Nonpar Medicare physician fee schedule allowed amount: $450 ; Limiting charge: $517.50 ; Medicare beneficiary balance of the limiting charge: $132.50 ; Medicare write off amount: $200
To calculate the amounts for a nonpar who bills Medicare a submitted charge of $650, we need to take into account the Nonpar Medicare physician fee schedule allowed amount and the limiting charge.
The Nonpar Medicare physician fee schedule allowed amount is the maximum amount that Medicare will pay for a particular service or procedure. In this case, the allowed amount is $450.
The limiting charge is the maximum amount that a nonpar provider can charge a Medicare beneficiary for a particular service or procedure. The limiting charge is calculated as 115% of the Nonpar Medicare physician fee schedule allowed amount, which in this case is $517.50.
Therefore, the Medicare beneficiary is billed the balance of the limiting charge, which is the difference between the submitted charge and the limiting charge. In this case, the balance of the limiting charge is $132.50 ($650 - $517.50).
However, there is also a Medicare write off amount, which is the difference between the submitted charge and the Nonpar Medicare physician fee schedule allowed amount. In this case, the Medicare write off amount is $200 ($650 - $450).
So, to summarize:
- Nonpar Medicare physician fee schedule allowed amount: $450
- Limiting charge: $517.50
- Medicare beneficiary balance of the limiting charge: $132.50
- Medicare write off amount: $200
To know more about Medicare, refer
https://brainly.com/question/14283838
#SPJ11
I need help on my ethical dilemma paper about comfort care in terminally ill patients. Can someone help me?
What is diagnosis for patient with asymptomatic irregular flat patches on dorsum of the tongue with red centers and an irregular white periphery?
Answer:
geographic tongue (erythema migrans)
Explanation:
I hope this helps! If it does could you please mark me brainliest.
Wei Xu, a secretary for a pharmaceutical manufacturer, was hospitalized with a severe allergic reaction after being stung by hornets on his vacation. He was hospitalized and missed two months of work due to the accident. What OSHA report would be filed
Answer:
No report would be filed, as this is not a case of an accident in the workplace.
Explanation:
OSHA is an institution that regulates and manages proper working conditions across the country. OSHA's goal is to avoid work environments that endanger the physical and psychological health of employees. In the case shown in the question above, Wei Xu was in poor health when he was attacked by wasps. However, this incident took place outside the work environment, during Wei Xu's vacation, so OSHA's work does not fit into this incident, this case will not be recorded and no reports will be filed.
Question 6
If back muscles aren't given
the rest they need to get
better, this increases the risk
of:
Answer:
muscle strain i am not sure anyways i need points hope you passed
Explanation:
Which of the following is an example of a clinical decision support system (CDSS)?A. A system used to register clients who are admitted to an acute health care facility for surgeryB. A system used to schedule client visits for follow up care after extensive abdominal surgeryC. A system used by emergency room administration to bill clients once their diagnoses are verifiedD. A system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses
Correct answer is Option D: a system used by physicians to provide suggestions for diagnostic tests according to selected admitting diagnoses.
What is a clinical decision support system (CDSS) ?A clinical decision support system (CDSS) is a computer-based tool that assists healthcare professionals in making clinical decisions by providing them with relevant patient information, guidelines, and recommendations. CDSS systems are designed to improve patient care, reduce errors, and enhance clinical decision-making.
Option D is an example of a CDSS because it describes a system used by physicians to provide suggestions for diagnostic tests based on selected admitting diagnoses. This type of system analyzes the patient's symptoms, medical history, and other relevant data to generate recommendations for appropriate diagnostic tests. It aids physicians in making informed decisions about which tests to order based on the patient's condition and helps improve the accuracy and efficiency of the diagnostic process.
Options A, B, and C do not involve clinical decision support functionalities. Option A refers to a system used for client registration, option B relates to scheduling client visits, and option C pertains to billing clients in the emergency room setting. While these systems may have their own significance in healthcare operations, they do not fall under the category of clinical decision support systems.
