Gloria McGraw, a patient at Broadmoor Medical Clinic, underwent an arthroscopic surgical procedure of her right knee. Dr. Jones's fee for this procedure was $1400; however, the claim payment from her insurance carrier was reduced to $1100 because of UCR provisions. Ms. McGraw doesn't understand why this occurred and asks you to explain. What do you tell her?

Answers

Answer 1

The claims payment from her insurance carrier was reduced to $1100 because of UCR provisions. UCR decides what amount can be paid by the will be charged, it can be less or equal.

What is UCR?

The amount paid in a geographic area for a medical treatment based on what providers in the area typically charge for the same or similar medical service.

The UCR amount is occasionally used to calculate the permissible amount. Amount commonly charged for or covered for similar medically necessary, doctor-recommended, or treatment-required services and supplies.

Therefore, UCR decides what amount can be paid by the will be charged, it can be less or equal.

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Related Questions

What are the 4 main environmental factors that affect health?

Answers

Air pollution, climate change, and natural disasters are environmental factors. illnesses brought on by microorganisms, unable to obtain healthcare.

Environmental factor: what is it?

Environmental variables, which are connected to genetics, include exposure to chemicals like pesticides or industrial pollution where we live or work, unhealthy lifestyle choices like smoking and eating poorly that can increase a person's risk of disease, as well as stressful situations like racism.

Why does environment pose a risk?

Pollution, irradiation, noise, land-use patterns, and climate change are all environmental health threats. 2. The amount of research demonstrating the connection between the environment and human health is constantly expanding and being updated in the field of environmental health.

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What are the 3 characteristics of a healthy community?

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A healthy community is one in which all citizens have access to a good education, safe and healthy housing, appropriate work, transportation, physical exercise, and nutrition, as well as good health care.

Community health refers to basic health care provided by laypeople outside of hospitals and clinics. Community health is another aspect of public health that doctors are taught and practice. Having excellent health allows a person to go about their everyday activities with ease. Physical health refers to a person's body being free of sickness, whereas mental or social health refers to a person's capacity to do different social responsibilities assigned to him.

Along with eating well and exercising regularly, true health is getting adequate sleep, practicing mindfulness, managing stress, keeping mind and body fit, interacting socially, and doing other activities. A healthy active lifestyle is a way of living that includes frequent exercise and nutritious eating to promote overall health.

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What is heat stroke also known as?

Answers

Heat stroke is also known as sunstroke.

Heat stroke represents the most severe type of heat damage and is treated as a medical emergency. Heat stroke can be fatal or severely injure the brain as well as other vital organs. Although heat stroke primarily affects persons over the age of 50, it can also harm robust young athletes.

Heat stroke frequently develops as a result of a series of lesser heat-related ailments, including such heat cramps, heat syncope (fainting), or heat exhaustion. It can, however, strike even if there is no history of heat injury. Heat stroke is caused by prolonged exposure to high temperatures, frequently in conjunction with dehydration, which causes the body's temperature regulating mechanism to fail. Heat stroke is defined as a core body temperature of more than 104 degrees Fahrenheit, with difficulties involving the nervous system that develop after exposure to high temperatures.

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What are some things you can do to be a health advocate?

Answers

Some things you can do to be a health advocate are practicing self-care, not rush decision making, and trust the science.

Have hope in the advances in science, have stopgap in all the exploration that's being conducted each day to find new individual styles and substantiated treatments, and have stopgap in community. These advances have helped humanity overcome the toughest health challenges and will continue to change the course of drug.

Self care is so important. However, seek support — if not for your own health, for the health of the loved bone you ’re minding for, If you ’re a caregiver and feel physically or psychologically exhausted.

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What are the 4 key recommendations for a healthy lifestyle?

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The four key recommendations for a healthy lifestyle are eating a balanced and nutritious diet, regular physical activity, avoiding smoking and limiting alcohol consumption, and getting enough good quality sleep.

The four key recommendations for a healthy lifestyle are:

Eating a balanced and nutritious diet: This includes consuming various fruits, vegetables, whole grains, lean proteins, and healthy fats.Regular physical activity: Regular physical activity can improve cardiovascular health, strengthen muscles and bones, and improve mental health.Avoiding smoking and limiting alcohol consumption: These habits can significantly reduce the risk of many chronic diseases.Getting enough good quality sleep: Aiming for 7-9 hours of good quality sleep can help improve physical and mental well-being.

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In some school kitchens, one problem for worker safety is that ovens
O do not work
are too high for workers to reach
are at a low level and require heavy lifting from a position lower than the knees
O may explode
Mark this and return

Answers

Answer:May explode

Explanation:

Why does heart rate and breathing rate increase during exercise?

