTH is also connected to the circadian rhythm in several animals.

ACTH deficiency is a sign of secondary or tertiary adrenal insufficiency. Chronically increased ACTH levels, on the other hand, arise in primary adrenal insufficiency when the adrenal gland's synthesis of cortisol is chronically insufficient.

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an example of how heredity influences your health is

Answers

Answer:

To some degree this determines your general level of health. You inherit physical traits such as the color of your hair and eyes, shape of your nose and ears, as well as your body type and size. You also inherit basic intellectual abilities as well as tendencies toward specific diseases.

Smaller brain size, less efficient processing skills and impaired stress responses are all affects on the brain after being exposed to _____________.

options:

Trauma


Early adolescence


self-discipline


Positive Events

Answers

Answer: any type of trauma

What is the term for the daily intake amount that is based on observed or experimentally determined estimates of the average nutrient intake that appears to maintain health?

Answers

Answer:

The term for the daily intake amount that is based on observed or experimentally determined estimates of the average nutrient intake that appears to maintain health is "recommended dietary allowance" (RDA). The RDA is a set of nutrition guidelines established by the Food and Nutrition Board of the Institute of Medicine. These guidelines provide the recommended levels of various nutrients that individuals should consume on a daily basis in order to maintain optimal health. The RDA takes into account age, sex, and level of physical activity, and it is intended for use as a guide for planning and evaluating diets for healthy individuals.

Explanation:

a key nutrient that builds strong bones and teeth

Answers

Answer:

Calcium is a key nutrient that helps to build strong bones and teeth. It is essential for the normal growth and development of bones and teeth, and plays a role in maintaining their strength and density. Adequate intake of calcium throughout life, as part of a well-balanced diet, can help to prevent osteoporosis and other bone-related conditions in later life. The recommended daily intake of calcium for adults is 1000-1300mg depending on age and gender.

It’s calcium, because it gives your body lots of vitamins! Calcium even supports bone heath and keeps your body strong and healthy. Foods and drinks like: Milk, cheese, and more can keep your body supported for better health.

which characteristic of the patient with a mental health concern poses a challenge for the nurse while collecting assessment data?
a. The plan shifts focus to prevention and health-promotion efforts.
As an acute situation resolves, the plan of care can shift focus to prevention and health-promotion strategies, with the goal being that the acute concern does not recur.
b. The patient will often not admit to experiencing a problem. An aspect of psychiatric illness can often be the patient's inability to see their own symptoms or disease. Therefore it can be challenging for the nurse to collect meaningful historical assessment data.
c. Use of the tool ensures that all important aspects of patient data are accounted for.Repeated use of a standardized mnemonic helps the nurse consistently collect the most pertinent aspects of patient data at each encounter.
d. A significant decrease in the patient's depression score is a measurable evaluation of progress toward her goal of reducing depressive symptoms and improving her quality of life.

Answers

The patient will often not admit to experiencing a problem. An aspect of psychiatric illness can often be the patient's inability to see their own symptoms or disease. Therefore it can be challenging for the nurse to collect meaningful historical assessment data.

Mental health nursing, often known as psychiatric nursing, is a specialist branch of nursing practise that entails caring for people who have a mental health issue in order to help them recover and enhance their quality of life. Mental health nurses, often known as psychiatric nurses, are nursing professionals that provide care to patients suffering from mental health illnesses.

Mental illness, often known as mental health disorders, refers to a wide spectrum of mental health issues characterised by disturbances in mood, thought, and behaviour. Depression, anxiety disorders, schizophrenia, eating disorders, and addictive behaviours are all examples of mental illnesses. Childhood abuse, trauma, or neglect, for example, might all contribute to a time of poor mental health. Loneliness or social isolation. enduring prejudice and stigma, particularly racism.

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Hasan knows he eats too much junk food. He wants to be healthier. Which would be the most balanced way for Hasan to make the change he desires?


Throw away all the junk food in the house.


Shock his system by going on a juice cleanse.


Start on a strict diet of only chicken and vegetables.


Try to eat at least three servings of veggies a day.
HELP ASAP

Answers

The option that would be the most balanced way for Hasan to make the change he desires is option D: Try to eat at least three servings of veggies a day.

What is the healthier diet about?

Making drastic changes to one's diet can be difficult to maintain in the long term, and going cold turkey on junk food or starting a strict diet can lead to feelings of deprivation and a lack of balance. Instead, incorporating small, manageable changes into a daily routine is a more sustainable approach.

Therefore, Eating at least three servings of vegetables a day is a balanced way to start making changes towards a healthier diet. It adds important nutrients and fiber to the diet while also reducing the consumption of junk food.

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how do you know when your transmission is slipping

Answers

Engine revs or chugs.
Slow, weak or delayed acceleration.
Difficulty shifting gears or hard shifting.
Grinding, whining or other strange noises.
Won't go in reverse.
Burned or strange smells.
Check engine light.

how many years of college to be a nurse practitioner?