Learn more about CDSS
brainly.com/question/32166011
#SPJ11
With the decision by schools to mandate vaccine does this prevent a parent from living freely? Explain your answer
Answer:
The debates over vaccinations are often cast as arguments over the integrity of science. But they can just as easily be understood as conversations about power, writes Eula Biss, a senior lecturer at Northwestern University, in her book, On Immunity: An Inoculation. As it stands, all 50 states require specific vaccines for school-aged children, although each grants exemptions for students unable to be vaccinated for medical reasons. The power struggle—pitting parents against parents—arises in the 19 states that allow families to opt out of vaccination requirements by claiming a "philosophical exemption," whether based on personal, moral, or religious beliefs.
Explanation:
What percentage of all hospitalized patients in the united states have at least one hai?.
boys are more likely to be diagnosed with learning disorders because ___________.
Answer: Boys have acting out behaviors which causes them to most likely be diagnosed with learning disorders. Boys are often born with or acquire a tendency for a learning disability, and differs due to the biological vulnerability, experts say.
Hope this helped!
if a person takes 100 mg of Aspirin, he or she will
Answer:
to 100 milligrams, which is equal to three adult-strength aspirins, a safe dose for most people.
Explanation:
What are the neurotransmitters of the sympathetic nervous system and their role in help control a hemorrhage?
Answer:
The sympathetic nervous system releases (NE) norepinephrine
.A patient that is 80 years old fell and fractured his hip. He lives by himself and his daughter lives 60 miles away from him and doesn't visit him often to help. During his care in the hospital, he was told not to do any activities like adduct his hip or internally or externally rotate his leg. he can not flex his hip more than 90 degrees. Yesterday he was found leaning over to tie his shoe during a physical therapy session. It seems like he needs multiple cueing to avoid the actions that put his hip at risk. We are reinforming these things repeatedly and the nurses said that he is communicating well but he is just not getting it. The interprofessional collaboration team wants to find a rehab facility close to where his daughter lives so she can visit more and reinforce what he needs to be doing and said that he is not fit to go home by himself.
What actions should the interprofessional team take to advocate effectively for this client?
To advocate effectively for the client, the interprofessional team should gather comprehensive information about the patient's condition, communicate with the daughter to involve her in the care plan, research and recommend suitable rehab facilities near her, coordinate with healthcare professionals, facilitate communication and transition, provide ongoing support and guidance to the daughter, and advocate for the patient's best interests throughout the process.
The interprofessional team should take the following actions to advocate effectively for this client:
1. Gather and share comprehensive information: Collect all relevant information about the patient's condition, including his limitations, living situation, and the need for continued support and reinforcement.
2. Communicate with the patient's daughter: Contact the daughter to discuss the patient's condition, the recommended care plan, and the importance of her involvement in his rehabilitation process. Seek her input and address any concerns or questions she may have.
3. Research and recommend suitable rehab facilities: Conduct a thorough search for rehab facilities near the daughter's location that can provide the necessary care and support for the patient's recovery. Consider factors such as proximity, quality of care, availability of specialized services, and visiting policies.
4. Coordinate with healthcare professionals: Collaborate with the patient's healthcare team, including physicians, nurses, and therapists, to obtain their input and support in advocating for the patient's transfer to a rehab facility. Seek their expertise in assessing the patient's progress and the level of care required.
5. Facilitate communication and transition: Establish clear lines of communication between the interprofessional team, the daughter, and the chosen rehab facility. Ensure that all parties are aware of the patient's needs, restrictions, and goals for rehabilitation. Facilitate a smooth transition from the hospital to the rehab facility, including necessary paperwork and medical information transfer.
6. Provide ongoing support and guidance: Offer guidance to the patient's daughter on how she can reinforce the recommended activities and precautions during her visits. Share educational materials, schedule follow-up consultations with healthcare professionals, and provide resources that can assist her in supporting the patient's recovery.
7. Advocate for the patient's best interests: Act as the patient's advocate throughout the process, ensuring that his needs, safety, and well-being are prioritized. Communicate with all stakeholders involved, including hospital administrators and insurance providers, to secure the necessary approvals and support for the patient's transfer to a suitable rehab facility.
By taking these actions, the interprofessional team can effectively advocate for the client's best interests and facilitate a smoother transition to a rehab facility that is closer to his daughter's location, allowing for increased support and reinforcement of his care.
To effectively advocate for the client, the interprofessional team should gather all relevant information about the patient, involve the daughter in the care plan, find and recommend suitable rehab facilities near her, coordinate with healthcare professionals, assist with communication and transition, provide continuous support to the daughter, and advocate for the patient's best interests. These actions are aimed at ensuring the patient receives appropriate care while involving the daughter in his rehabilitation and recovery process.
