Reyna is a patient who has had trouble with a generic form of a drug. Her doctor writes her a prescription for the name brand to see if it will work better, but does not write a prior authorization. Why was it important for Reyna to have the prior authorization? Reyna’s claim will be delayed, and she will have to take the generic form in the meantime. Reyna’s claim will be delayed, and she will be dropped from her insurance plan. Reyna’s claim may be rejected by her insurance company, and she will not receive the medication she needs. Reyna’s claim may be rejected by her insurance company, and the drug would be expensive.

Answers

Answer 1

Answer:

Reyna’s claim will be delayed, and she will have to take the generic form in the meantime.

Explanation:

the doctor has to authorize the prescription


Related Questions

As the office manager you come into contact with various drug representatives that provide you your office with free samples. It is important to keep them organized in a locker drawer. What is the most efficient way to organize the samples ?

Answers

Answer:

Keep the samples in bins for each specific sample, label each bin so that the samples don't get mixed up.

Explanation:

Hope this helps! <3

Define the two types of ASCs and the main differences between the billing procedures.

Answers

Answer:

The first difference is the rate. ASCs are reimbursed at roughly 60 percent of the rate of hospitals for a similar procedure, which was a primary motivating factor for hospitals in acquiring off-campus ASCs. The second major difference is the reimbursement methodology.

Addendum AA (Final ASC-covered Surgical Procedures) includes comments, payment indicators, and final payment amounts for covered surgical procedures. (See the Addendum AA example on the next page.) Addendum BB (Final Integral to Covered Surgical Procedures) covers included and separately billable ancillary services.

Explanation:

The two types of ASCs are hospital and independent Ambulatory Surgical Centers (ASCs).

What are Ambulatory Surgical Centers (ASCs)?

Ambulatory Surgical Center is an agency that functions exclusively to handles the outpatient surgical services of patients.

There are two types of Ambulatory Surgical Center which include:

Hospital Ambulatory Surgical Centers: This type is under common ownership, licensure or control of a hospital.

Independent Ambulatory Surgical Centers: This type is not under any hospital facility or part of a provider of services.

Therefore the major difference between the two type of Ambulatory Surgical Centers is that the hospital type is owned and controlled by a hospital while the independent type is not under the control of a hospital.

Learn more about surgical centers here:

https://brainly.com/question/26724240

the affected woman in generation IV is thinking about her future and ask her oncologist whether she can know wheter any or all her children will have a high risk of the same cancer. The doctor would be expected to advise which of the followingg (I) genetic counseling; (II) prenatal diagnosis when/if she becomes pregnant; (III) testing to see whether she has the allelle; (IV) testing to see whether her future spouse or partner has the allelle

Answers

Answer:

(I), (II) and (IV)  

Explanation:

In genomic medicine, genetic counseling refers to the process of advising patients of the risks and predisposition to suffer genetically inherited disorders/conditions (in this case, cancer predisposition), as well as for seeking consent for genetic testing when appropriate. This information is very useful for patients since it may help them to consider options regarding risk management and family planning. Moreover, prenatal diagnosis, also known as prenatal screening, is the procedure that aims at identifying genetically inherited health problems before birth.  Chorionic villus sampling and amniocentesis are two major prenatal testing methods used to identify possible fetal genetic abnormalities. Finally, genetic "carrier testing" is the procedure to identify the presence of undesirable gene variants (i.e., alleles) in an individual (in this case, the partner or spouse) related to the risks of transmitting genetic diseases and/or disabilities to their children.

True OR False:
cones sense color and intensity of light, rods only sense color

Answers

cones sense color and intensity or a light, rods and only sense color is true

Unsaturated fat comes from animal products such as butter and cheese.
Group of answer choices

True

False

Answers

Answer:

true

Explanation:

Unsaturated fat come from animals.

