Describe how pre-authorization under managed care plans has changed the reimbursement cycle in the United States.

What will be an ideal response?


Pre-authorization requires patients to seek approval for testing or admission in order for their insurance or managed care plan to pay for services. This requires more "front-end" work to be done by either the patient or the healthcare staff. Coding for preadmission diagnoses supports pre-authorization and will become more complicated with the adoption of ICD10CM/PCS.

Health Professions

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Which statement is true of a patient who relies on the hypoxic drive to breathe?

A) The primary gas affecting the respiratory rate is carbon dioxide B) The peripheral chemoreceptors have become less sensitive to oxygen C) The respiratory rate is set according to the level of O2 in the body D) The central chemoreceptors are the primary influence on the respiratory rate

Health Professions

Erroneous PCO2 measurements can be caused by which of the following?

1. A worn electrode 2. A cracked electrode 3. Wearing out of the silver anode 4. Increased temperature of the patient 5. Dehydration of bicarbonate solution a. 1 and 5 c. 3 and 4 b. 2 and 3 d. 1, 2, and 5

Health Professions

A temperature of 99.8 degrees is considered:

A. normal. B. hypothermia. C. low grade. D. pyrexia.

Health Professions

Which of the following is NOT a common sign or symptom associated with malfunction of an implanted cardiac pacemaker?

A. a rapid heart rate B. syncope or dizziness C. heart rate less than 60 beats/min D. generalized weakness

Health Professions