Answers

Nurse practitioners are required to have either a master’s or a doctoral degree in nursing. As a result, it usually takes six to eight years of schooling to become a nurse practitioner.

To become a nurse practitioner, you first must get a bachelors degree (4 years). Then, you must become a registered nurse (1-2 years). Then, you must get your graduate degree in nursing (2-3 years)

I hope this helps!!

Jane Addams and other sociologists who studied group interactions and how society impacted individual development were known as the
O Verstehen
O Darwinists
O Chicago School
O Ideal Types​

Answers

Jane Addams and other sociologists who studied group interactions and how society impacted individual development were known as the Chicago School.

As an advocate for international peace and the creator of the social work profession in the United States, Addams was the first American woman to receive the Nobel Peace Prize in 1931. She was a radical pragmatist and, according to some, the first female "public philosopher" in the United States. Jane Addams made a fundamental contribution to sociology by developing a sociological idea that placed ethics at the centre of all sociological and social life investigation.

This notion is critical since it facilitates cooperative ethics in all sociological and social decisions. She was key in successfully campaigning for the formation of a juvenile court system, improved urban cleanliness and industry rules, women's work legislation, and additional playgrounds and kindergartens around Chicago, together with other progressive women reformers.

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Arrange the cognitive developments in sequence from birth onwards.
separation anxiety
relying on reflexes
faking emotions
learning to babble

Answers

The Arrangement of the cognitive developments in sequence from birth onwards are:

relying on reflexeslearning to babblefaking emotionsseparation anxiety

What are the cognitive developments?

Relying on reflexes: At birth, infants rely on reflexes such as grasping and sucking to interact with the world around them.

Learning to babble: Around 4-7 months of age, infants begin to make sounds that are not yet recognizable as words, known as babbling.

Faking emotions: Around 9-12 months of age, infants begin to understand and respond to basic emotions and may begin to fake emotions in order to get what they want.

Separation anxiety: Around 8-18 months of age, infants begin to experience separation anxiety, which is a fear of being separated from a primary caregiver. This is a normal stage of development as the child begins to understand that people and objects exist independently.

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What occurs when communication between the central nervous system and peripheral nervous system are interrupted? ​

Answers

The peripheral nervous system encompasses the somatic and autonomic nervous systems as well as any nerve cells in the body that are not part of the central nervous system.

The brain and spinal cord are part of the central nervous system (CNS), whereas all of the nerves that branch from the brain and spinal cord & extend to other regions of the body, including muscles and organs, are part of the peripheral nervous system. The primary purpose of the PNS is to link the CNS to a organs, limbs, & skin. The PNS nerves stretch from the central nervous system to the extremities of the body.

The peripheral system permits the brain and spinal cord to receive and transfer information to different parts of the body, allowing us to respond to stimuli in our surroundings. The peripheral nervous system is made up of nerves and ganglia that are located outside of the brain and spinal cord. Peripheral nerves, neuromuscular junctions, cranial nerves, & spinal nerves are all part of the PNS. This system also sends and receives information from the central nervous system.

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describe at least 2 reasons behind the changes in the causes of death in the last century.

Answers

Ischemic heart disease and chronic obstructive pulmonary disease are the two main reasons behind the changes in the causes of death in the last century.

Ischemic heart disease is the world's leading cause of mortality, accounting for 16% of all fatalities. This illness has shown the greatest rise in mortality since 2000, rising by even more than 2 million reaching 8.9 million deaths by 2019. Stroke & chronic obstructive pulmonary disease are the second and third largest causes of mortality, accounting for 11% and 6% of all fatalities, respectively.

Lower respiratory infections maintained the world's most lethal communicable illness, accounting for the fourth highest rate of mortality. However, the number of fatalities has decreased significantly: it claimed 2.6 million lives in 2019, 460 000 fewer than in 2000.

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What’s an example of denial in the movie we are Marshall

Answers

Answer:

KGF CHAPTER 2

Explanation:

CONDO KHALAS MUGI

the breakdown of glucose in the presence of oxygen to produce atp is known as

Answers

The breakdown of glucose in the presence of oxygen to form ATP is known as cellular respiration. It is an aerobic metabolic process that takes place in the mitochondria of cells.

During cellular respiration, glucose is broken down into smaller molecules such as carbon dioxide and water. Cellular respiration is essential to life because it produces the energy needed to power many of the body's vital functions. It is a metabolic pathway that involves many steps, including glycolysis, the Krebs cycle, and the electron transport chain. In the first step, glycolysis, glucose is broken down into pyruvate molecules, which are then used to produce ATP. The end result of cellular respiration is the production of ATP molecules, which the cell can use for energy.

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select the correctly ordered list of psychological theorists

Answers

Answer:

Sigmund FreudCarl JungB.F. SkinnerAbraham MaslowErik Erikson

Please note that this is just a sample of psychological theorists and there are many more. Also, the order of importance or influence of these theorists may vary depending on perspective, field of study, or research.