It becomes solid when it is in room temperature

True, beacase it's a solid substance with double and triple bonds

The health department found an alarming number of individuals with a rare disease. They decide to collaborate with a major hospital in the area to conduct a study to uncover possible past exposures. The hospital plans to match healthy controls to those with the rare disease. This type of study would be classified as: Experimental study Case-control study Cross-sectional study Retrospective cohort

Answers

Answer: Case-control study

Explanation:

Case control study can be defined as the type of observational study in which outcomes are identified by observing the changes in controlled and experimental samples. The incidences and frequencies of the rare diseases can be recorded and analyzed using hospital health records this will help in analyzing of the effect and emergence of a particular rare disease in the community or the population located or confined to a particular geographical area. This an example of case control study. Here, in the given study the occurrence of rare diseases and their frequency is compared with normal people in the population.

Topic Test

The rationale for twin studies is that twins do not normally develop under similar environments.

Please select the best answer from the choices provided

a. T
b. F​

Answers

Answer:

B. False

Explanation:

I calculated it logically

Which of the following is described in the video as a consequence of Debra's severe depression? Check all that apply.
She begins to withdraw from her husband, children, and friends
She has to leave her job as a high-level lawyer
She loses her house because she can't work and make her mortgage payments
Her husband ultimately divorces her because of her daily withdrawal

Answers

I don't know what the video is so I cannot say for sure but all of those are outcomes of severe depression. Without seeing/watching the video, i would say all of those are correct.

Depression is a disease that harms the mental and physical condition of the human body. The symptoms of depression are very hard to find but some of the symptoms are as follows:-

InsomniaAggressionIsolation

According to the question, there is no video attached to the question, but as per the option, the only suitable option to the question is 1  in which she begins to withdraw from her husband, children, and friends which is the symptoms of the isolation.

For more information, refer to the link:-

https://brainly.com/question/20262792

Assisting in Pulmonary and Cardiology Medicine and Performing EKGs: Professionalism Assignment

Predict the outcome from this scenario and validate the course of action. Identify unprofessional behavior and establish preventive measures.

A male medical assistant volunteered to perform an EKG on an 18-year-old female. The parents of the patient remained in the waiting room area and no other staff attendees were in the exam room assisting the MA. The patient was instructed to remove her clothing from the waist up and was not given a drape to cover herself. He explained that “modesty” does not apply in healthcare or medicine. The patient appeared to be nervous but under the impression that this was normal practice for an EKG.

Precordial electrodes were placed correctly and a tracing was initiated in an air conditioned room. Although the patient was anxious, she now was cold and started shivering. Somatic tremor artifacts were indicated and present on the EKG tracing. The artifacts were not resolved, corrected, or prevented. The MA dismissed the patient and forwarded the tracing for its interpretation to the provider.

Answers

Answer:

Explanation:

Sooo I'm literally in high school but I wanna be a doctor so I'm gonna see if I can answer this with some course of knowledge. So I'm assuming that since hes a male medical assistant, and the girl is 18, he is allowed to preform an EKG? I also know that if he has proper training he can preform an EKG. It seems kinda weird that no other staff attendees were in the exam room, and how she was instructed to remove her clothing and was obviously not comfortable. He should have asked the girl if she wanted someone else in the room with her, such as a female medical assistant or even just another female. I think he should have also given her something to drape over herself, once the pads were in place. Maybe since she didn't have a drape over her she became cold, and anxious. That's all I can really answer:)

what can i use as a natural mascara other then vaseline?​

Answers

You can use coconut oil, aloe vera gel, and avocado oil. I'm sure there's a lot more, but these are the only ones that come to my mind.

Answer:

Mix few drops of castor oil with coconut oil and apply it gently on the lashes with the help of a cotton tip. Do it every night before going to bed and wash it in the morning

I NEED HELP IM STUCK!!!

