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Author Question: Describe the following activities that are completed through utilization management: preadmission ... (Read 39 times)

Marty

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on: Jul 12, 2018
Describe the following activities that are completed through utilization management: preadmission certification, preauthorization, concurrent review and discharge planning.

Question 2

Under Medicare's ________________ provisions, a skilled nursing facility is responsible for billing the entire package of care that residents receive during a stay, with certain specified exceptions such as physicians' professional services.
 Fill in the blank(s) with correct word


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ultraflyy23

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Reply #1 on: Jul 12, 2018
Answer to Question 1

Preadmission certification: involves reviewing the necessity of an admission prior to its occurrence Discharge planning: arranging services that patients may require upon discharge
Preauthorization: a review of elective procedures requiring prior approval for re-imbursement
Concurrent review: reviewing services ordered for medical necessity during an inpatient hospitalization before they are provided

Answer to Question 2

consolidated billing


Marty

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Reply 2 on: Jul 12, 2018
Thanks for the timely response, appreciate it

triiciiaa

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Reply 3 on: Yesterday
:D TYSM

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