Answers

When we exercise, the muscles work harder, using more oxygen and emitting more carbon dioxide. To meet this increased demand, the breathing rate must rise from around 15 times per minute (12 liters of air) at rest to roughly 40-60 times per minute (100 litres of air) in activity.

Exercising can help ones avoid gaining weight or keep it off. Physical exercise causes calories to be burned. The higher the intensity of the exercise, the more calories they burn. Regular gym visits are fantastic, but don't panic if users can't find enough time to workout every day. Any level of action is preferable to none at all. To reap the advantages of exercise, just increase your daily activity – take the stairs rather than the elevator, or increase your domestic tasks. Consistency is essential.

There are several reasons why you might not want to workout in a gym. Some folks are frightened in a gym setting. Some people may have difficulty with child care or other issues. Others just want to develop an exercise programmed that they can undertake at home or when travelling and without having access to a gym.

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What are the 5 healthy habits for students?

Answers

5 healthy habits for students are : eating a healthy diet, doing regular exercise, not smoking, staying at a healthy weight and limiting alcohol use.

What are some of the good habits for students?

Students must be organized. Make a plan of what you're going to do and when you're going to do, it will make sure you're always ahead of the curve. Do not try multitask instead divide it up, get enough sleep, set a schedule, take notes and study hard.

It is important for the students  to wake up early in the morning and do some yoga or exercise for a healthy life and it is not a good idea to skip breakfast.

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What is a nutrient used for many body processes?

Answers

Vitamins and minerals

Hope it helps you

Proteins,calcium,fats, vitamins and minerals, electrolytes

the neural layer of the retina prevents excessive scattering of light within the eye.

Answers

False, the neural layer of the retina do not prevents excessive scattering of light within the eye. Rods can only see only one color, and they work best in dim light.

The neural retina, which consists of several layers of neurons coupled by synapses, is supported by the outer layer of pigmented epithelial cells. The primary light-sensing cells in the retina are two different types of photoreceptor cells (rods and cones). Cones control the high-acuity vision required for tasks like reading as well as the sense of color via a variety of opsins, working best in well-lit surroundings. The pupillary light response and the entrainment of circadian cycles depend on the photosensitive ganglion cell, a third type of light-sensing cell.

The complete question is:

The neural layer of the retina prevents excessive scattering of light within the eye. True or false?

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Kisawe Cha neno pombe​

Answers

Answer:

mvinyo

Explanation:

mvinyo mvinyo mvinyo

Personal hygiene is important to others because __________.
A.
it helps to prevent the spread of disease
B.
you look more pleasing to the eye
C.
everyone should look the same
D.
all of the above



Please select the best answer from the choices provided.


A
B
C
D
Mark this and return

Answers

Answer:

a) it helps to prevent the spread of diseases

the answer to the question is A

I need help pleaseee

Answers

Answer: pushups aching

sit-ups energized

jumping jacks tired

bicycle strong

Explanation: your welcome and yo put you name and date

1. Which of the following does not define mental health?
A You can work productively and fruitfully
C. You can cope with normal stresses of life
B. You can realize your own potential D. You cannot be able to make contribution to your own community
2. Good mental health starts with the health of your
A Body
C. Relationship with God
B. Mind
D. Relationship with others
3. The following are some practices of staying mentally and emotional healthy, EXCEPT:
A Eating night
C. Thinking negatively
B. Exercising
D. Thinking positively
4 Having good mental health best means
A Being unable to cope with any type of stressor
8. Being able to cope with daily stressors and work productively
C. Being able to cope with stress without the need of other people
0. Being unable to understand when a stressor is real versus imagined
5. The following are the factors affecting mental health, EXCEPT:
A Biochemical factors B. Environment C. Fashion
D. Heredity

plsss​

Answers

Answer:

b, a,c, b (being able to cop with daily stressors and work productively), c.

What Is It?
Directions; Read the story.
Mrs. Castro is a wise consumer. She plans and budgets what to buy. She was
school bags for her two children. She asks the saleslady if the bags are one
different stores to compare prices. She asks the sellers the things used in making
mags. She also studies the labels.
1. What did Mrs. Castro do before buying the schoolbags?
2. How will you describe her as a consumer? Why?​

Answers

1.She compared the bag prices at two different stores
2. She is really good at it because she knows how to save money and use it as well

What was before the food pyramid?

Answers

Before food was organized into cohesive groups or placed into a pyramid or a plate, the United States Department of Agriculture introduced the Basic 7 Food Chart.

How did the food pyramid alter, and why?

The food pyramid was modified by the U.S. Department of Agriculture in spring 2005 in order to provide a clearer illustration of a healthier diet. The revised prism is based on the most recent, credible scientific evidence regarding the relationship between diet and health.