Answers

OSHA occupational safety and health administration
CDC Center for disease control
CLIA ..... I am unsure what this stands for.
Immunity... when you’re body protects you from a infection or disease. Natural immunity is when you get sick and recover. Your body makes T cells so If you are exposed to the infection again the T cell remember and fight the infection. Herd immunity is when most people in the community has had the virus or infection. Keeps the infection from spreading in that area because most people are already immune to it.

Behaviors that promote health and wellness. Eating healthy, not smoking, exercising.

Eating healthy can prevent disease. Not eating processed foods that are high in fat, fried foods lower risk of heart attack, cancer, ect.

Which factor is difficult to assess in a cost–benefit analysis?

Answers

Pollution hope dis help:>

What is the measurement scale for years?

Answers

Answer:

interval scale

Explanation:

How do vaccines work? Do they work against viruses and bacteria? Why there
are so many vaccines.

Answers

Answer:

Vaccines train our immune systems to create proteins that fight disease, known as ‘antibodies’, just as would happen when we are exposed to a disease but – crucially – vaccines work without making us sick. Live, attenuated vaccines fight viruses and bacteria. These vaccines

contain a version of the living virus or bacteria that has been weakened

so that it does not cause serious disease in people with healthy immune

systems. Because live, attenuated vaccines are the closest thing to a

natural infection, they are good teachers for the immune system.

Examples of live, attenuated vaccines include measles, mumps, and

rubella vaccine (MMR) and varicella (chickenpox) vaccine. Even

though they are very effective, not everyone can receive these vaccines.

Children with weakened immune systems—for example, those who are

undergoing chemotherapy—cannot get live vaccines. Those are only some vaccines, of course not all vaccines inject a live virus into your body. And of course, there are so many vaccines because (unfortunately) there are so many diseases!

In normal healthy adult, Calculate the Gain of control system of cold temperature if A cold exposure is expected to bring the body temperature down to 20°C but brings it down only to 36.5°C?

Answers

Answer:

Increased intraluminal pressure may help maintain vasodilation in a dependent arm even after hypothermia triggers centrally mediated thermoregulatory vasoconstriction. We therefore tested the hypotheses that the threshold (triggering core temperature) and gain (increase in vasoconstriction per degree centigrade) of cold-induced vasoconstriction is reduced in the dependent arm during anesthesia. Anesthesia was maintained with 0.4 minimum alveolar anesthetic concentration of desflurane in 10 volunteers in the left-lateral position. Mean skin temperature was reduced to 31 degrees C to decrease core body temperature. Fingertip blood flow in both arms was measured, as was core body temperature. The vasoconstriction threshold was slightly, but significantly, less in the dependent arm (36.2 degrees C +/- 0.3 degrees C, mean +/- SD) than in the upper arm (36.5 degrees C +/- 0.3 degrees C). However, the gain of vasoconstriction in the dependent arm was 2.3-fold greater than in the upper arm. Consequently, intense vasoconstriction (i.e., a fingertip blood flow of 0.15 mL/min) occurred at similar core temperatures. In the lateral position, the vasoconstriction threshold was reduced in the dependent arm; however, gain was also increased in the dependent arm. The thermoregulatory system may thus recognize that hydrostatic forces reduce the vasoconstriction threshold and may compensate by sufficiently augmenting gain.

Implications: The threshold for cold-induced vasoconstriction is reduced in the dependent arm, but the gain of vasoconstriction is increased. Consequently, the core temperature triggering intense vasoconstriction was similar in each arm, suggesting that the thermoregulatory system compensates for the hydrostatic effects of the lateral position.

Which of the following is NOT a good guideline to follow when walking out doors?
Obey traffic signals
Walk in dark and deserted areas
Walk with a buddy
Wear reflective clothing at night

Answers

Answer:

I would say walk in dark and deserted areas

Explanation:

you have to 'Be Visible'

Wear bright colors when walking in the daytime. When walking at night, wear light-colored clothing and reflective clothing or a reflective vest to be visible. Drivers are often not expecting walkers to be out after dark, and you need to give them every chance to see you, even at street crossings that have crossing signals.

