After a major flu vaccination campaign, an agency bills a private insurance company for the administration of each vaccination according to the insurance company's reimbursement guidelines. This is an example of which major payment method?
Charges
Contractual allowance
Prospective reimbursement
Cost-based reimbursement
The Correct Answer is A
A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The Internet refers to a global network for communication and information sharing, which is not directly related to the measurement devices mentioned.
B. Retrieval of patient history information pertains to accessing and compiling past medical records, which is not the focus here.
C. Biomedical technology encompasses various medical devices and systems used in patient care, including those for monitoring heart rhythms, respiratory rates, oxygen levels, and intracranial pressure, making it the correct choice.
D. Telecommunications involves communication technologies, but does not specifically refer to the medical measurement devices used in an ICU setting.
Correct Answer is ["A","C","D"]
Explanation
A. Blocking access to pools is essential to prevent drowning, which is a significant risk for infants. This action promotes safety in the home environment.
B. Keeping houseplants near the baby's crib is not advisable, as some plants can be toxic if ingested, posing a safety hazard.
C. Keeping plastic bags away from infants is crucial, as they can pose a suffocation risk if a child plays with or gets trapped in one.
D. Serving food in small, bite-sized pieces is recommended to prevent choking, as infants can easily gag on larger pieces of food.
E. Placing an infant in a supine position while feeding is not safe, as it can increase the risk of aspiration. Infants should be in an upright position while eating to reduce this risk.
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