Author Question: If a physician disagrees with a concurrent review and keeps the patient in the hospital longer, what ... (Read 90 times)

olgavictoria

  • Hero Member
  • *****
  • Posts: 528
If a physician disagrees with a concurrent review and keeps the patient in the hospital longer, what is likely to happen with the insurance company?
 
  a. The physician will be removed from participation in the insurance program.
  b. The patient may be liable to pay out of pocket for the uncertified days.
  c. The insurance company will have to reconsider their opinion.
  d. The hospital will get involved to make sure the physician is paid.

Question 2

When a concurrent review determines that the patient no longer requires services, who determines when the patient will be discharged?
 
  a. The physician
  b. The plan administrator
  c. The patient
  d. The discharge planner



gasdhashg

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

Answer: b

Answer to Question 2

Answer: a



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

For a complete list of videos, visit our video library