Sarah works in the billing department and notices several claims that haven't been paid after 14 days. What's Sarah's next step?

A. Generate a report
B. Resubmit, it was probably denied
C. Contact the third-party payer
D. Wait for 21 days

Answers

Answer 1

the answer is c. unless there is no 3rd party

Answer 2
Final answer:

Sarah's next step after noticing unpaid claims after 14 days should be to contact the third-party payer. This will help clarify if there were any issues leading to non-payment before resubmission is made.

Explanation:

The question pertains to the appropriate step Sarah should take after noticing unpaid claims past a 14-day period. The best option for Sarah would be to C. Contact the third-party payer. The reason being, there might be issues or discrepancies resulting in the non-payment of claims. Before any resubmission (option B) is made, it is crucial to understand if there was an initial problem. Immediately resubmitting without understanding why it was unpaid might lead to another denial. Options A and D do not directly address the issue at hand.

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Related Questions

Which of the following is not an example of secondary use? A. Research for disease treatment B. Monitoring and tracking disease incidence C. Marketing D. Prescription sent to pharmacy

Answers

D. Prescription sent to pharmacy.

Prescription sent to pharmacy is not an example of secondary use. Research for disease treatment, monitoring and tracking disease incidence, marketing are the examples of secondary use.

Prescription sent to pharmacy is the example of primary use. Once the prescription is sent to the pharmacy, only then the rest of the process occurs. All the processes has to be done in a serial order that will avoid any confusion to happen.

Describe TMJ syndrome

Answers

Temporomandibular joint dysfunction (TMD, TMJD) is an umbrella term covering pain and dysfunction of the muscles of mastication (the muscles that move the jaw) and the temporomandibular joints (the joints which connect the mandible to the skull).

Final answer:

TMJ Syndrome is a painful condition that affects the joint connecting the skull and the jawbone, it can be caused by several factors, including arthritis and cartilage wear. Symptoms can vary from pain to the inability to move the jaw. It can be treated with pain management and physical therapies.

Explanation:

Temporomandibular Joint (TMJ) Syndrome is a disorder that affects the joint connecting the skull to the jawbone, and potentially can lead to conditions such as arthritis, wear of the articular cartilage, damage to the articular disc, or jaw injury. This syndrome can present with symptoms like pain, difficulty in chewing, headaches, or the inability to move the jaw, also known as lock jaw. Actions such as opening the mouth too wide or a blow to the jaw can cause a dislocation of the joint, making it difficult or impossible to close the mouth. Treatments usually include pharmacological interventions to manage the pain, and physical therapies such as the use of bite guards.

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being selfless in caring for the wellbeing of your family best describes which type of altruism

Answers

Answer:

moral altruism or group altruism.

Answer:

nepotistic altruism

Explanation:

also known as reproductive altruism, is where you act altruistically towards people closely related to oneself

Our physical state can affect our mental and emotional health. True False

Answers

True. For example, being unhealthy can lead you to have a low self esteem

Several cases of mononucleosis have been reported at Isaiah’s school. What preventative measures should he take to minimize his risk?
A. elevate his legs at the end of each day
B. avoid sharing food and utensils
C. lower his stress level
D. sleep more

Answers

Answer: Avoid sharing food and utensils to minimize the risk of catching mononucleosis.

The answer is B.

Explanation:

Mononucleosis is a contagious virus that people can catch no matter their age. The virus can be caught through bodily fluids, such as saliva. kids in school will sometimes use the same utensils and eat off of each other's food. Not sharing is the best thing to occur to avoid catching this virus.

Final answer:

Isaiah should avoid sharing food and utensils to minimize the risk of contracting mononucleosis, practice good hygiene, and maintain a healthy lifestyle with stress-reduction and regular exercise. Option B

Explanation:

Among the preventative measures Isaiah can take to minimize his risk of contracting mononucleosis at his school, the most effective options include avoiding sharing food and utensils, and practicing good hygiene. Mononucleosis, often transmitted through saliva, can be avoided by not sharing drinks, eating implements, or engaging in activities that might result in the exchange of saliva. As a student, Isaiah is advised to maintain a healthy lifestyle by washing his hands frequently, especially before eating and after being in contact with others, and by keeping a steady sleep routine to support his immune system.

To further reduce his risk, it is recommended that he engages in stress-reducing activities and exercises regularly to help keep his immune system strong. While lowering stress levels and getting more sleep could potentially help, the direct action of not sharing personal items is the most immediate and manageable preventative step he can take in the school environment where mononucleosis cases have been reported.

A 32 year-old patient sees Dr. Smith for a consult at the request of his PCP, Dr. Long, for an ongoing problem with allergies. The patient has failed Claritin and Alavert and feels his symptoms continue to worsen. Dr. Smith performs an expanded problem focused history and exam and discusses options with the patient on allergy management. The MDM is straightforward. The patient agrees he would like to be tested to possibly gain better control of his allergies. Dr. Smith sends a report to Dr. Long thanking him for the referral and includes the date the patient is scheduled for allergy testing. Dr. Smith also includes his findings from the encounter. What E/M code is reported?