Learn more about interprofessional here:
https://brainly.com/question/28584783
#SPJ11
which time period would the nurse choose to prepare a preschooler for a surgical procedure before the actual surgery
The nurse starts preparing your preschool-aged child three days before the surgery procedure.
What is the procedure before surgery?Stop drinking and eating for a definite period before the time of surgery. The nurse bath or cleans, and possibly shaves the area to be utilized on. Doing various blood tests, X-rays, electrocardiograms, or other policies necessary for surgery.
The nurse does usual tests that your surgeon may ask you to have if you have not had them recently are blood tests such as an absolute blood count (CBC) and kidney, liver, and blood sugar tests. Chest x-ray to check your lungs. ECG (electrocardiogram) is to examine your heart.
So we can conclude that when the surgery is complete, the anesthesiologist back the medications to wake you up.
Learn more about surgery here: https://brainly.com/question/26724240
#SPJ1
Feeling happy today so here's 100 points for someone else to be happy!
Have a beautiful day or nighttttt
Good luck y'all got this!
what are two ways in which white blood cells fight pathogens that have enterd the body
Answer:
If a pathogen enters your body, white blood cells of your immune system quickly recognise its foreign antigens. This stimulates specific lymphocytes to grow, multiply and finally produce antibodies that will stick to the antigens on the invading pathogens and destroy them.
Explanation:
The center for medicare and medical services reported that there were appeals for hospitalization and other part a medicare service. For this group, of first round appeals were successful (the wall street journal). Suppose first-round appeals have just been received by a medicare appeals office. Refer to binomial probability table.
Answer: 0.50
Explanation:
The answer is 0.50. This is because in a binomial probability table, the probability of success for a given number of trials (in this case, the first round appeals) is always 0.50. This means that when the first round appeals are received by the medicare appeals office, the probability of the appeals being successful is 0.50.
A father requests information on how to care for his child with severe diaper rash. Which statement made by the child’s father indicates a need for additional teaching?
Which of the following patients would be appropriate to help move using a transfer belt?
Ying, a patient with relatively good mobility who is recovering from back surgery
Ivy, a patient with limited mobility who has a feeding tube
Sandra, a patient with limited mobility who is recovering from an abdominal surgery
Paulo, a patient with relatively good mobility who is suffering from the flu
Answer: i think the answer is Ying,a patient with relatively good mobility who is recovering from back surgery.
Explanation:
Choose the term that best matches the description given.
When patients see themselves represented in the medical setting, the benefit is:
More satisfaction with their care People view it as more equitable and fair. Better quality care. More varied solutions
Answer:
self courage
Explanation:
to be feel better in medical setting you have to be with self courage
Stanley volunteers at a local soup kitchen, and he feels that it enhances his overall health. This is an example of _____. a. occupational wellness b. physical wellness c. spiritual wellness d. emotional wellness e. environmental wellness
This is an example of spiritual wellness.
Spiritual wellness refers to having a healthy inner self and soul and one of the ways this can happen is through engaging in selfless and altruistic acts.
The satisfaction that this brings would set our inner mind at ease and can manifest itself physically because the body will be less stressed and be more peaceful and calm.
Stanley engaged in an altruistic act and this gave him satisfaction internally which then manifested physically which is why he feels that he is healthy overall.
More information on spiritual wellness can be found at https://brainly.com/question/11539034 and https://brainly.com/question/19228331.
why are most people allergic to pollen????????????????????????? and why do we sneeze and etc.
Answer:
Our body system thinks it's dangerous and it thinks it's a foreign invader. So when we sneeze it release antibodies to get rid of the pollon. most of us are allergic to pollen create a chemical called histamine, which causes the sneezing and stuff.
Hope this helps and PLEASE give brainlist!
Some people are allergic to pollen because pollen reacts with our nose cells and forces us to sneeze. This may also cause rashes near our nose.
Angela’s physician suspects that Angela has just suffered a myocardial infarction, or heart attack. She tells Angela that she is going to take a blood sample so that the hospital lab can perform a test to confirm her diagnosis. What information can Angela’s blood yield to help the physician?