1.2
At which ages should a child be vaccinated with the pneumococcal
conjugated vaccine?​

Answers

Answer:

One dose at 4 months of age. One dose at 6 months of age. One dose at 12 to 15 months of age.

Explanation:

that's it really :)

Krisha goes to check on her roommate and finds her unconscious. Krisha
confirms that her roommate has no pulse, but is untrained in CPR. What
should Krisha do while waiting for the ambulance to arrive?
I think it’s A) Krisha should administer chest comprehension while waiting for the ambulance to arrive

Answers

yes, krisha should do compressions until the ambulance arrives, since she’s untrained.

Answer:

Kirsha should administer chest compressions while waiting for the ambulance to arrive.

Explanation:

Just in case you don't understand the other answer!

Traditional medicines derived from the roots of nut-grass (Cyperus rotundus) have been used to treat a variety of ailments, including blood disorders and leprosy. Compound A is the active component in these medicines derived from nut-grass. A synthetic method for making compound A includes an intramolecular SN1 reaction to form a new ring. Identify (circle it) which of two possible starting materials is a better candidate and justify your choice.

Answers

Answer:

yep

Explanation:

The diagram shows a side view of an eye.



Which label represents the cornea?

W
X
Y
Z

Answers

Answer:

W

Explanation:

The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber.

Ron is a healthcare worker. His job requires him to lift and move medical equipment. How should he approach his work?
A.
bend at the knees to life the object
B.
bend at the waist to life the object
C.
carry the object away from the body
D.
use maximum arm strength without using the body support

Answers

Answer:

A

Explanation:

because

A. Bend at the knees

3) As left heart failure progresses:
A. left ventricular preload increases.
B. systemic vascular resistance decreases.
C. left end-diastolic volume decreases.
D. pulmonary vascular resistance decreases.
E. right ventricular preload increase​

Answers

A

Left-sided heart failure is defined not as a disease, but a process. Left-sided heart failure occurs when the left ventricle, the heart's main pumping power source

I believe it is A but it might be C but I’m pretty sure it’s A

u.
What is the term that means bone pain?

Answers

Answer:

Musculoskeletal pain affects bones, joints, ligaments, tendons or muscles. An injury such as a fracture may cause sudden, severe pain. A chronic condition like arthritis may also cause pain.  osteodynia. [osteo- + G. algos, pain]

Explanation:

Ostealgia: pain in bone

What are examples of eye surgeries? Check all that apply.

•phacoemulsification
•corneal transplant
•Lasik
•cochlear implant
•otoplasty
•tympanoplasty

Answers

Answer:

LASIK surgery is the example of eye surgery..

hope it is helpful to you ☺️

In general, how did Jacob and Monod study the function of the lac operon?

Answers

Answer:

The model proposed by Jacob and Monod predicted that a specific DNA sequence near the transcription start site of the lac operon is a binding site for lac repressor. ... In this system, separate mutations in both copies of lacI in a given cell are required to generate a lacI− constitutive mutant, a low-probability event.

1. When one muscle of a pair contracts, the other muscle does what ?

Answers

when one muscle contracts, the other one lengthens gl
Contraction and lengthening

What has four legs but cant walk?

Answers

Table, chair..........

a chair

Explanation:

Just because it's maid of wood

Which of these examples can be categorized as external disasters?

A.
liquid spill, earthquake
B.
equipment failure, hurricane
C.
liquid spill, equipment failure,
D.
flood, earthquake

Answers

Answer:

The Answer is gonna be B.

equipment failure, hurricane

I hope I helped

the answer is B. equipment failure, hurricane

Finish
Which of the following guests should be cared for by providing supplemental oxygen using a
non-rebreather mask?
19
Select one:
11
A guest who is dehydrated, suffering from a bad sun burn
A guest who may be having an asthma attack, with a pulse ox reading of 98%
A guest with a pulse, but not breathing normally
O A guest with labored breathing and a pulse ox reading of 89%
Clear my choice

Answers

Answer: A guest with labored breathing and a pulse ox reading of 89%.

