Describe preferred provider organization plans and explain their limited ability to control healthcare costs.
What will be an ideal response?
A PPO plan is a form of managed care in which the insurer contracts with healthcare providers that agree to a reduced-cost fee schedule. Covered persons who use a preferred provider pay less through a combination of lower premiums, lower deductibles, and smaller co-payments. A PPO plan is still fee-for-service, and providers have no incentives for reducing services.
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An alert and oriented male patient with chest discomfort refuses treatment and transport to the hospital. He is angry with his family for calling 911 and refuses to sign the refusal form despite several requests. Which one of the following is your next best action?
A) Contact the police to place the patient into protective custody. B) Have a family member sign as a witness to the father's refusal. C) Call dispatch on a recorded telephone line and notify them of the situation prior to departing the scene. D) Carefully restrain the patient and place him on the stretcher for transport.
How would a transverse rectus abdominis musculocutaneous flap be classified?
a. free-flap graft b. pedicle-flap graft c. full-thickness skin graft d. split-thickness skin graft
The following questions will require the use of an ICD-9-CM code book to complete the sentence. The vaginal repair of chronic inversion of the uterus is coded to procedure code __________
Fill in the blank(s) with correct word
The AHIMA has developed Standards for Ethical Coding which have eliminated the ethical dilemma of whether to focus on the accuracy of coding versus coding to obtain a better reimbursement for the health-care facility.
Answer the following statement true (T) or false (F)