Summarize the importance of medical necessity and how it relates to medical documentation, coding, and reimbursement? Analyze the process of reviewing medical documentation and note the importance of quality control.

Answers

Answer 1

Answer:

Explanation:

For a service to be considered medically necessary, it must be reasonable and necessary to diagnosis or treat a patient’s medical condition. When submitting claims for payment, it is the diagnosis codes reported with the service that tells the payer “why” a service was performed. The diagnosis reported can be the determining factor in supporting or not supporting the medical necessity of the procedure.


Related Questions

During training, clients with hypertension should avoid which of the following? Seated resistance exercises Squat jumps Rising slowly from seated exercises Flexibility training

Answers

Answer:

B. Squat Jumps  

During training, clients with hypertension should avoid: Squat jumps.

A blood can be defined as a red bodily fluid that is transported and circulated through the veins and arteries in the body of living organisms such as eukaryotic animals and humans. Thus, it comprises the red blood cells, white blood cells, proteins, platelets, etc.

The main purpose of blood in the body of living organisms is to carry oxygen, nutrients and carbon dioxide to and from the tissues of the body respectively.

Hypertension is also referred to as high blood pressure and it can be defined as a medical condition in which the force of a person's blood pushing against the artery walls is extremely high.

Typically, when a person's diastolic blood pressure (DBP) is well above 80 mmHg or systolic blood pressure (SBP) is higher than 130 mmHg, then he or she has a high blood pressure i.e hypertensive.

Generally, it is hazardous for a hypertensive patient to indulge in squat jumps during training because it would increase the force of their blood against the artery walls.

In conclusion, clients with hypertension can do the following exercises during training;

Seated resistance exercises.Rising slowly from seated exercises.Flexibility training

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Which of the following describes the correct process of beginning an exercise program?

A.

consult a medical professional, choose your exercises, start your program

B.

start your program, consult a medical professional, get advice from friends

C.

consult a medical professional, choose the correct clothes, use protective equipment

D.

choose the correct clothes, use protective equipment, see a doctor if injured

 

Which of the following describes the correct process of beginning an exercise program?

A.

consult a medical professional, choose your exercises, start your program

B.

start your program, consult a medical professional, get advice from friends

C.

consult a medical professional, choose the correct clothes, use protective equipment

D.

choose the correct clothes, use protective equipment, see a doctor if injured

 

Which step can a person take to encourage elderly family members to eat healthy meals?

Help them plan meals.
Walk with them every day.
Help them with yard work.Which step can a person take to encourage elderly family members to eat healthy meals? 

Help them plan meals.

Walk with them every day.

Help them with yard work.

Go to group fitness classes 


Go to group fitness classes

Answers

Answer:

A. Consult a medical professional, choose your exercises, start your program

I believe this is correct on Edg :)

The correct process for starting a medical exercise program is o take the guidance of an expert or a consultant who is well versed in the physical education program.

Hence the option A is correct.

That is to  consulting medical professional, and choose your exercises to start the program. In order to prepare the meal plans for the elder member of the family so that they eat healthily is to help them with their meal plan.

Hence the option A is correct.

Learn more about the following describes the correct  

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Overly restricting the intake of _____in the diet of the elderly in the attempt to stave off heart disease and/or stroke can actually have negative impact by limiting nutritionThe key to choose healthy sources such as those found in avocados, olive oil, and other plant-based sources.
a. fat
b. carbonhydrates
c. fiber
d. protein

Answers

The correct answer would be C. fiber

Overly restricting the intake of fiber in the diet of the elderly is the attempt to stave off heart disease and stroke. Thus, the correct option is C.

What is the role of fibers?

Fiber in the diet is a type of carbohydrate that the body cannot digest. Though most of the carbohydrates are broken down into sugar molecules such as glucose units, these fibers cannot be broken down into simpler sugar molecules, and instead it passes through the body undigested.

Eating enough amount of fiber can prevent or relieve constipation, these help the body waste to move smoothly through the body. Fibers also encourage healthy gut microbiota in a person. Dietary fiber increases the bulk of stool, helps promote regular bowel movements, and these also reduces the time that waste spends inside the intestine.