Angela's blood can provide important information to help the physician in diagnosing a myocardial infarction (heart attack). The blood sample can reveal several key markers and indicators that are associated with a heart attack. Here are some of the information that Angela's blood can yield:
Cardiac Enzymes: The physician will analyze levels of cardiac enzymes in Angela's blood, such as troponin, CK-MB (creatine kinase-MB), and myoglobin. During a heart attack, the heart muscle is damaged, and these enzymes are released into the bloodstream. Elevated levels of these enzymes can indicate myocardial damage.
Electrolyte Levels: The blood sample can be examined to assess the levels of electrolytes such as potassium, sodium, and calcium. Imbalances in these electrolytes can affect the heart's function and contribute to the occurrence or severity of a heart attack.
Lipid Profile: The physician may also analyze Angela's lipid profile, which includes levels of cholesterol, triglycerides, and high-density lipoprotein (HDL) and low-density lipoprotein (LDL). High levels of LDL cholesterol and triglycerides, as well as low levels of HDL cholesterol, are associated with an increased risk of heart disease and can contribute to the development of a heart attack.
Blood Clotting Factors: The blood sample can be evaluated for markers of blood clotting, such as D-dimer and fibrinogen levels. During a heart attack, blood clot formation within the coronary arteries can further obstruct blood flow, worsening the condition. Assessing blood clotting factors can help determine the risk and severity of clot formation.
Blood Gas Analysis: The blood sample can be used to assess arterial blood gases, including oxygen and carbon dioxide levels. Changes in these gases can indicate inadequate oxygen supply to the heart and tissues, which is commonly seen during a heart attack.
By analyzing these various components and markers in Angela's blood, the physician can gather important diagnostic information to confirm or rule out a myocardial infarction. This information helps guide appropriate treatment decisions, interventions, and ongoing monitoring of Angela's condition.
I hope this helps. Cheers! ^^
Angela's blood can provide valuable information to help the physician confirm or rule out the diagnosis of a myocardial infarction (heart attack). Some of the key information that the blood test can yield includes Cardiac Enzymes and Cardiac Biomarkers.
Cardiac Enzymes: During a heart attack, damaged heart muscle cells release specific enzymes, such as troponin, creatine kinase (CK), and CK-MB, into the bloodstream. Elevated levels of these enzymes can indicate myocardial damage and support the diagnosis of a heart attack.
Cardiac Biomarkers: Besides enzymes, other cardiac-specific biomarkers, such as myoglobin and B-type natriuretic peptide (BNP), can be measured in the blood to assess heart muscle function and identify signs of stress on the heart.
Electrolyte Levels: Blood tests can determine the levels of electrolytes like potassium, sodium, and calcium, which are essential for heart function. Abnormal levels can indicate cardiac issues.
Complete Blood Count (CBC): A CBC can provide information about red and white blood cell counts, hemoglobin, and hematocrit levels. Anemia or signs of inflammation may be detected through CBC results.
Lipid Profile: This test measures cholesterol levels, triglycerides, and other lipid components in the blood. Elevated cholesterol levels are a risk factor for heart disease.
Blood Glucose: Monitoring blood glucose levels can be important, as diabetes is a risk factor for heart disease and can complicate the management of a heart attack.
Coagulation Studies: Tests like prothrombin time (PT) and activated partial thromboplastin time (aPTT) can assess blood clotting function, which is relevant in cases of heart attack.
To know more about myocardial infarction follow the link:
https://brainly.com/question/1373449
#SPJ2
Medicare part D is a health insurance option available to Medicare beneficiaries. Private, Medicare-approved insurance companies run Medicare Advantage programs. These companies arrange for, or directly provide, health care services to the beneficiaries who enroll in a Medicare Advantage plan.
Both statements accurately describe aspects of Medicare Part D and Medicare Advantage, indicating that they are functioning as intended.
The statement "Medicare Part D is a health insurance option available to Medicare beneficiaries" is accurate. Medicare Part D is a prescription drug coverage program offered by private insurance companies approved by Medicare. It helps Medicare beneficiaries pay for their prescription medications.
The second statement, "Private, Medicare-approved insurance companies run Medicare Advantage programs. These companies arrange for, or directly provide, health care services to the beneficiaries who enroll in a Medicare Advantage plan," is also correct. Medicare Advantage, also known as Medicare Part C, is an alternative to Original Medicare (Part A and Part B) and is offered by private insurance companies approved by Medicare. These companies administer and manage the Medicare Advantage plans, which provide all the benefits covered by Original Medicare and often include additional benefits such as prescription drug coverage, dental, vision, and hearing services.
for more such questions on Medicare
https://brainly.com/question/31418684
#SPJ8
An ER doctor is examining a burned patient and notices that the patient's burn has destroyed all three layers of skin.
