A co-pay is a fixed amount that a patient pays for a covered healthcare service, while coinsurance is a percentage of the cost of a covered healthcare service that a patient pays. Knowing these differences is important in billing and coding functions because it helps ensure that patients are charged the correct amount for their healthcare services. For example, a patient may have a co-pay of $20 for a doctor's visit, which means they pay $20 at the time of the visit and their insurance pays the rest. On the other hand, if a patient has a coinsurance of 20% for a medical procedure that costs $1,000, they would be responsible for paying $200 (20% of $1,000) and their insurance would pay the remaining $800.
Choose all answers that apply. How does using technology and social media impact emotional and social health?
1. Using them less and incorporating physical activity can improve social and emotional health.
2. They can create a lack of empathy and connection to others.
3. They can cause young people to become anxious and depressed.
4. They are genuine reflections of how real life relationships work.
Answer:
1. Using them less and incorporating physical activity can improve social and emotional health.
2. They can create a lack of empathy and connection to others.
3. They can cause young people to become anxious and depressed.
Explanation:
Technology and social media have a significant impact on emotional and social health. Here are the details of the answers:
1. Using them less and incorporating physical activity can improve social and emotional health.
Using technology and social media less and including physical activity in the routine can benefit social and emotional health. Physical activity helps to release endorphins, reducing stress and anxiety.
2. They can create a lack of empathy and connection to others.
Social media and technology can lead to a lack of empathy and connection to others. It's easy to be insensitive and rude when there is no face-to-face interaction, and online communication can quickly turn aggressive or hostile.
3. They can cause young people to become anxious and depressed.
Using technology and social media can cause young people to become anxious and depressed. Continuous use can lead to unhealthy attachment and cause problems like cyberbullying, leading to low self-esteem, social isolation, and depression.
4. They are genuine reflections of how real-life relationships work.
This statement is false. Online relationships are different from real-life relationships and can't replace them. Online communication is limited to words, images, and videos, while real-life relationships are based on physical interactions and emotions.
Imagine you work in a high-pressure cardiology physician office and you are one of
two medical coders. Your supervisor is very focused on the greatest reimbursement
to satisfy revenue projections for the physician practice. As a result, you are asked to
up-code billing. How can the pressure of acquiring the maximum repayment for
services lead to manipulating or falsifying documentation?
Answer:
refuse to comply, and report the situation to authorities to ensure compliance. engaging in manipulating and falsifications can be illegal and unethical, and you can face many consequences such as loss of credibility,legal penalities, and lack of patient trust.
please let me know if its wrong
Medicare, Medicaid, and TRICARE.
Explain the eligibility requirements for each program.
Describe the coverage provisions of each program.
Explain the participating and nonparticipating provider charges for each program.
Medicare eligibility is based on age or disability, Medicaid eligibility is income-based, and TRICARE eligibility is for military service members and their families. Coverage and provider charges vary.
Eligibility requirements for Medicare, Medicaid, and TRICARE:
Medicare:
Eligibility for Medicare is primarily based on age or disability. Individuals who are 65 years or older and have paid Medicare taxes for at least 10 years are eligible for Medicare Part A (hospital insurance) without a premium. Medicare Part B (medical insurance) is available to anyone who is eligible for Part A and pays a monthly premium. People under 65 can also qualify for Medicare if they have certain disabilities or end-stage renal disease (ESRD).
Medicaid:
Medicaid eligibility varies by state and is primarily based on income and other factors such as family size, disability, and age. Generally, Medicaid provides coverage for low-income individuals, including children, pregnant women, parents, and adults with disabilities. The Affordable Care Act expanded Medicaid eligibility in some states, allowing coverage for individuals with income up to 138% of the federal poverty level.
TRICARE:
TRICARE provides healthcare coverage for military service members, retirees, and their families. Eligibility depends on the sponsor's military status and can vary based on factors such as active duty service, reserve status, or retired status. Different TRICARE plans are available to different categories of beneficiaries, such as TRICARE Prime for active duty service members and TRICARE Select for retirees.
