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

Author Question: Ensuring that a provider is not underutilizing services and compromising the health of managed care ... (Read 83 times)

Engineer

  • Hero Member
  • *****
  • Posts: 527
Ensuring that a provider is not underutilizing services and compromising the health of managed care members or overutilizing services and creating unnecessary expense is ________________.
 A) service regulation
  B) financial supervision
  C) enrollment managemen
  D) economic credentialing

Question 2

The resource utilization group (RUG) that applies to a given resident is based on __________________.
 A) the principal and up to 10 additional diagnosis codes
  B) all diagnosis codes and procedures codes
  C) documentation of care areas triggered
  D) the minimum data set



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

234sdffa

  • Sr. Member
  • ****
  • Posts: 341
Answer to Question 1

D

Answer to Question 2

D




Engineer

  • Member
  • Posts: 527
Reply 2 on: Jul 12, 2018
Wow, this really help


abro1885

  • Member
  • Posts: 337
Reply 3 on: Yesterday
Great answer, keep it coming :)

 

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

For a complete list of videos, visit our video library