This topic contains a solution. Click here to go to the answer

Author Question: A nurse works as a reviewer of Medicare claims. In this capacity, the nurse frequently denies these ... (Read 76 times)

Mr. Wonderful

  • Hero Member
  • *****
  • Posts: 866
A nurse works as a reviewer of Medicare claims. In this capacity, the nurse frequently denies these claims. What is the primary rationale for this action?
 
  1. It helps to protect the Medicare Trust Fund.
  2. It serves to control unnecessary testing.
  3. It keeps physician practice from becoming too independent.
  4. It helps ensure that nursing care is safe.

Question 2

What are the determinants in Healthy People 2020 that impact health outcomes? Select all that apply.
 
  1. Social environment
  2. Health services
  3. Physical environment
  4. Biology and genetics
  5. Individual behavior



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

epscape

  • Sr. Member
  • ****
  • Posts: 335
Answer to Question 1

1
Explanation: 1. The rationale for reviewing claims for Medicare payment is to be certain that the claims are valid and for necessary procedures. This validation helps to protect the money in the Medicare Trust Fund from being used inappropriately.
2. This is a side benefit from this action, but is not the primary rationale.
3. This is not associated with the review process.
4. Review does not serve to ensure safety of nursing care.

Answer to Question 2

1, 2, 3, 4, 5
Explanation: 1. This is a determinant that impacts health outcomes.
2. This is a determinant that impacts health outcomes.
3. This is a determinant that impacts health outcomes.
4. This is a determinant that impacts health outcomes.
5. This is a determinant that impacts health outcomes.




Mr. Wonderful

  • Member
  • Posts: 866
Reply 2 on: Jul 8, 2018
:D TYSM


TheDev123

  • Member
  • Posts: 332
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

It is difficult to obtain enough calcium without consuming milk or other dairy foods.

Did you know?

To maintain good kidney function, you should drink at least 3 quarts of water daily. Water dilutes urine and helps prevent concentrations of salts and minerals that can lead to kidney stone formation. Chronic dehydration is a major contributor to the development of kidney stones.

Did you know?

There are more sensory neurons in the tongue than in any other part of the body.

For a complete list of videos, visit our video library