Which of the following payment models depends on medical necessity for claims reimbursement?

Answers

Answer 1

Answer:

Value Based Reimbursement (VBR) models are intended to encourage healthcare providers to deliver the best care at the lowest cost. VBR takes the best parts of the three traditional reimbursement methods and combines them into an approach that financially rewards doctors for performing better than expected and, in some cases, punishes them for not achieving expectations.

In the simplest form, a payer would estimate how much a population of patients should cost as a target for the providers to achieve. If the average cost per patient is less than the target, the provider gets to share in the savings with the payer – for example, the provider may get 30% of the amount below the target. In a Risk Share, there is the additional element of sharing in the loss – for example, the provider may have to pay back 30% of the amount above the target. Sometimes there are quality metrics that must be met as well, in order to share in prof

Answer 2
Healthcare reimbursement models are billing systems by which healthcare organizations get paid for the services they provide to patients, whether by insurance payers or patients themselves.

Related Questions

The abuse of a legal drug:


can cause physical harm and dependence
can cause physical harm and dependence

is safe it was prescribed to you by a doctor
is safe it was prescribed to you by a doctor

can cause more rapid treatment of your symptoms
can cause more rapid treatment of your symptoms

is safe because the ingredients are pure

Answers

Answer:

can cause physical harm and damage

Explanation:

even if the the drug is legal, it can still harm your body if you were to use to much of it

The first one is the correct answer die to the fact of the drugs being illegal meaning they are going to do more harm to a person then mad and can lead to awful side effects

Which student is doing something active?
-Kyle is helping his mom pull weeds.
-James is playing on the computer.
-Kim is taking a nap.
-Ashley is reading a book.

Answers

Answer:

Kyle is helping his mom pull weeds

Explanation:

Kyle is doing something active because he is helping his mother pull weeds

1 What does the liver do

2 What does the pancreases do

3 What do the intestines do

4 How do the intestines, liver, stomach, and pancreases work together

Answers

#1. All the blood leaving the stomach and intestines passes through the liver. The liver processes this blood and breaks down, balances, and creates the nutrients and also metabolizes drugs into forms that are easier to use for the rest of the body or that are nontoxic.

#2. During digestion, your pancreas makes pancreatic juices called enzymes. These enzymes break down sugars, fats, and starches. Your pancreas also helps your digestive system by making hormones. These are chemical messengers that travel through your blood.

#3. The intestines are responsible for breaking food down, absorbing its nutrients and solidifying the waste. The small intestine is the longest part of the GI tract, and it is where most of your digestion takes place.

#5. Your pancreas makes a digestive juice that has enzymes that break down carbohydrates, fats, and proteins. The pancreas delivers the digestive juice to the small intestine through small tubes called ducts. Liver. Your liver makes a digestive juice called bile that helps digest fats and some vitamins.
1. Blood leaving the stomach and intestines passes through the liver
2. During digestion, your pancreases makes pancreatic juices called enzymes
3. It’s main purpose is to digest food
4. They work and build a team

A healthy mind and body is important. The decisions you make can have a serious effect on your health and the health of those around you. Think about what you have learned in the module. Use the information from your milestone 1 and milestone 2 projects to help you complete your final project.

Your project should be about the diseases that can be caused by hereditary traits.

Choose a healthy behavior and develop a positive health media message.
TV commercial
Radio commercial
Magazine ad
Internet popup ad
Teacher approved idea
Examples of hereditary diseases include heart disease, Type 1 Diabetes, or many other diseases you may have learned about in your interviews.

You will present a message that tries to get people to make health choices that will help them reduce the impact of hereditary disease. Your message can be presented as a video or by using a Web 2.0 tool such as Weebly or Jing.
Your presentation will focus on:
Making people aware of hereditary traits.
Getting people to make good health choices to help lessen the risk of hereditary disease.
Answer the following questions to help you get started on your project:

What is the purpose of your media message? (to inform or persuade)
What type of medium is it? (commercial, advertisement, or teacher approved)
Who is your intended audience?
What is the message? (main idea or main points)
What information can be omitted?
What techniques are you going to use to get attention?

Answers

Answer:

Pick the ones you think are right

Explanation:

I suggest making a TV commercial, it would be easier to fit all of the requirements in, but there is no way I'm doing your whole project for you. Have a nice day!

Performance Goals
Short term:
Long term:
Appearance Goals
Short term:
Long term:

Answers

Answer:

I don't get it..

Explanation:

Goals
Short term : wake up on time for school
Long term : keep a healthy diet

Appearance goals

short term : get rid of eye bags
long term : lose belly fat

Q1: the aerobic system is
A-more powerful and lasts longer
B- less powerful and lasts longer
C- more powerful and wears out quickly
D- less powerful and wears out quickly

Q2: the anaerobic system is
A-more powerful and lasts longer
B- less powerful and lasts longer
C- more powerful but wears out quickly
D- less powerful but wears out quickly

Q3: profession is
A- the training load expressed as resistance, speed or heart rate
B- the number of exercise session per week
C- exercise training specific to the muscles used and the component of fitness trainer
D- a gradual increase in one or more of the FITT variables to create an overload

Q4: Nathan wants to know the amount of each macronutrient in his yogurt. He also wants to know how many calories that yoga contains. What is a reliable and fast source to get this information
A-nutrition label
B-diet websites
C- a friend
D-a doctor

Q5- matthews goal is to improve the muscular strength in his legs. Which of the following exercises will help him achieve his goal?
A-calf stretch
B-squats
C-hurdlers stretch
D- bench press

Answers

Q1:
B

Q2:
C

Q3:
?