The FDA updated the food pyramid when?

The USDA pyramid from 1992 was superseded by the one from 2005, which was distinct from it in a number of ways. More focus is placed on the whole carbohydrates and physical exercise in the new pyramid.

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Name three non-specific or innate immune system responses

Answers

Answer:

spontaneous combustion, explosive diarrhea, and indigestion.

Explanation:

immune system responses ig

Question 2 (1 point)
Which of these is NOT considered a nutrient?
a
Vitamins
b
Minerals
Fiber
Fats

Answers

fiber i’m pretty sure
Minerals is not a nutrient

Kidneys are the “filters” of the (_______) system. They remove nitrogenous wastes, water, urea, and excess (______) from the blood. The liquid waste produced, (______), is collected by the kidneys and passes through the (_______) to the (_____________ ___________). The urinary bladder is a strong muscular organ that stores the urine until it can be excreted via the (__________)

Answers

Answer:

There are air filters to purify the air and water filters to clean the water. Well, the kidneys are like a filtering system, too. They contain nephrons, which filter waste from the blood in two stages. First, nephrons take waste as well as needed materials out of blood. Then, the materials the body needs (like water and glucose) are returned to the blood and wastes are eliminated from the body. This is one way the kidneys maintain homeostasis. The kidneys also regulate the amount of water in the body. The amount of water the kidneys return to the blood depends on the conditions inside and outside of the body. This is another way the excretory system maintains homeostasis. For example, you will make more urine on a cool day when you have drunk a lot of water than you will on a hot day when you've hardly had anything to drink.

(I answered a question similar to this some time ago so you might also find it there.) Hope It Helps!

What are 5 factors that affect fitness?

Answers

Five things that impact fitness Cardiorespiratory Body composition, flexibility, muscular strength, and endurance

Why does it matter if you're fit?

Nutrition and sleep are the two main variables that influence our health and fitness. Everything else, including our performance and growth in the gym, will suffer if these two areas of our lives are not in harmony. For our bodies to function throughout the day, we must fuel them with nutrition.

How can stress impact one's fitness?

You feel more exhausted and run-down than usual because of the mental requirements of stress, which deplete your body of important resources. You'll be completely exhausted and at a higher risk of being hurt when that's coupled with a demanding workout.

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Drinking under the age of 21 is illegal. However, if a minor decides to consumer alcohol, what are some tips for how they could do so SAFELY AND RESPONSIBILY?

Answers

Answer:

You honestly can't. But drink very little amounts, make sure you have an adult or someone who is a responsible drinker around you, and make sure you are with somebody who can drive you home after (if yall are in a club/bar)

Explanation:

also remember: if the ice don't sink, do not drink

this is referring to knowing whether or not someone has put something in your drink.

Uhhhhhhhh make sure to have a chaser

Please answer a simple A B or C.

Bianca has recently begun her first job as a pharmacy technician. One morning, she is tasked with filling forty-five different prescriptions while also answering the phone. After working for a few hours, she realizes she probably will not be able to finish filling all the prescriptions while going at her current pace. What is the best way that Bianca could handle her current situation in order to build trust with her coworkers?

A. explain the problem to her boss and ask for suggestions for increasing her productivity

B. have her co-workers take the phone calls while she fills her prescriptions

C. divide the precriptions amongst her co-workers to share the work load

Answers

Answer: A

Explanation:

A. explain the problem to her boss and ask for suggestions for increasing her productivity

Gaucher disease is an inherited disorder in which cells of the body are unable to break down a particular type of lipid, resulting in a buildup of the lipid in some tissues and organs.
Based on the information provided, Gaucher disease results most directly from a defect in the function of which of the following organelles?

Answers

Gaucher disease results most common cause of lysosomal storage diseases.

Gaucher disease is indeed a hereditary illness that is passed down via families. It causes bone pain, anemia, enlarged organs, a huge, uncomfortable stomach, as well as bruising and bleeding issues. The sickness is classified into three categories. Gaucher disease can cause serious brain damage or death in some cases. However, Gaucher illness type 1 (a most prevalent in the United States) is curable.

Gaucher disease is an inborn metabolic mistake caused by the buildup of glucocerebroside lipids. It is the leading cause for lysosomal storage disorders. Lysosomes were subcellular organelles that are in charge of the normal turnover of cell components. The enzyme glucocerebrosidase is deficient in people having Gaucher disease. Enzymes, such as are proteins that perform a variety of functions in the body, including the breakdown of fats (sphingolipids).

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Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain.

Answers

In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Complications for Joan would include all the following except Shock.