What type of burn does the patient most likely have?
a sunburn
a first-degree burn
a second-degree burn
a third-degree burn
correct answer: third-degree burn. because only a third degree burn can destroy all three layers of skin.
Answer:
D. :)
Explanation:
Atrial fibrillation, rheumatic heart disease, and valvular prosthetics are risk factors for which type of stroke
Answer: Embolic stroke
Explanation:
Embolic stroke is a form of stroke thqt occurs when a debris or a blood clot travels from one body part and then stays in the narrower brain artery, thereby blocking the flow of blood into the brain.
It should be noted that Atrial fibrillation, rheumatic heart disease, and valvular prosthetics are risk factors for embolic stroke.
Answer:
Embolic
Explanation:
They all potentiate the possibility of a blood clot to form
What did his wife do to help investigators identify the body?
The wife of the man had been watching the show Forensic Files, and she saw the episode that talked about the body. She recognized the tattoos on the body, and she contacted the investigators.
On the show Forensic Files, an episode called "Hair of the Dog," investigators were trying to determine the identity of a decomposed body that was found in a wooded area.
The body had no identification on it, and the man had no identification on him, but the investigators were able to identify him by his distinctive tattoos. The wife of the man, who had been missing for some time, saw the tattoos on TV and contacted the investigators.
The woman knew her husband was missing, and she saw the tattoos on TV. She contacted the investigators, and they were able to identify the man by his tattoos. The investigators had to use many different methods to try to determine the identity of the man. They looked at his dental records, they looked at his fingerprints, and they even used facial recognition technology to try to determine who he was. But none of these methods worked. The body was badly decomposed, and there was no identification on it.
The wife of the man had been watching the show Forensic Files, and she saw the episode that talked about the body. She recognized the tattoos on the body, and she contacted the investigators. They were able to positively identify the man, and they were able to solve the case. It's amazing how the smallest piece of information can lead to a breakthrough in a case.
To know more about Forensic Files visit:
https://brainly.com/question/31464004
#SPJ11
What is B + 6 =9=+x=? this is the hardest question ever
Answer:
B=9-6=+x.
B=3=+x.
B=3-x
Answer:
\(\Huge \boxed{B=3}\)
Explanation:
\(B+6=9\)
Subtracting 6 from both sides of the equation.
\(B+6-6=9-6\)
Simplifying both sides of the equation.
\(B=3\)
The federal government developed a vested interest in restraining health care costs following the implementation of...
Answer:
The federal government developed a vested interest in restraining health care costs following the implementation of Medicare and Medicaid in 1965.
Please put a heart and star if this answer helps.
3
When handling and packaging a bullet from a crime scene, investigators must be careful to preserve any trace evidence that might be present, such as paint or fibers,
True or false
Answer:
True
Explanation:
Because you need all the evidence you need to find what was the cause of the crime scene and how could you detained it from anymore victims and suspects .
A client has arterial blood gas results of ph 7.32; paco2 50; hco3 23; and sao2 80%. these results indicate:
The result indicates that the client has respiratory acidosis.
What is respiratory acidosis?It is a medical condition characterized by the presence of an elevated level of carbon dioxide in the blood as a result of the lung being unable to expel all the gas.
The normal blood pH ranges from 7.35 to 7.45 and the client's blood pH is 7.32. This is below normal and tends towards the acidic side of the pH scale.
The normal partial pressure of carbon dioxide in the blood (paco2) ranges from 38 to 42 mm Hg. The client's own is 50 which is above normal.
The HCO3 level is within the normal range while the oxygen saturation level (sao2) is below normal.
Thus, the conclusion can only be respiratory acidosis.
More on respiratory acidosis can be found here: https://brainly.com/question/9928463
#SPJ1
A(n) __________ scan maps brain activity over time.
A.
EEG
B.
CT
C.
MRI
D.
PET
Answer:
D. PET is the correct answer
Explanation:
Hope this helps and if it does please mark me the brainliest!
Peace and Love
Answer:
D) PET is the correct answer
Explanation:
edge 2023