Coverage provisions of each program:
Medicare:
Medicare consists of multiple parts: Part A covers inpatient hospital care, skilled nursing facilities, and some home healthcare. Part B covers doctor visits, outpatient care, medical supplies, and preventive services. Part D offers prescription drug coverage, and beneficiaries can choose to enroll in standalone Part D plans or Medicare Advantage plans that include prescription drug coverage.
Medicaid:
Medicaid provides a comprehensive range of healthcare services, including doctor visits, hospital stays, prescription drugs, laboratory tests, and preventive care. The specific services covered can vary by state, but Medicaid must cover certain mandatory benefits, such as inpatient and outpatient hospital services, physician services, and laboratory and x-ray services.
TRICARE:
TRICARE offers different plans, including TRICARE Prime, TRICARE Select, and TRICARE For Life (for those eligible for Medicare). These plans provide coverage for a wide range of healthcare services, including doctor visits, hospital care, preventive care, prescription drugs, and mental health services. The coverage details and costs vary depending on the specific TRICARE plan.
Participating and nonparticipating provider charges for each program:
Medicare:
Medicare has a fee-for-service structure. Beneficiaries can receive care from any healthcare provider who accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for services. If a provider does not accept assignment, they can charge up to 15% more than the Medicare-approved amount, and beneficiaries may be responsible for the difference.
Medicaid:
Medicaid programs generally have a network of participating providers, and beneficiaries are encouraged to receive care from these providers. Medicaid reimburses participating providers directly for covered services, and beneficiaries typically have little or no out-of-pocket costs. However, if a Medicaid recipient seeks care from a nonparticipating provider, coverage and costs may vary.
TRICARE:
TRICARE has a network of both participating and nonparticipating providers. Beneficiaries can choose to receive care from either, but they may have lower out-of-pocket costs when using participating providers. Nonparticipating providers can charge higher fees, and beneficiaries may be responsible for paying the difference between the TRICARE allowable charge and the provider's billed amount.
In summary, Medicare is primarily based on age or disability, Medicaid is based on income and other factors, and TRICARE is available to military service members and their families. Medicare has different parts covering
various services, Medicaid provides a comprehensive range of services based on state programs, and TRICARE offers different plans for different beneficiaries. The provider charges vary for each program, with Medicare having assignment options, Medicaid having participating provider networks, and TRICARE providing choices between participating and nonparticipating providers.
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What did you learn about your state’s insurance for residents? What did you learn about other states?
(I live in the state of North Carolina)
Answer:
North Carolina has not expanded Medicaid under the Affordable Care Act (ACA). This means that Medicaid eligibility in the state is limited to specific low-income individuals and families who meet specific criteria. Some states have expanded Medicaid, providing a broader range of low-income individuals with access to affordable health coverage.
Explanation:
Water Soluble Vitamins Definition and Explain?
Answer:
A vitamin that can dissolve in water.
There are some people who say that personalized medicine and tracking diseases should include the study of an individualized microbiome. How would you respond to them? Is there validity to this statement, why or why not?
Answer:
The statement that personalized medicine and tracking diseases should include the study of an individualized microbiome holds validity due to the growing body of research indicating the importance of the microbiome in human health. Here are some points to consider in response to this statement:
Microbiome and Health: The human microbiome refers to the diverse community of microorganisms (bacteria, fungi, viruses) that reside within and on our bodies, particularly in the gut. Research suggests that the microbiome plays a crucial role in various aspects of health, including digestion, immune function, metabolism, and even mental health. Understanding the individualized composition and function of the microbiome can provide valuable insights into disease susceptibility, treatment responses, and overall health management.