Therefore, the correct option is C.

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congregate meals are
a) none of these
b) meals that are served in the community our groups setting such as churches and synagogues
c) meals delivered to the home of older adults who are homebound​

Answers

Answer:

C) meals delivered to the home of older adults who are homebound

Explanation:

Congregate meals are meals served to the elderly.

So the last one sounds about right.

8. The "little moon” of your nail is the:
a. Cuticle
b. Lunula
c. Nail body
d. Nail bed​

Answers

Answer:

lunula

Explanation:

A fingernail moon is also called a lunula, which is Latin for little moon. The place where each nail begins growing and This is where the new cells are made that will make up the nail.

here is a pic where the lunula is

hope this helped you!

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Choose the best word/s to match the following statement: The numerous ways in which individuals and groups differ in their beliefs, behaviors, values, backgrounds, preferences, and biology.

Answers

Answer:

Socialization

Explanation: Socialization is when people get into different groups to talk about their beliefs, values, behaviors, backgrounds, biology, and preferences.

What percent of U.S. health care delivery is provided through government-run entities such as the Veterans Health Administration?

Answers

Answer:

40%

Explanation:

the key to achieving a healthy level of physical fitness without injury is
a) taking it easy
b) consistency​

Answers

Answer:

Consistency is the key.

U have be consistent

Explanation:

Answer:

Explanation:

Taking it easy

4. While transferring a client with a chest tube the chest tube becomes disconnected from the
connection to the water seal drainage system. The nurse immerses the end of the tube in a
bottle of sterile water. What action should the nurse implement next?

Answers

Answer:

prepare a new water seal system and reattach the chest tube

Explanation:

The disconnection of chest drainage system during transferring a client with a chest tube, the initial step will be to place the tube in a  bottle of sterile water.

In the next step, the nurse is required to prepare a new water seal system and reattach the chest tube for the continuous functioning of the chest drainage system.

John is jogging on a winter day. The outdoors temperature is 31 degrees F. Yet, his body temperature is 98 degrees F. What term best describes the process causing this difference in temperature? A. homeostasis B. pathophysiology C. fever D. hyperthyroidism

Answers

Answer:

homeostasis

Explanation:

This is the condition of optimal functioning for the organism and includes many variables, such as body temperature and fluid balance, being kept within certain pre-set limits.

An adult has one serving (500 mL) of this drink. About what fraction of the recommended daily intake of sugar is this?

Answers

Answer: 68%

Explanation:

The Recommended Daily Intake is used to recommended the quantity of a nutrient that people are to take to use for energy in a given day. It is usually averaged and the demographic it targets is listed as such. For instance, if it is for kids it will be stated that it is based on the average child. If it is for adults like the question, it will be based on the average adult.

The information listed is for a 500ml drink and is saying that if an adult drinks a 500ml (which the adult in this case did) quantity of the drink then about 68% of their recommended daily intake of sugar has been satisfied.

Compared to meat eaters, vegetarians tend to have:___________.
a. higher blood pressure
b. higher death rates from heart disease
c. lower intakes of nuts and fruits
d. lower intakes of phytochemicals
e. healthier body weight

Answers

Answer:

e. healthier body weight

Explanation:

Compared to meat eaters, vegetarians have lower blood pressure, lower death rates from heart disease since they don't eat meat, higher intakes of nuts and fruits, and higher intakes of phytochemicals. This all leads to a healthier body weight.

So, the answer is e.

Hope that helps.

Answer:

[tex]\boxed{Option \ E}[/tex]

Explanation:

As compared to meat eaters, vegetarians have a healthier body weight because the amount of intake of cholesterol and fat is really low as compared to meat eaters. Remember, Plants do not contain any kind of cholesterol.

At what stage does the umbilical cord develop? during the first trimester during the second trimester during ovulation during fertilization

Answers

Answer: 5th week

Explanation: the umbilical cord develops from and contains remnants of the yolk sac and allantois. It forms by the 5th week (1st trimester) of development

Answer:

during the first trimester is the answer

Explanation:

QUESTION 7

The six dimensions of wellness

a, affect health independently of each other,

b. are interrelated.

