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Anna71 [15]
2 years ago
12

Which describes Highly Active AntiRetroviral Therapy (HAART)?

Medicine
1 answer:
monitta2 years ago
8 0
B a combination of fun it’s that are used to decrease the viral load of hiv in an infected persons blood
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How are outpatient pharmacies reimbursed?
Svetach [21]
A Drug Trend report published in 2009 had predicted continued price increase among traditional branded and biotech drugs that lack generic competition. Now, further, CMS has reduced its Average Sales price (ASP) margin from 6 percent to 4 percent for non-pass-thorough. This has affected pharmacy reimbursement. However, there are certain other aspects of Pharmacy Billing that can affect reimbursement and thereby the Revenue Cycle Management (RCM) process if not well implemented.

1. Data Workflow:

Recognizing how the revenue cycle works in pharmacy is very essential. Procurement to Inventory, billing and reimbursement involves purchase of medications, their storage, and method of dispensing, how they are administered, way they are coded & billed, and finally reimbursed. If the drug is covered as a pharmacy benefit, or the payer needs that to be obtained via a specialty pharmacy as identified through patient-specific benefit verification, then here both the provider and the pharmacy are part of the reimbursement process. The physician writes a prescription and orders the drug. This is followed by the pharmacy that fills the order and issues the drug to the physician, CMHC, or hospital outpatient department. Here the pharmacy bills the insurance company for the drug. If any information is entered incorrectly into the pharmacy system in the initial phase of the cycle, errors can prove to be costly, impacting aspects of clinical and revenue cycle.

2. Procurement:

During this phase information is converted from purchased quantities and pricing to storage units of measure (UOM) and inventory costs. Manually entering the data is followed in most cases. UOM conversions, when data is uploaded from the wholesale distributor to the pharmacy system, are also checked and verified manually. Here too mistakes can lead to breakdown in the revenue cycle management (RCM) process.

3. The Charge master:

Critical & substantial revenue leakage can occur when separately reimbursable medications are either missing from or miscoded in the charge master. Conversion of pharmaceutical quantities is a must from purchased amounts to patient-administered amounts, and only then made billable. There is often a difference between dosage amounts required for patient use as from that purchased. Besides inventory, the clinician and pharmacist should convert dosage, strength, and delivery mechanism for each drug. Drug data must be correctly converted from the quantities residing in clinical systems into the payer-billable quantities appropriate for the financial system or charge master. The UOMs must be reconciled to avoid any under- or over-payments. More than often, missing or incorrect data in the charge master can result in negative financial consequences – denied claims, partial reimbursement, and compliance risks.

4. Linkages between Purchases & Billing:

Most hospitals have separate processes to order drugs, administer them, and process reimbursement. Without linkage between pharmacy expenditures for medications (i.e., spend data) and the charge master, ensuring proper charge capture and optimal reimbursement is a challenge. Besides hospitals should have automated tools to identify charge capture errors precisely, so as to pinpoint when and where their occurrence to decreasing revenue loss.
6 0
2 years ago
Inflammation of the small intestine caused by eating or drinking substances contaminated with viral and bacterial pathogens true
Free_Kalibri [48]

It is True.

Inflammation of the small intestine caused by eating or drinking substances contaminated with viral or bacterial pathogens is called enteritis.

<h3>What is called inflammation?</h3>

Inflammation is a necessary aspect of the healing process in your body. It happens when inflammatory cells migrate to the site of an injury or foreign substance, such as bacteria. Chronic inflammation may result if inflammatory cells remain for an extended period of time.

<h3>What causes inflammation of the small intestine?</h3>

The inflammation of your small intestine is known as enteritis. It might also affect your stomach (gastroenteritis) or colon (enterocolitis). It is frequently the result of a viral, bacterial, or parasitic illness (food poisoning, stomach bug or the stomach flu). It can be caused by radiation, medications, or illness.

To learn more about inflammation from the given link

brainly.com/question/14673970

#SPJ4

7 0
1 year ago
Protection against illegal searches and seizures is specified by
olasank [31]

Answer:

<u>A. The Fourth Amendment</u>

Explanation:

The Fourth Amendment to the U.S. Constitution protects people's rights to be secure in their "persons, houses, papers, and effects", meaning that the government can not do searches and seizures to people's properties or belongings unless those searches and seizures are deemed reasonable under the law or legal and follow certain conditions. This Amendment was designed to protect people's privacy and to limit the government power so they can not act at the expense of citizen's rights.

7 0
3 years ago
I have to label all of the bones of the body..I need anlot of help!!<br>​
Veseljchak [2.6K]
Skill neck arms ribs hands leg foot
3 0
2 years ago
A surgical puncture of the abdominal cavity to remove excess fluid is known as
igor_vitrenko [27]

Answer: A surgical puncture of the abdominal cavity to remove excess fluid is known as abdominocentesis

Explanation: Abdominocentesis is a surgical procedure carried out by a train health personnel. It involves puncturing of the peritoneal cavity of the abdomen to access fluid which is drained and used for further diagnosis. Usually the fluid is drained by gravity, a syringe or by connection to a vacuum bottle. The procedure is carried out to:

- relieve abdominal pressure from ascites.

-to diagnose bacterial peritonitis.

-to diagnose blood in peritoneal space in trauma cases.

8 0
3 years ago
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