Two approaches to utilization management in ambulatory care are prospective and retrospective review

Indicate whether the statement is true or false


True

Health Professions

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As EMTs leave a house where the patient refused care, a panicked boy approaches them and states that some men just shot his friend in a house two doors up the street. Their immediate action would be:

A) instruct the boy to carry the patient from the house to the yard. B) gather basic equipment and go to the home to care for the patient. C) notify dispatch and proceed to the home to care for the patient. D) contact the police and move the ambulance from the immediate area.

Health Professions

What term includes all of the health care–involved parties that will be required to use the ICD-10-CM/PCS after October 2013?

a. Health care facilities b. Health care providers c. HIPAA covered-entities d. Insurance companies

Health Professions

Social and psychological changes may force the patient to be more dependent on:

A) others for basic care. B) others for financial assistance. C) retirement. D) both A and B.

Health Professions

Coding guidelines are used as a companion to the official version of ICD-10-CM, which contain coding conventions to ensure __________

a. accurate coding b. education and research c. maximum reimbursement d. quality health care

Health Professions