Personalized Medicine: Personalized medicine aims to tailor medical treatments and interventions to individual patients based on their unique characteristics, including genetics, lifestyle, and now, the microbiome. By incorporating the study of an individual's microbiome, healthcare providers can gain a more comprehensive understanding of the factors that influence disease development, progression, and response to treatments. This knowledge can help guide personalized treatment plans that are better aligned with a patient's specific needs and optimize health outcomes.
Disease Tracking: Tracking diseases on an individualized level can benefit from considering the microbiome. The microbiome has been linked to various diseases, including gastrointestinal disorders, metabolic conditions, autoimmune diseases, and even certain types of cancer. Analyzing an individual's microbiome can provide valuable information about disease risk factors, early detection markers, and potential therapeutic targets. Integrating microbiome data with other health markers can enhance disease tracking efforts, leading to improved prevention, diagnosis, and treatment strategies.
Advancements in Technology: Recent advancements in DNA sequencing technologies and bioinformatics have made studying the microbiome more accessible and cost-effective. These technologies allow for the high-throughput analysis of microbial communities, enabling researchers and healthcare professionals to analyze and interpret the microbiome's impact on health in greater detail.
Considerations and Challenges: While the study of an individualized microbiome holds promise, it is important to acknowledge that research in this field is still evolving. The microbiome is highly complex and can vary significantly among individuals. Further research is needed to establish robust associations between specific microbiome compositions, disease states, and treatment outcomes. Additionally, ethical considerations, privacy concerns, and the integration of microbiome data into healthcare practices need to be addressed for responsible and effective implementation.
In summary, the study of an individualized microbiome has valid implications for personalized medicine and disease tracking. Understanding the microbiome's role in health and disease can provide valuable insights to guide personalized treatment plans, improve disease tracking efforts, and enhance overall healthcare practices. However, further research and considerations are necessary to fully realize the potential of incorporating microbiome data into personalized healthcare.
Explanation:
Discussion Post: Think of the game that you played or watched. Answer the following questions.
. Which team or group won the game and which team lost?
. How was cooperation used during the group game or sport? How did the group relate to each other in order to succeed?
. What decisions or rules affected the outcome of the game? For example, did one group win because they used a specific strategy? Did
a referee or coach need to help out at any time?
. What type of leadership skills did the participants use during the game?
Would these leadership skills be helpful or not helpful in other
types of sports or games?
• How was your skill level and your teammates' skill levels?
How could you and your teammates make Improvements for next time if you watched a game?
Answer:
1. Team A won the game, and Team B lost.
2. Cooperation played a crucial role in the game. Both teams had to work together and communicate effectively to succeed. They needed to coordinate their movements, pass the ball, and support each other strategically. The group's ability to relate and collaborate determined their success.
3. The outcome of the game was influenced by various decisions and rules. For example, Team A won because they employed a specific strategy of quick counter-attacks, exploiting the opponent's defensive weaknesses. The referee ensured fair play by enforcing the rules, while the coach provided guidance and made tactical decisions, such as substitutions or formation adjustments, which impacted the outcome.
4. Different leadership skills were likely displayed by participants during the game. Captains or experienced players might have demonstrated effective communication, motivation, and decision-making on the field. They would have guided their teammates, organized the team's movements, and rallied their spirits during challenging moments. These leadership skills are valuable not only in other sports or games but also in various group settings and real-life situations.
5. In terms of skill levels, players on both teams would vary in their abilities. Some individuals may be more skilled, while others might be less experienced. To improve for the next game, players and teammates could focus on several aspects. They could work on individual skills like passing, shooting, or defensive positioning. Additionally, they could practice teamwork and develop a better understanding of each other's strengths and playing styles. Analyzing their performance, studying tactics, and engaging in regular training sessions would all contribute to improvement.
.
Choose an example from the dress code policy in health care settung and describe the benefits and importance of such equipment/clothing. (150 words)
One example from the dress code policy in a healthcare setting is the requirement for healthcare professionals to wear scrubs.
What is the dress code policy?Scrubs are a sort of clothes made especially for healthcare workers. They have several advantages and are very important in the medical field.
