A patient enrolled in a health maintenance organization (HMO) arrives at an appointment with a specialist
The nurse explains to the patient that without a(n) ____________________ from their primary care physician (PCP), the insurance company may deny the claim.
Fill in the blank with correct word.
ANS:
referral
If the PCP is unable to successfully treat the patient's condition, he or she makes a referral to a specialist. The patient cannot self-refer, and the specialist cannot accept the patient without a referral. In this way, access to more costly care and potentially redundant testing is controlled.
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What should decision makers do?
A) Use outcome as the sole criterion for evaluating ethical decision making B) Identify only desirable alternatives in solving ethical dilemmas C) Make critical ethical decisions quickly so the situation does not become worse D) Accept that some ambiguity and uncertainty are a part of ethical decision making
The number of nurses that employers would like to employ in relation to the number of nurses willing to be employed at a given salary is known as a nursing ____
a. Abundance b. Deficit c. Shortage d. Surplus
The nurse is preparing to administer two intravenous medications that should not be given using the same IV tubing. The nurse understands that this is because of drug
a. adverse reactions. b. incompatibility. c. interactions. d. potentiation.
Even though the Indian Health Service (IHS) provides care to a wide area of the population, what is an issue with this health service?
1. Services are predominantly given in the western part of the United States. 2. Health services can only be provided through IHS facilities. 3. Any American Indian or Alaska Native can demand care from the IHS. 4. There is a redundancy of services in all its facilities.