Four examples of how you think elderly people living in care facilities can benefit from culture change are {core values, respect and dignity self-determination}
Answer:
The a.nswer is smooth endoplasmic reticulum
Explanation:
The smooth endoplasmic reticulum is responsible for the synthesis of lipids (including phospholipids, cholesterol required for many hormones, ceramides, lipoproteins), calcium storage, and cell detoxification (in liver cells).
Answer: i think it could be the habitat in which the agent normally lives, grows, and multiplies.
Explanation: Basically, the reservoir may or may not be the source from which an agent is transferred to a host.
Exercise should include all four types: endurance, strength, balance, and flexibility, according to research. Each one offers various advantages. The ability to perform one sort can also help you perform the others better, and variation lowers boredom and injury risk.
our breathing and heart rate rise when we engage in endurance exercises, also known as aerobic exercises. we may maintain your health, increase our fitness, and carry out the daily duties we need to undertake with the support of these exercises. The health of our heart, lungs, and circulatory system are all improved by endurance training. Stretching can improve our flexibility.
Moving more freely will make it easier for us to reach down to tie our shoes or look over our shoulder when we back our car out of the driveway. Balance exercises help prevent falls, a common problem in older adults that can have serious consequences. Many lower-body strength exercises also will improve our balance. Strong muscles help us stay independent and make everyday activities feel easier.
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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.