Scrubs are comprised of sturdy, hygienic cloth that helps keep an atmosphere clean. Usually, they are constructed of materials that can endure repeated washings and are impervious to liquids and stains. By doing so, the possibility of infection transmission between patients is decreased, and the environment is kept hygienic and sanitary.
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How will knowing the specialist health care providers allow you to properly code and bill common reproductive disorders
Knowing the specialist healthcare providers enables us to properly code and bill common reproductive disorders by selecting the appropriate medical code for the patient's condition.This information is essential in maintaining an accurate record of a patient's medical history and supporting insurance claims.
This is important because the codes used for reproductive disorders vary based on the specific condition diagnosed, as well as the type of provider treating the patient.Therefore, identifying the correct healthcare provider treating the patient with a reproductive disorder is essential.
Specialist health care providers, for instance, gynecologists, urologists, and obstetricians can aid in diagnosing and treating such disorders.The International Classification of Diseases, Clinical Modification (ICD-CM) and Current Procedural Terminology (CPT) are the two primary coding systems for reproductive disorders. The CPT code helps to identify the type of service offered by the health care provider, including laboratory testing, office visits, and surgical procedures. The ICD-CM code identifies the diagnosis of the reproductive disorder, allowing healthcare providers to identify the specific medical need of the patient.
Conclusively, knowing the specialist healthcare providers allow healthcare providers to adequately diagnose, treat, code and bill for common reproductive disorders.
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Amy underwent burr hole surgery for a biopsy of an intracranial lesion. The surgeon, Dr. Stanley, had to perform abscess drainage of a cyst that was found next to the lesion during the procedure. Would the drainage of the cyst be reported separately from the biopsy code?
Answer::
Explanation::
Notes Calculator Feedback
The nurse receives discharge prescriptions for a client who underwent a hemorrhoidectomy 2 days ago. Which prescription should the nurse
clarify with the health care provider?
1.
2
3.
4
50 mg docusate sodium PO bid
400 mg ibuprofen PO q6h PRN for pain
Soft, low-sodium, low-fiber diet for 2 weeks
Warm sitz bath 3 times daily
Answer:400 mg Ibuprofen PO q6h PRN
Explanation: 400 mg Ibuprofen PO q6h PRN for pain
Now that Aniyah’s community garden is up and running, it’s time for her to organize the farmers market. Aniyah is hoping to hold a Grand Opening to introduce the market to her neighborhood. The farmer’s market will feature all the fresh produce that has been harvested. Aniyah reaches out to the professionals who helped her put together the community garden for some help getting the farmer’s market off on the right foot.
Urban farm tech Brandon has agreed to help Aniyah draw up a suggested price list for the items that will be sold. He understands that it is important for the families who spent time growing the crops to be compensated but also that the prices must be reasonable enough so that those in Aniyah’s neighborhood can afford them. Brandon suggests comparing the prices of vegetables and fruits at the local corner stores with those of his own urban farmer’s market. He believes that it would be good to highlight the savings that customers would have by shopping at the farmer’s market.
Using the chart, compare the pricing of a few items that Aniyah’s market will feature. Then, based on the difference, calculate the percentage that locals would save if they bought produce at the farmer’s market instead of at a convenience store. (Of course, we know that many of these fruits and veggies were not available at the convenience store near Aniyah’s neighborhood. So we can use prices from stores further out.)
TABLE 1 Savings Comparison
Crop Store Price Market Price Percent Savings
Tomato
$2.50 each
$1.00 each
Corn
$1.50 each
$.25 each
Green beans
$2.00 lb
$1.25 lb
Cantaloupe
$4.00 each
$2.00 each
Lettuce
$3.00 head
$.90 head
Carrots
$2.00 lb
$.70 lb
Strawberries
$3.00 quart
$2.00 quart
Certainly, knowing that buying at the farmer’s market can save them money will be a huge incentive for locals to use it!