Q4:
A

Q5:
B
It is B C A B!!! I don’t know the other one sorry :(

i lost my grandma last night what do i do i feel empty an hallow inside

Answers

Answer:

So what im estimating is that you're grieving for your grandmother, you rely on her to come home every night because you love her deeply and want to make sure she's safe.

Explanation:

It's statistically proven that when you grieve it's because of love.

Hope  your grandma comes home :)

Answer:

drink some water, take rest, go outside, be calm it will be fine if u have further problems see a professional, if u like want personal help talk to a close friend or parental guardian, im so sorry for what happened may she rest in peace

Explanation:

Acetaminophen

Withdrawl Symptoms - if you quit using the drug what does your body go through?

Treatment- how can someone quit using the drug?

Answers

Withdrawal symptoms: your body starts to sweat and you also get very nauseous.

Treatment : you can go to therapy for extra help during your withdrawals. You can also seek medication that will help during the withdrawals
withdrawal symptoms- hallucinations, sweating, anxiety, fatigue, vomiting
treatment- methadone or therapy counseling

Acetaminophen information

Any background, history, statistics, or interesting facts about acetaminophen.

Drug Category {Narcotic, Depressant, Stimulant, Hallucinogen) AND DEFINE.

Where does this drug come from {plant, lab, country} describe/explain

Answers

Answer:

Take this product by mouth as directed. Follow all directions on the product package. If you have any questions, ask your doctor or pharmacist.

There are many brands and forms of acetaminophen available. Read the dosing instructions carefully for each product because the amount of acetaminophen may be different between products. Do not take more acetaminophen than recommended. (See also Warning section.)

If you are giving acetaminophen to a child, be sure you use a product that is meant for children. Use your child's weight to find the right dose on the product package. If you don't know your child's weight, you can use their age.

For suspensions, shake the medication well before each dose. Some liquids do not need to be shaken before use. Follow all directions on the product package. Measure the liquid medication with the provided dose-measuring spoon/dropper/syringe to make sure you have the correct dose. Do not use a household spoon.

Explanation:

Answer:

Follow directions on package, ask doctor if u sgould take drug.

Explanation:

Which one of the following services is covered by Medicare?

Answers

Answer:

hospitalization

some home healthcare services

hospice care

doctor’s visits

prescription drug coverage

preventive care

dental

vision

hearing

Explanation:

yea gimme more options

Lab tests, doctor visits

In an insurance claim lifecycle, medical services are offered in phase
cycle.

Answers

Answer:

Espaanyul isn't working for ⚒ days and is going on to work on the next day in a sentence brainly and the other one 1⃣ the last few weeks I've seen a few things I've seen on my

They are offered when we go to a hospital I think

The anaerobic system is:
O
O More powerful and lasts longer
O
Less powerful and lasts longer
O
More powerful but wears out quickly
O
Less powerful and wears out quickly

Answers

An anaerobic system is said to be a system that is more powerful but wears out quickly usually between 10 to 15 seconds.

What is an Anaerobic System?

An anaerobic system is a body's mechanism of providing quick energy through Adenosine Triphosphate (ATP).

The adenosine triphosphate (ATP), is the energy-carrying molecule found in the cells of all living things.

Its major function is to capture chemical energy obtained from the breakdown of food molecules and releases it to fuel other cellular processes.

Anaerobic system is also called a lactic acid system. The primary source of fuel in an anaerobic system is glucose and this energy produced is powerful but wears out quickly.

Learn more about Anaerobic system at https://brainly.com/question/4346836

#SPJ1

B is the correct answer to the question

WILL MARK BRAINLIEST
Question 1.
Increasing muscle mass
A-improves the cardiorespiratory system
B- increases fat mass
C- improves body composition
D- decreases fat free mass

Question 2.
Progression is
A- the training load expressed as resistance, speed or heart rate

B- the number of exercise sessions per week

C- exercise training specific to the muscles used and the component of fitness trained

D- a gradual increase in one or more of the FITT variables to create an overload

Question 3.
Matthews goal is to improve the muscular strength in his legs. Which of the following exercises will help him achieve his goal
A- calf strength
B- squats
C- hurdlers stretch
D- bench press

Answers

The answer is for question 1 is A
And question 2 is c
And question 3 is a

Answer:

Q1: C

Q2: D

Q3: B maybe?

yee i think im right but not 100% sure im srry

15 PTS
What should you do if you are stranded in a desert with 0 things

Answers

Answer:

make a fire, try to find or make shelter

Explanation:

for warmth

fire and shelter to keep warm

Interviewee Name:

Age:

Gender:

Job:

Date and time of interview:

What are some major health concerns that you have?
Are there ways that you know you can prevent these health concerns (or other concerns like obesity)?
If you need to find out more about a specific health issue, what do you do? Please be specific. (Don’t let them say “look on the internet”, because we have already learned that not everything on the internet is reliable! They should tell you a specific site if they use the internet as a source.)
What do you think is the biggest health concern facing our country?
What are some things that you do to help monitor your health?
How do you monitor your food and water intake now?
How would you help get the word out about this lifestyle change?
How do you think the media influences what concerns we have for our health?
Remember that you must ask ten questions, so you need to think of some more on your own! Make sure you ask them about how they keep healthy and what they do to make sure they are on top of their health game!