C. Seldom influence one another.

d. demonstrate the separateness of mind and body.

Answers

B) are interrelated.....
d.) demonstrate the separateness of mind and body


which is NOT correct about alcohol intake and the elderly
a) alcohol tolerance increase with age
b) alcohol may contribute yo falling down and fractures
c) alcohol may interfere with medications they are taking
d) alcohol may make depression worse​

Answers

Answer:

A: alcohol tolerance increases with age

Explanation:

alcohol tolerance seems to decrease with age meaning they cannot drink the same when they are 70 as to when they were in their early 20's

Your patient, Maggie, insists that her mother have genetic testing to determine if her breast cancer is connected to a mutation in the BRCA1/2 genes. Maggie is concerned about her own risk for getting breast cancer and that of her children, but Maggie’s mom does not want to be tested. What ethical principle is one of several that must be considered in evaluating this case?

Answers

Answer:

Autonomy

Explanation:

Respect for an individual's right to self-determination.

Why is it important to understand the differences among different types of health plans?

Answers

Answer:

because for an example. some people may have financial problems while someone has financial stability. or someone may have private medication while others don't. stuff like that.

Because many people have financial problems while also many others have financial stability so it’s important to know what’s best for u

Terry recently started to have trouble hearing. Terry's doctor determined that sound waves are not reaching the inner ear due to _blank_____buildup in Terry's ear. Terry has ___blank___ hearing loss.

Answers

Terry recently started to have trouble hearing. Terry's doctor determined that sound waves are not reaching the inner ear due to  wax buildup in Terry's ear. Terry has conductive hearing loss.

I know wax is right but I don't know blank two is conductive or not ,but I know 100% for sure it's not sensory.

Answer:

Wax and Conductive

Explanation:

Annie has frequent mood swings. She is hyperactive one moment and depressed soon after. In which disorder do patients exhibit such alternating behavior?
A.
anxiety disorder
B.
bipolar disorder
C.
attention deficit disorder
D.
autism
E.
schizophrenia

Answers

Answer:

B. bipolar disorder

Explanation:

Bipolar disorder is characterized by extreme mood swings that include highs (mania and hypomania) and lows (depression).

Hope that helps.

The answer is B: bipolar disorder

What writing guidelines should nursing assistants follow when communicating with patients? Check all that apply.

keep messages short 

elaborate each message

use highlighters to write

use a dark pen to write

print in large letters

write in cursive 

Answers

Answer:

keep messages short, elaborate each messages

Answer: ADE

use a dark pen to write

print in large letters

keep messages short

Explanation:

E2021

(06.05 HC)
Which of the following is an example of asking others for information that will enhance your personal health?
O Asking your doctor for information on CPR training, because you have to do a project on CPR techniques and the information will replace the need to take
a CPR training course
Asking your doctor for information on CPR training, because your best friend needs to take a CPR course and you want to help her find an affordable one
in your community
O Asking your grandparents for information about your family medical history, because knowing what illnesses are common in your family helps you and
your doctor know what to monitor closely
Asking your grandparents for information about your family medical history, because knowing what they've gone through will make you more sensitive to
their emotions and struggles

Answers

Answer:

Asking your grandparents for information about your family medical history, because knowing what illnesses are common in your family helps you and  your doctor know what to monitor closely.

Which muscles in your body are affected by alcohol first?
a. eye muscles
b. hand muscles
c. leg muscles

Answers

Answer:

a. eye muscles

Explanation:

Alcohol affects the muscles in your eyes within the first few hours of drinking, resulting in blurred vision or dizziness.

Hope that helps.

The effects of alcohol on muscles can vary depending on the individual and the amount of alcohol consumed. However, in general, alcohol tends to affect muscle control and coordination throughout the body. Thus, option b is correct.

Alcohol can impair fine motor skills, coordination, and dexterity, which can affect the muscles in your hands and fingers. This can result in shaky movements, reduced grip strength, and difficulties performing precise tasks.