Answers

Final answer:

The question pertains to choosing an Evaluation and Management (E/M) code for a 32-year-old patient's allergy consultation. A specific E/M code cannot be provided without details on the E/M coding system being used. Allergy medications are avoided before testing to prevent interference with test results.

Explanation:

The student is asking for the appropriate Evaluation and Management (E/M) code to report for a patient's consult. In this scenario, a 32-year-old patient consults Dr. Smith, referred by his primary care physician (PCP), Dr. Long, for severe allergy symptoms that have failed to improve with over-the-counter medications. Dr. Smith performs an expanded problem focused history and exam and decides to schedule the patient for allergy testing, with the Medical Decision Making (MDM) being straightforward.

A proper E/M code would rely on several factors, including the setting of the encounter (consultation in an office or other outpatient setting), the complexity of the visit (an expanded problem focused history and exam with straightforward MDM), and the fact that it was an initial consultation service provided by Dr. Smith at the request of another physician. However, without specific details on the E/M coding system being used (e.g., 1995 or 1997 Documentation Guidelines for Evaluation and Management Services), it's not possible to provide a specific E/M code. The provider needs to refer to their current coding manual or coding software and select the code that reflects the service documented.

Patients are often instructed to avoid allergy medications prior to testing because these medications can interfere with the results, potentially leading to false negatives. It's crucial that the test accurately reflects the patient's reaction to the allergens being tested for.

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what are the structures of the pulmonary circuit, and in what order does blood run through them?
a)right atrium and ventricle of the heart, pulmonary veins, lungs, pulmonary artery
b) left atrium and ventricle of heart, pulmonary artery, lungs, pulmonary veins
c) right atrium and ventricle of the heart, pulmonary artery, lungs, pulmonary veins
d) left atrium and ventricle of the heart, pulmonary veins, lungs, pulmonary artery

Answers

Answer:

I believe it's C

Explanation:

The pulmonary artery channels oxygen-poor blood from the right ventricle into the lungs, where oxygen enters the bloodstream. The pulmonary veins bring oxygen-rich blood to the left atrium.

Final answer:

The structures of the pulmonary circuit, in the correct order of blood flow, include the right atrium, right ventricle, pulmonary arteries, lungs, and pulmonary veins, with c) being the correct answer.

Explanation:

The structures of the pulmonary circuit, in the order that blood flows through them, are as follows:

Right atrium of the heartRight ventricle of the heartPulmonary arteries (including the right and left pulmonary arteries)Lungs (where gas exchange occurs)Pulmonary veins (including the right and left pulmonary veins)Left atrium of the heart

This flow begins with blood entering the right atrium from the systemic circuit, then moving to the right ventricle. From there, it is pumped through the pulmonary arteries to the lungs where it becomes oxygen-rich. Once gas exchange is completed, the oxygenated blood flows into the pulmonary veins and returns to the left atrium, completing the circuit.

The correct answer to the question is c) right atrium and ventricle of the heart, pulmonary artery, lungs, pulmonary veins.

2. Your client, Mr. Rotel, insists on keeping his medicine for arthritis on his coffee table. While you are getting a glass of water for Mr. Rotel, you notice several pictures drawn by his 3-year-old grandson. How might you approach the subject of finding a safer place to store this medicine with Mr. Rotel?

Answers

Answer: comment on how talented his grandson is, then suggest locking the medication in a locking medicine cabinet to prevent his grandson, or anyone, from accidentally taking the medicine.

Explanation: While great healing and life extension have been made available with these miracles of modern medicine, great danger has come along with them. The effects of the prescribed medications aren't always the ones intended. And there's the additional possibility of the medicines falling into the wrong hands, either accidentally or on purpose. When you consider your client’s medications, think about how they handle their other valuables—their jewelry or investment information. They're probably locked up in a place that only they know about. Their medications need to be treated in the same way... PF

The grandson of Mr. Rotel is very talented as Mr. Rotel suggests locking the medication in a locking medicine cabinet to prevent his grandson, or anyone, from accidentally taking the medicine.

What are the miracles of modern medicine?

There are several miracles of the modern medicine. While great healing and life extension have been made available with these miracles of modern medicine, great danger has come along with them. The effects of the prescribed medications aren't always the ones intended.

There are the additional possibility of the medicines falling into the wrong hands, either accidentally or on purpose. When you consider your client’s medications, think about how they handle their other valuables—their jewelry or investment information. They're probably locked up in a place that only they know about. Their medications need to be treated in the same way.

Therefore, The grandson of Mr. Rotel is very talented as Mr. Rotel suggests locking the medication in a locking medicine cabinet to prevent his grandson, or anyone, from accidentally taking the medicine.

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