Shock is a life-threatening disorder caused by an abrupt decrease in blood flow across the body. Trauma, heatstroke, blood loss, an allergic response, severe illness, poisoning, serious burns, or other reasons can all result in shock.

Renal failure, also known as end-stage kidney disease, is a medical condition in which the kidneys no longer filter waste materials from the blood properly, working at less than 15% of normal levels. Kidney failure is defined as either acute, which occurs quickly and may resolve, or chronic, which develops slowly and is typically permanent.

In healthcare settings, Gram-negative bacteria cause illnesses such as pneumonia, bloodstream infections, wound or surgical site infections, and meningitis.

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What changes happen in the body during and after vigorous exercise?

Answers

The changes happen in the body during and after vigorous exercise are Adrenaline levels rise, which stimulates the heart to beat faster and Capillaries in the muscles open wider, increasing blood flow there by up to 20 times.

Exercise is a type of bodily activity that improves or maintains fitness levels as well as general health and wellness. It is done for a variety of purposes, including aiding growth and improving strength, developing muscles and also the cardiovascular system, honing sports abilities, weight reduction or maintenance, improving health, or simply for fun. Many people prefer to exercise outside, where they may assemble in groups, socialize, and enhance their physical and mental health.

In terms of the health benefits, the quantity of exercise advised varies on the aim, the type of exercise, as well as the person's age. Even a tiny quantity of exercise is preferable than none.

Individuals who engage in moderate to vigorous physical activity have a reduced mortality risk compared to those who are not physically active. Moderate exercise has been linked to the prevention of ageing through lowering inflammatory potential. The bulk of the advantages of exercise are obtained with approximately 3500 metabolic equivalent (MET) minutes a week, with decreasing returns at greater levels of activity.

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During this stage of team formation and function, there may be conflict when individuals realize the responsibility of their role.

performing
storming
forming
norming

Answers

Answer:  forming

Explanation:

forming, storming, norming, performing,

The answer is forming

What are the three 3 main factors which effect body heat loss?

Answers

Temperature gradient, area of exposure and time of exposure are the three 3 main factors which effect body heat loss.

Thermoregulation is an important aspect of homeostasis in humans and other creatures. The deep organs, such as the liver, brain, and heart, as well as skeletal muscle activity, provide the majority of body heat. Humans have adapted to a broad variety of climates, including hot humid and hot desert conditions. High temperatures place a lot of pressure on the human body, placing it in danger of harm or even death. Human adaptation to changing climate circumstances includes both physiological processes derived from evolution and behavioural mechanisms derived from deliberate cultural adaptations.

The four ways of heat loss are convection, conduction, radiation, and evaporation. When the skin temperature exceeds the ambient temperature, the body can lose heat through radiation and conduction. If the ambient temperature is higher than the temperature of the skin, the body will acquire heat by radiation and conduction. The only mechanism for the body to remove heat under such conditions is through evaporation. As a result, when the outside temperature exceeds the skin temperature, everything that prevents adequate evaporation elevates the interior body temperature. Evaporation becomes the predominant route of heat loss during sports.

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reduced immune system functioning is most likely to accompany long-term repeated use of

Answers

Reduced immune system functioning is most likely to accompany long-term repeated use of ectasy.

A synthetic substance that affects mood and perception is called 3,4-methylenedioxy-methamphetamine (MDMA). Chemically, it is comparable to stimulants and hallucinogens. MDMA is also known as Ecstasy or Molly. MDMA is frequently taken as a pill or tablet by users. It is frequently used in conjunction with other medications.

More serotonin and norepinephrine than dopamine is released when using MDMA. A neurotransmitter called serotonin is crucial in the control of mood, sleep, pain, appetite, and other activities. The effects that MDMA has on people's moods are probably due to an excessive release of serotonin.

Ecstasy causes a rise in body temperature, blood pressure, and heart rate that can cause seizures, heart attacks, kidney failure, or both.

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Why is sleep important for physical activity?

Answers

Additionally, habitual exercisers should have a decent night's sleep. Your body may repair itself from the previous day while you sleep. You may prevent tiredness and exercise-related injuries by strengthening your muscles and tissues by getting appropriate rest after a workout.

Any voluntary skeletal muscle-driven movement that has an energy cost is referred to as physical activity. Physical activity is any action that is done at any time of day or night and at any intensity.

It comprises both physical activity and unplanned activities included into everyday routine. This combined activity may include chores, working, cleaning, using active transportation, etc. but may not be planned, scheduled, repeated, or intended to enhance fitness.

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b) Don't make mountains out of mole hills. what is the meaning of the proverb​

Answers

Don’t make a big deal out of something that is small and futile
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