Alcohol can also impact the muscles in your legs, leading to impaired balance and coordination. It can affect your ability to walk steadily and maintain proper posture.

While alcohol can affect eye movements, it typically does not directly affect the eye muscles themselves. However, the impaired coordination and control caused by alcohol can affect eye-hand coordination, making it difficult to focus and track objects accurately.

It's important to note that the effects of alcohol on muscles can vary among individuals and depend on factors such as the amount of alcohol consumed, the individual's tolerance, and other factors like body weight and metabolism. Additionally, long-term excessive alcohol consumption can lead to more serious muscle-related issues, including muscle wasting and weakness.

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Many people think that a person with a mental disorder is weak, dangerous, and incurable. Explain why these are not common characteristics in those with mental disorders, and offer your thoughts about why such myths came into being. Why might these myths be maintained Please HELP

Answers

Answer:

This thinking is completely wrong because not all person that are suffering from brain disorder are weak and dangerous as only those people who lose their mental balance and don't able to control their mind are dangerous because they don't able to understand anything but I don't think any people suffering from this stage are weak

Explanation:

m

telling
Write letter to
your friend
him or her
in which the
computer Learning easier for student
three ways​

Answers

Answer:

Explanation:Here is my issue with Late Penalties being applied to student work. ... the reason we've chosen it through the decades as it keeps the math easy! ... to meet the desired learning targets) rather than how punctual the assignment is. ... if they copied from a friend that actually turned it in on time 3 months earlier!

Which is a main goal of CPR?

Answers

Answer:

The goal of CPR is to keep oxygen flowing in and out of the lungs and to keep oxygenated blood flowing through the body. This will delay tissue death. Sudden Cardiac Arrest: Sudden cardiac arrest is not the same thing as a heart attack.

Answer:

Its main purpose is to restore partial flow of oxygenated blood to the brain and heart. The objective is to delay tissue death and to extend the brief window of opportunity for a successful resuscitation without permanent brain damage.

HOPE IT HELPS AND PLS MARK AS BRAINLIEST

THNXX :)

The angle of muscle pull is known as which of the following? Angle at which a muscle pulls against the short axis of the bone that it pulls on Angle at which a muscle pulls relative to the long axis of the bone that it pulls on Angle at which a muscle pulls relative to the short axis of the bone that it pulls on Angle at which a muscle pulls against the long axis of the bone that it pulls on

Answers

Answer: The angle at which a muscle pulls relative to the long axis of the bone on which pulls.

Explanation:

The angle of muscle pull is known as an: C. Angle at which a muscle pulls relative to the short axis of the bone that it pulls on.

Skeletal muscle is also known as voluntary muscle and it can be defined as a type of muscle connected with the skeleton by tendons, so as to form a mechanical system that enables the movement of the limbs and other body parts with respect to another.

Generally, skeletal muscles are only found in vertebrates and they do not control involuntary body functions, instead they are used for controlling voluntary body functions such as the movement of body parts.

A muscle pull is also referred to as a muscle strain and it refers to the tearing of a muscle or an overstretching of the tendon i.e a tissue that connects the muscle to a bone in vertebrates.

On a related note, an angle of muscle pull is an angle that is typically formed between the line of pull (joint angle) of a muscle and the short-longitudinal (mechanical) axis of the bone it is acting on.

In conclusion, an angle at which a muscle pulls with respect to the short-longitudinal axis of the bone that it pulls on is known as an angle of pull.

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is the brand name for ertapenem.

Answers

the brand name for ertapenem is Invanz

Answer:

Merck as Invanz

Explanation:

method for making decisions in steps

Answers

Answer:

Steps of Decision making

When you make decision, follow the seven steps of the decision making process:Define the problemEstablish goalsIdentify resourcesConsider the alternativesMake a decisionImplement the decisionEvaluate the results

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Hope this helps...

Good luck on your assignment..

When making a decision you should also ways follow this method called “the decision-making process”

The decision-making process:

Step 1: Identify the decision. You realize that you need to make a decision.

