An insurance company's internal statistics show that the company is losing a great deal of money processing small, frequent claims submitted by its customers. The company accountant suggests that the best way to decrease this loss is to
a. delay payment until the claims reach a set figure.
b. educate customers on how much these claims cost.
c. increase the deductible customers must satisfy.
d. refuse to accept claims below a certain amount.
C
Deductibles and co-payments are types of cost sharing used by most insurers. Deductibles are designed to persuade customers to make better decisions about care and to dissuade them from submitting small claims.
Delaying payment until the claims reach a set figure might serve to annoy customers, who then might choose another insurer. This approach might also cost more because someone would have to track the claims.
There probably is not an effective way to educate perhaps millions of customers enough to dissuade them from submitting claims for reimbursements or payments they are owed.
Refusing to accept claims below a certain amount would probably be an unpopular action, perhaps leading to customers switching insurance companies.
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A) Working in low-crime areas B) Having good hospital security C) Experienced staff to deal with problems D) Working in large groups
A nurse is performing a pelvic exam on a woman in her mid-twenties. The nurse asks the woman what type of birth control she uses and the woman laughs, saying that she doesn't need birth control because she is a lesbian. How should the nurse respond?
A. "That's correct, you do not need contraception." B. "You should consider contraception anyway, just in case you ever decide to be intimate with a man." C. "You still need to use a barrier contraceptive because of the risk of sexually transmitted infections." D. "Hormonal contraceptives might be a good option for you."
After implementing interventions and reassessing the client's response, the nurse completes the process by evaluating. What attributes of evaluation should the nurse include when completing this step of the nursing process?
1. Purposeful activity 2. Nursing accountability 3. Continuous 4. Judgments 5. Opinion
Which situation indicates to the nurse that the patient is ready to learn?
a. A patient has sufficient upper body strength to move from a bed to a wheelchair. b. A patient has the ability to grasp and apply the elastic bandage. c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices. d. A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe.