Step treatment and the prior authorization quantity limit are two instances of the coverage rules.
<h3>
What is drug utilization management (UM) rules?</h3>
The following are utilization management restrictions that your Medicare Part D (PDP) or Medicare Advantage plan (MAPD) may impose on your prescription medications: Limiting the amount of a specific medication you can receive in a set period of time.
Prior Authorization is the practice of forcing plan participants to get plan approval prior to filling a prescription.
Step Therapy is the practice of requiring plan participants to first try less expensive drugs (such generics) before switching to a more expensive one (usually a brand-name drug).
Any formulary drug offered by your Medicare drug plan may be subject to utilization management restrictions, and this list may change from year to year. If you continue to use the same drug plan the following year, you may discover that some of your formulary medications now fall under this category.
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The correct answers is A PATIENT'S NAME AND BIRTH DATE.
The general section of a medical record is dedicated to the bio data of patients, data such as name, birth date, occupation, residential address, next of kin, telephone numbers and other similar information.
Answer: A Bone Marrow or stem cell transplant
Explanation:
A bone marrow transplant is a medical procedure performed to replace bone marrow that has been damaged or destroyed by; disease, for example: pancytopenia, infection, or chemotherapy.
This procedure involves transplanting blood stem cells to replace damaged bone marrow with healthy stem cells and promote growth of new marrow. This helps your body make enough white blood cells, platelets, or red blood cells to avoid infections, bleeding disorders, or anemia.
Thus, correcting the bone marrow deficiency.
