Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. However, when he received the bill, he was surprised to see large charges in excess of his maximum out-of-pocket limit that included some services and items he thought would be fully covered. He called you to ask what he could do? What could you tell him?

Answers

Answer 1

Answer:

You can offer to review the plans appeal process to help him ask the plan to review the coverage decision.

Explanation:


Related Questions

If a person’s diet includes a lot of processed foods and not a lot of fresh fruits or vegetables, failing to meet recommended intakes of ______ is likely.

Answers

Answer:

potassium

Explanation:

Got it right on the test.

If a person's diet consists primarily of processed foods and not a lot of fresh fruit and vegetables, he or she is more likely to fall short of meeting recommended potassium intakes, as fresh foods are high in potassium.

What are the roles of the ions in the body?

The ions' role is important for the body as they maintain equilibrium in the body and there are many ions such as sodium, potassium, calcium, chloride, etc., and if an ionic imbalance is attained in the body, many diseases are seen and the body's homeostasis is affected. In general, eating green vegetables and natural foods balances the ions, whereas eating processed foods creates an imbalance due to the high sodium content of preservative products.

Hence, if a person's diet consists primarily of processed foods and not a lot of fresh fruit and vegetables, he or she is more likely to fall short of meeting recommended potassium intakes, as fresh foods are high in potassium.

Learn more about the roles of ions in the body by clicking here.

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The question is incomplete; the complete question is below.

If a person's diet includes a lot of processed foods and not a lot of fresh fruits or vegetables, failing to meet recommended intakes of _____ is likely. 

A. Sodium 

B. Chloride 

C. Potassium 

D. Calcium

sbar T.N. delivered a healthy male infant 2 hours ago. She had a midline episiotomy. This is her sixth pregnancy. Before this delivery, she was para 4014. She had an epidural block for her labor and delivery. She is now admitted to the postpartum unit. 1. What is important to note in the initial assessment

Answers

Answer and Explanation:

It is important to assess body temperature and the existence of abnormal swellings. It is also necessary to assess urinary production and bowel function, existence of clots or bleeding, breast tenderness, uterus contraction and the patient's emotional state.

These factors are important to be evaluated to determine the level and recovery of the patient the normal functioning of the body, then go through the procedures presented. These procedures determine if the patient will need to be submitted to other procedures that guarantee both his physical and emotional well-being.

A 40-year-old male vegetarian is diagnosed with folate deficiency anemia. He reports that he is an alcoholic. Which of the following factors put him at greatest risk for developing his disease? a. Being vegetarian b. Being alcoholic c. Age d. Gender

Answers

hid gender

because he was diagnosed for folate deficiency anemia

The UB-04 form has space for more diagnosis codes, but it is not possible to link the procedures to a specific diagnosis. True False

Answers

Answer:

True

Explanation:

The UB-04 stands for the uniform billing form.  It is the standard claim form, printed with red ink on white standard paper, used by institutional providers for the billing of medical and mental health claims. The form can accommodate about twelve diagnosis codes, with four codes mapping to a specific CPT code.  The CPT code describes the treatment and diagnostic services that the healthcare institution has provided for a particular diagnosis, ICD-9.

Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of:

Answers

Pelvic inflammatory disease is what I would say

This presentation is most typical of pelvic inflammatory disease. Pelvic

inflammatory disease affects the reproductive organs in females such as:

UterusFallopian tubeOvary

The symptoms include:

Chills NauseaVomitingVaginal discharge etc

It is usually caused by bacteria which causes various degree of inflammation

and can be treated with the use of antibiotics.

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The nurse provides dietary instructions to a client with diabetes mellitus regarding the prescribed diet. Which statement if made by the client indicates a need fir further teaching

Answers

Answer:

A nurses caring for a client after a thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medicine has been prescribed to

treat hypoglycemic tetany.

Prescription: XYZ medication 200 mg, 5 tabs bid x 6 days. How many tablets will be dispensed from the pharmacy?

Answers

Answer:

60 tablets

Explanation:

BID means 2x a day, and it says take 5 tablets 2x a day. So, if 10 tablets are taken in one day for 6 days, then 60 tablets will need to be dispensed by the pharmacy.

Mr. C. is at the grocery store, his niece told him to buy whole grain bread. All of the following statements are true about whole grains products EXCEPT:________
A. Any flour made from the endosperm of the wheat kernel is called wheat flour.
B. Whole grain products contain germ and bran as well asendosperm.
C. Refined-grain products contain germ and bran as well as endosperm.
D. Enriched white flour refers to refined flour.

Answers

The statement given is true except "Refined-grain products contains germ and bran as well as endosperm".

It should be noted that the wheat flour is made from the endosperm of the wheat kernel. Also, the germ, bran, and endosperm are contained in the whole grain.

The refined grain doesn't contain germ or bran because they're removed during the processing. It only contains the endosperm.

In conclusion, the correct option is C.

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Another form of fibrous connective tissue of the body that covers, connects or supports other tissues is called?

Answers

Fibrous connective tissues (figure 1) are the most diverse type of connective tissue. They are also called fibroconnective tissue or connective tissue proper. Reticular fibers are the third type of protein fiber found in connective tissues. This fiber consists of thin strands of collagen that form a network of fibers to support the tissue and other organs to which it is connected.

A 56 year old woman is complaining of vaginal dryness and dyspareunia. She is prescribed this medicine with lesser side effects

Answers

Answer:

osphena (ospemifene)

Explanation:

Osphena would be my guess

How to calculate the heart rate from the electrocardiogram ?​

Answers

Answer:

ECG paper is a grid where time is measured along the horizontal axis.

Each small square is 1 mm in length and represents 0.04 seconds.

Each larger square is 5 mm in length and represents 0.2 seconds.

Voltage is measured along the vertical axis.

10 mm is equal to 1mV in voltage.

The diagram below illustrates the configuration of ECG graph paper and where to measure the components of the ECG wave form

Heart rate can be easily calculated from the ECG strip:

When the rhythm is regular, the heart rate is 300 divided by the number of large squares between the QRS complexes.

For example, if there are 4 large squares between regular QRS complexes, the heart rate is 75 (300/4=75).

The second method can be used with an irregular rhythm to estimate the rate. Count the number of R waves in a 6 second strip and multiply by 10.

For example, if there are 7 R waves in a 6 second strip, the heart rate is 70 (7x10=70).

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