Paige, the renewable energy consultant, tells Aniyah that she would like to come to the Grand Opening as well. She would like to set up a small booth that explains how using renewable energy like the solar pump helps grow the crops while saving money. Paige believes that this is important information for the locals to understand. She also feels that there may be interested people from other areas who want to see how Aniyah’s project turned out so that they can start a community garden of their own. Paige wants to be able to show these interested people how much money their neighborhood might save by using renewable energy.
Help Paige create a chart that shows the difference between the cost of a solar irrigation pump versus an electric one over the course of five years.
TABLE 2 Renewable Energy Savings
Electric Pump Solar Pump
Up Front Costs
$840
$1199
Monthly energy cost
$99.32
$0
Total 5-year Projected cost
Nutritionist Damian is also setting up a booth, showcasing the recipe cards that he created, with samples for locals to try. Damian especially wants the residents of the neighborhood to understand the difference between using fresh vegetables and using the cheaper, canned versions. When it comes to canned vegetables, Damian knows that it’s all about salt. Salt is used to preserve the vegetables but eating only canned veggies can drastically increase a person’s salt intake, making problems like high blood pressure worse. Even though the recommended intake of salt is 2300 mg a day for adults (about 1 teaspoon), Damian knows that most people take in 3400 mg! It’s good to eat vegetables, but Damian wonders if people realize just how much salt is included in canned veggies.
Help Damian calculate the percentage of a person’s recommended salt intake that can be found in these cans of vegetables.
TABLE 3 Recommended Salt Intake
Salt in one serving Salt recommended per day Percent of daily recommendation
Corn
360 mg
2300 mg
Green beans
380 mg
2300 mg
Tomatoes
160 mg
2300 mg
Carrots
300 mg
2300 mg
In contrast, Damian’s recipes use much less salt, as well as salt alternatives. It’s important to Damian to show people how cooking fresh vegetables can be just as tasty and more nutritious!
Now that everyone is ready, it’s time for the Grand Opening! Imagine that you are a reporter sent by your news agency to do an article on the new farmer’s market. You are excited to see and learn how the community garden and farmer’s market promises to change Aniyah’s neighborhood. You will interview Aniyah, as well as Brendan, Paige, and Damian to report on benefits that residents will gain from the new arrangement. Make sure to mention some of the important information you helped calculate, from the savings on fruits and vegetables, to the savings on energy, to the benefits of eating healthy.
Your article must be at least three paragraphs long and include at least three facts that include the calculations. When you discuss each person’s contribution, explain how their career allows them to help people in their community. Encourage your readers to give the new farmer’s market a try!
We can see that in order to write your article, here are some helpful information:
Title: New Farmer's Market Offers Fresh Produce, Savings, and Community
Aniyah Jones, a resident of the Sunnyside neighborhood, has been working hard to create a community garden for the past year. Her dream has finally come true, and the garden is now open for business. But Jones didn't stop there. She also wanted to create a farmer's market to sell the fresh produce grown in the garden.
What is an article?An article is a written piece of content that provides information, analysis, opinions, or insights on a specific topic or subject matter.
Facts:
Residents can save up to 50% on fruits and vegetables by buying them at the farmer's market instead of the grocery store.Using solar energy to irrigate the garden can save the community up to $4,500 over the course of five years.Eating fresh, healthy produce can help reduce the risk of chronic diseases such as heart disease, stroke, and cancer.Call to action:
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Explain why some people think that indirect sunlight will not cause skin damage.
One characteristic of empathy is that it
cultivates a positive, supportive outlook
identifies with the client and feels what he or she is feeling
follows moral and ethical principles, and is honest and accountable
expresses kindness, caring, and respect
Empathy, as a characteristic, encompasses several key elements. It cultivates a positive and supportive outlook, allowing individuals to identify with others and feel what they are feeling. Empathy also involves adhering to moral and ethical principles, being honest, and being accountable for one's actions. Moreover, it expresses kindness, caring, and respect towards others.