Explanation:

The ______ stress of health problems is problematic for the uninsured, underinsured, and health care providers.

Answers

Answer:

physical health problems

Explain the process involved in securing intervention services for a child who you suspect may have a significant hearing impairment.

Answers

Cochlear implant surgery is the process involved in securing intervention services for a child who you suspect may have a significant hearing impairment.

With the aid of cochlear implant surgery, children with severe to profound hearing loss can begin receiving treatment as early as eight months of age. With this procedure, the youngster might receive aural rehabilitation and improve their speech and hearing. This makes it possible for the youngster to enrol in a regular school and have a normal life.

Every age group is impacted by hearing impairment, which has many diverse causes. If a person's hearing abilities fall below those of someone with normal hearing, which is defined as having hearing thresholds of 20 dB or higher in both ears, they are said to have hearing loss. It can affect one or both ears, be mild, moderate, fairly severe, severe, or profound.

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how might sports teams benefit from emotional contagion?

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When the team spirit is optimistic, positive, and enthusiastic, it influences the mood of the individual players. As a result, sports teams may benefit from emotional contagion.

Emotional contagion is a type of social contagion characterized by the unintentional spread of emotions & related actions.  Such emotional convergence can occur between individuals or in bigger groups. Emotions may be conveyed between people in a variety of ways, both implicitly and explicitly. Emotional contagion happens when one person's feelings and related actions cause others to experience comparable emotions and behaviour.

Awareness of emotional contagion is essential for controlling our own emotions & related actions, as well as ensuring our own and others' well-being. Emotions may have a substantial influence on performance by altering physiological & attentional states in ways that either improve or degrade an athlete's abilities. Individual Zones of Optimal Performance exist for athletes. As a result, particular emotions at different intensities will impact performance.

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the concept of demands and capacity

Answers

Answer:

How much demand can there be? Demand capacity is a ratio that assesses how well a business can meet the demand for its products or services. To make sure they're maintaining capacity levels that can match the demand for their products, manufacturing companies measure demand capacity.

Explanation:

Is it scientifically possible to reverse aging?

Answers

Answer: Researchers have reversed aging in human skin cells by 30 years, according to a new study.

Explanation: Scientists say they have developed a method to time jump human skin cells by three decades - longer than previous reprogramming methods, rewinding the aging clock without the cells losing their function.

what is cardiac dysfunction and arteriosclerotic cardiovascular disease

Answers

Answer:

Atherosclerosis

Also called: atherosclerotic cardiovascular disease is the build-up of fats and other substances in and on the artery walls causing a barrier to blood

I think Cardiac dysfunction is a heart disease and that's a  type of disease that affects the heart or blood vessels.

Explanation:

Hope I helped :)

what is likely to happen if you are in caloric excess?

Answers

If you are in a caloric surplus, meaning you are eating more calories than your body needs, then you are likely to gain weight. The extra calories are converted into fat, which is stored in the body.

Being in a caloric surplus can also lead to a lower metabolic rate because your body will no longer have to work as hard to provide energy for your daily activities. Over time, this can lead to health problems including obesity, diabetes and heart disease. That's why it's important to watch your diet and make sure you're consuming the right number of calories for your activity level.

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is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Answers

Yes,  billable/specific ICD-10-CM code can be used to indicate a diagnosis for reimbursement purposes.

In general , the billable/specific codes are used to indicate a diagnosis for reimbursement purposes because there are no other codes that have a  greater level of specificity under each code.

This code is important to use because when the wrong sequence of codes is used, the wrong MS-DRG (Diagnosis Related Group) will be assigned to the case. But as we know that  reimbursement is depended on MS-DRG, the wrong ICD-10 code can potentially impact the reimbursement amount. ICD-10-CM is a standard classification system that helps in diagnosis codes that represent conditions and diseases.

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Who and/or what is protected by lab safety protocols?
(Check all that apply)
a. Students doing lab activities
b. Lab instructors and technical assistants.
c. Anyone who walks into the lab.
d. The physical lab space and the equipment housed within the lab.

Answers

The following are protected by lab safety protocols:

-students doing lab activities

-lab instructors and technical assistants

-anyone who walks into the lab

-the physical lab space and the equipment housed within the lab

Many laboratories are dangerous, and preventing laboratory catastrophes requires extraordinary vigilance and constant supervision. High voltages, high and low pressures and temperatures, corrosive and poisonous chemicals and chemical vapours, radiation, fire, explosions, and biohazards such as infective organisms and their poisons are examples of risk factors.

Safety training and the implementation of laboratory safety regulations, a safety evaluation of experimental designs, the use of personal protective equipment, and the employment of the buddy system for particularly dangerous tasks are all measures to prevent against laboratory mishaps. Laboratories are governed by health and safety laws in several nations. In rare situations, laboratory operations can potentially pose environmental health concerns, such as the unintentional or deliberate release of harmful or infectious material into the environment.

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