Step 2: Gather relevant information.

Step 3: Identify the alternatives.

Step 4: Weigh the evidence.

Step 5: Choose among alternatives.

Step 6: Take action

Step 7: Review your decision & its consequences.

Hope this helps!!! :)

All nutrient deficiencies are temporary and reversible?
TRUE OR FALSE​

Answers

Answer:

true

Explanation:

I already answered.

All nutritional deficiencies are temporary and reversible, it is TRUE, a nutritional deficiency can be reversed by a doctor.

How to reverse malnutrition?

The treatment for malnutrition is done with a gradual increase in the amount of calories ingested, avoiding intestinal changes, such as diarrhea. Thus, between 6 to 12 meals a day are made with little amount of food.

With this information, we can conclude that all nutritional deficiencies are temporary and reversible, it is TRUE, a nutritional deficiency can be reversed by a doctor.

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refers to a type of food processing to improve a food's shelf life

Answers

______ refers to a type of food processing to improve a food’s shelf life, whereas ________involves techniques to help prevent food decay and contamination.

Answer:

packaging refers to a type of food processing to improve a food’s shelf life, whereas food preservation involves techniques to help prevent food decay and contamination.

Explanation:

Food preservation is the process of treating or handling food to prevent the growth of microorganisms which cause spoilage without losing its nutritional value or taste.

Food packaging is known as the act of closing food so as to prevent tampering or contamination and also to improve the food's shelf life.

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In QRS, mR=65, and mS=35. Which side of QRS is the longest? let [tex]p=x^{2}+6[/tex] Which equation is equivalent to [tex](x^{2}+6)^{2}-21=4x^{2}+24[/tex] in terms of [tex]p[/tex]? A man drives his car 5 km east of his starting point then he travels 10 km south and reaches a point. From here he travels 15 km towards west and reaches another point .Finally he travels 20 km towards north. Find the net displacement of the man from where he started. plz nswer it and ell the scale or it!!!!!!!!!!!!!!!!!!!!! Which program offers nutrition screenings at no cost? A. food distribution centers B. Meals on Wheels C. SNAP D. workplace wellness programs Suppose xy > 0. Describe the points whose coordinates are solutions to the inequality. please answer in detail An FM radio station transmits a signal with a frequency of 89.1 MHz. Give the wavelength in meters. (use at least three significant digits) A pharmacist wants to mix a 30% saline solution with a 10% saline solution to get 200 mL of a 12% saline solution. How much of each solution should she use Which of these are elimination reactions? Check all that apply.CH3OH + CH3COOH CH3CO2CH3 + H20C3H7OH C3H6 + H20H9C2Br + NaOH C2H4 + NaBr + H20 Which describes the character of Mother Ceres in the excerpt?ProtagonistO AntagonistO DynamicStatic The interest group tactic of "lobbying the grassroots" refers to interest groups' efforts to __________. A. raise money that they can contribute to candidates for office B. hire former members of Congress to influence current members of Congress C. win the support of ordinary people, who can then be mobilized to pressure government officials D. influence government bureaucrats to enforce laws in a manner favorable to the interest group The volume of a cone is 3.7x3 cubic units and its height is x units.Which expression represents the radius of the cone's base, in units?3x6x?9.xox2 What prompted the United States to take action in the Middle East? Class or Variable "____________" serve as a model for a family of classes or variables in functions` definitions Which is one common property of inorganic substances They are solid at room temperature They are poor conductors of electricity They contain carbon They burn readily A storage basin is 1240 ft by 637 ft. Its 15.63 ft deep. How many gallons of water is in the basin The time between failures for an electrical appliance is exponentially distributed with a mean of 25 months. What is the probability that the next failure will not occur before 30 months have elapsed If the sum of the first n terms of an AP is 1/2 (3n^2+7n),then find its nth term.Hence write its 20th term. Explain how you would decide whether to use a dot plot or a box plot to display a data set. Give some strengths and weaknesses of each type of display to support your explanation. What foreign policy guidelines did president Washington recommend for the United States 2.35=11x Equals What