1. Empathy cultivates a positive and supportive outlook: Empathy involves adopting a mindset that focuses on positivity and offering support to others. It entails understanding and acknowledging the emotions and experiences of others without judgment or criticism.
2. Empathy identifies with the client and feels what he or she is feeling: This aspect of empathy involves placing oneself in the shoes of another person, trying to understand their perspective, and experiencing the emotions they are going through. It requires active listening, observation, and an open mind.
3. Empathy follows moral and ethical principles, and is honest and accountable: Empathy is not only about understanding and feeling; it also encompasses ethical behavior. Empathetic individuals adhere to moral principles, treating others with fairness, integrity, and respect. They take responsibility for their actions and are honest and transparent in their interactions.
4. Empathy expresses kindness, caring, and respect: Empathetic individuals demonstrate kindness, care, and respect towards others. They show genuine concern for the well-being of others and make an effort to uplift and support them emotionally. This can be manifested through kind words, compassionate gestures, and actively providing emotional support.
In summary, empathy involves cultivating a positive and supportive outlook, identifying with others' emotions, adhering to moral and ethical principles, and expressing kindness, caring, and respect.
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Culture differences can be based on which of the following select all that apply
Answer:
Explanation:
Because it talks about the difference between 2 or more culture
what term describes a person that develops a chemical dependency on alcohol, and their body doesn't function without it?
Answer: alcoholism or alcohol addiction
Match the food to its correct minimum internal temperature.
vegetable fried rice
leftover turkey casserole
grilled salmon steak
165°F or 74°C for less than a second
155°F or 68°C for 17 seconds
145°F or 63°C for 15 seconds
135°F or 57°C for no specific time
beef meatballs
Answer:
The minimum internal temperatures for safely cooking various types of food are established by the U.S. Food and Drug Administration (FDA). Below are the correct matches based on the FDA's guidelines:
- Vegetable Fried Rice: 165°F or 74°C for less than a second. This is because fried rice includes a mixture of ingredients, potentially including leftovers or pre-cooked ingredients. The FDA requires all leftovers and foods containing leftovers to be reheated to this temperature.
- Leftover Turkey Casserole: 165°F or 74°C for less than a second. As this is also a dish that includes leftovers (the turkey), it should be heated to the same temperature as the fried rice.
- Grilled Salmon Steak: 145°F or 63°C for 15 seconds. This is the recommended internal temperature for cooking fish.
- Beef Meatballs: 155°F or 68°C for 17 seconds. This is the minimum internal temperature for ground meats, including ground beef.
There's no item to match the 135°F or 57°C for no specific time temperature, which is the FDA's recommended minimum internal temperature for cooking fresh, whole cuts of red meat and commercially-raised game. However, none of the items in the list meet this category. It's also the recommended temperature for hot-held fruits, vegetables, grains, and legumes that are going to be kept warm for service.
Sue has significant physical
impairments due to a recent
stroke. She is currently residing in a
care facility. What is one way Sue
can protect herself against abuse?
One way Sue can protect herself against abuse is by reporting it to the authorities or staff members at the care facility. In addition, Sue can stay alert to any signs of mistreatment or abuse, such as unexplained bruises or injuries, changes in her financial situation, or sudden changes in her mood or behavior.
Sue should also stay in regular communication with family members or friends who can provide additional support and advocacy on her behalf. Finally, Sue should be aware of her rights as a resident of a care facility and be willing to assert those rights if necessary to protect herself from abuse or mistreatment.
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Choose an example from the dress code policy in health care settung and describe the benefits and importance of such equipment/clothing. (150 words)
Which best describes why Rachel was vulnerable to human trafficking?
She was a victim of sextortion.
She had a drug addiction.
She ran away from home.
She had an irregular immigration status.
Answer:
Explanation:
shed ran away bfrom because of drug addoiction