Please be sure to keep all of your information and interview notes. You may also want to ask each person if you could ask them more questions later if you need more information from them. When you complete your final project, you will need all of your interview data; so keep it handy!

WHEN YOU ANSWER, MAKE SURE THAT U INCLUDE THE QUESTION BEFORE YOUR ANSWER SO COPY THE QUESTIONS, THEN WRITE YOUR AANSWER AFTER IT.

Answers

Answer:

You can write any name or age, I don't use mine!

Gender: Female

Job: School

Date and time: 1:07pm 5/17/22

What are some major health concerns that you have?: Obesity, and Corona Virus.

Are there ways that you know you can prevent these health concerns (or other concerns like obesity)?: You can start with a healthy diet and exercise more, and for Corona Virus you clean your hands, and wear masks.

If you need to find out more about a specific health issue, what do you do? Please be specific. (Don’t let them say “look on the internet”, because we have already learned that not everything on the internet is reliable! They should tell you a specific site if they use the internet as a source.): I actually ask my aunt who is a retired doctor!

What do you think is the biggest health concern facing our country?: Corona Virus, it really is such a concern to our health.

What are some things that you do to help monitor your health?: I eat healthy, and I play flag football!

How do you monitor your food and water intake now?: I actually use  a water bottle that keeps track of my water intake and I check calories!

How would you help get the word out about this lifestyle change?: Under the tag of, "That girl" its what helped me get motivated.

How do you think the media influences what concerns we have for our health?: It really helped me so I guess it helps a lot. Honestly I wouldn't have gotten like the way I am If it wasn't for the internet.

Kyle
18
Female
Server
5/19/22 - 5:04pm
None really
No concerns
Go to a doctor to find out more information
Not sure
Watch it

What are some pressure points to cure headaches?

Answers

Answer:

The union valley points are located on the web between your thumb and index finger. To treat headaches; Start by pinching this area with the thumb and index finger of your opposite hand firmly — but not painfully — for 10 seconds.Next, make small circles with your thumb on this area in one direction and then the other, for 10 seconds each.

Repeat this process on the Union Valley point on your opposite hand.

Or there is one where you just use your index finger and firmly apply pressure in between your eyebrows for about 1 min

Explanation:

Hope this helps:)........if not then sorry for wasting your time and may God bless you:)

Answer:

explanation

Explanation:

headaches are a irritation in your brain when something manmade comes across with it.Drink more water,take a cold/hot shower and stop drinking soda.Blue light also causes headaches so stay away from screens for a couple hours.And also.........RELAX!

Socks are an important component of your exercise clothing because they __________. A. provide a good way to express your individuality B. increase the amount of calories you use while exercising C. eliminate the need to wear high-quality shoes D. keep your feet dry while exercising Please select the best answer from the choices provided. A B C

Answers

Answer:

D. Keep your feet dry while exercising.

Explanation:

While we exercise, we also sweat. So, socks are important to keep our feet dry and they also keep our shoes clean.

Socks are an important component of the exercise clothing as they help in keeping the feet dry while exercising.


Further Explanation:

Exercise is the act of performing some activity so as to develop or maintain the fitness of the body and the health in whole. The regular physical exercise is the crucial part in the averting various kinds of disease like heart disease, type-2-diabetes and obesity.


People in order to maintain fitness and good health people join fitness gym and perform certain exercise regularly. This habit helps in keeping certain metabolism related diseases at the bay. Physical fitness is a state in which a person has sufficient energy in store which helps in avoiding fatigue and to have a healthy life.

Certain exercises that are performed in the gym needs a proper grip which can be hindered due to perspiration. Exercises like running on a treadmill needs a proper grip on the stand so facilitate smooth regime. Thus, clothing that absorbs excess of the sweat is a prime requirement. Therefore the exercise clothing is an unavoidable requirement.

Socks is one of the clothing apparel which is worn under shoes that helps keeping in check excess sweating therefore helps in maintaining dry feet.



From the list below, select all of the following that are categories of drugs.


depressants
depressants

street drugs
street drugs

narcotics
narcotics

stimulants
stimulants

aspirin
aspirin

hallucinogens
hallucinogens

Answers

Answer:

all of the above, unless you mean not medicinal drugs, ten that would be street drugs, hallucinogens,and stimulants

All but aspirin ? Those aren’t really considered drugs although it is a drug that helps with pain relief
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