Explanation:

A non-rebreather mask refers to a device that's used in delivering oxygen therapy. They re used in case of emergency situations to deliver high oxygen concentrations.

We should note that a pulse oximeter readings that range between 94% to 99% shows a normal oxygen saturation, while a reading below 90% indicates low blood oxygen.

Therefore, the guests should be cared for by providing supplemental oxygen using a non-rebreather mask is a guest with labored breathing and a pulse ox reading of 89%.

The technique test for radiography certification must be taken on a human
patient.

Answers

X-ray technician certificate.
Hope this helps!
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True or False? Santa Fe did not have a lot of supplies so they relied on Spainfor manufactured goods. The perimeter of a rectangle is 90 feet, and the length is 32 feet. What is the width of the rectangle?A. 26 feetB. 13 feetC. 58 feetD. 15 feet I just need help with this is anyone can help I would be happy Thx As Adolescents, what benefits do we get from the Responsible Parenthood and Reproductive Health Act? As Adolescents, what benefits do we get from the Responsible Parenthood and Reproductive Health Act? Does anyone know what the answer please? QUESTION 12What are the functions of the CSF? Select all that apply:Transport waste products for removalCushion neural structuresTransport nutrients and chemical messengersSupport the brain Translate the following in french.14. Now I am coughing.15. And I have a runny nose.16. Ah, you have the flu.17. 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A container in the shape of a cube 11.6 cm on each edge contains air (with equivalent molar mass 28.9 g/mol) at atmospheric pressure and temperature 291 K. (a) Find the mass of the gas. kg (b) Find the gravitational force exerted on it. mN (c) Find the force it exerts on each face of the cube. kN (d) Why does such a small sample exert such a great force Which of the following have no solutions? Read this excerpt from President Trumans State of the Union address in 1951:All free nations are exposed and all are in peril. Their only security lies in banding together. No one nation can find protection in a selfish search for a safe haven from the storm.The free nations do not have any aggressive purpose. We want only peace in the world--peace for all countries. No threat to the security of any nation is concealed in our plans and programs.We had hoped that the Soviet Union, with its security assured by the Charter of the United Nations, would be willing to live and let live. But I am sorry to say that has not been the case.The imperialism of the czars has been replaced by the even more ambitious, more crafty, and more menacing imperialism of the rulers of the Soviet Union.This new imperialism has powerful military forces. It is keeping millions of men under arms. It has a large air force and a strong submarine force. It has complete control of the men and equipment of its satellites. It has kept its subject peoples and its economy in a state of perpetual mobilization.The present rulers of the Soviet Union have shown that they are willing to use this power to destroy the free nations and win domination over the whole world.The Soviet imperialists have two ways of going about their destructive work. They use the method of subversion and internal revolution, and they use the method of external aggression. In preparation for either of these methods of attack, they stir up class strife and disorder. They encourage sabotage. They put out poisonous propaganda. They deliberately try to prevent economic improvement.Based on the excerpt you read in part A and the one you just read, how did Trumans attitude toward the Soviet Union change between 1946 and 1951? Support your answer with at least one quotation from each excerpt. Decide whether the sentence is grammatically CORRECT or INCORRECT as written.Mis hermanos estn leyendo un libro.correctincorrect this is reading misplaced modifiers if your good at this help me quick If the area of a right-angled triangle is 47 56 cm and its height is 11.6 cm. finds its base. 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Which event would most likely take placeover the next few minutes?Molecules in both the metal and the surrounding air will start moving at lower speeds.Molecules in both the metal and the surrounding air will start moving at higher speeds.The air molecules that are surrounding the metal will slow down, and the molecules in the metal will speed up.The air molecules that are surrounding the metal will speed up, and the molecules in the metal will slow down. Steam Workshop Downloader