Author Question: A patient enrolled in a health maintenance organization (HMO) arrives at an appointment with a ... (Read 7 times)

Wadzanai · **on:** Jul 22, 2018

A patient enrolled in a health maintenance organization (HMO) arrives at an appointment with a specialist.

The nurse explains to the patient that without a(n) ___________________ _ from their primary care physician (PCP), the insurance company may deny the claim.
Fill in the blank with correct word.

Question 2

A home health-care nurse delegates to a home health-care aide the responsibility of

1. Administering the patient's intravenous (IV) medications.
2. Assisting the patient in the shower.
3. Communicating the patient's condition with the physician.
4. Assessing the patient for any changes from baseline.

nekcihc358 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS:
referral
If the PCP is unable to successfully treat the patient's condition, he or she makes a referral to a specialist. The patient cannot self-refer, and the specialist cannot accept the patient without a referral. In this way, access to more costly care and potentially redundant testing is controlled.

Answer to Question 2

ANS: 2