Answer:
d. Radial
Explanation:
Pulse which can be felt in the areas of body where the artery present there is close to surface of the skin and to bone. Common pulse sites include carotid, temporal, brachial, radial, etc.
<u>The radial pulse is the pulse which is located at the thumb site of wrist in the body. It is located approximately 1 inch above base of thumb. The site is the most common site for measuring pulse rate.</u>
Answer:
it's C (ultrasound)
Explanation:
it's not cochlear implant because cochlear is for your ears
it's not laser light because laser light surgery is used to repair skin
brachytherapy is used for cancer treatment (usually prostate)
electrical impedance tomography is used to form a tomographic image
ultrasound therapy is used to reduce swelling
so it's ultrasound (C)
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.
The nurse should be aware of free ribosomes that is found within the cytoplasm of the cell while she is reviewing cellular structure in preparation for admitting a client with a genetic disorder.
Difference between free and attached ribosomes
- The cell's protein production facility is known as the ribosome, a tiny spherical organelle.
- The nucleolus of the cell produces ribosomes, which are then moved to the cytoplasm.
- The cytoplasm contains two different kinds of ribosomes. They might be bound (connected) or free form.
- Free ribosomes are not attached and are found freely in the cytoplasm, whereas attached ribosomes are associated to the endoplasmic reticulum.
- In the cytoplasm, free ribosomes synthesize proteins. The majority of the proteins that free proteins synthesize are used by cells.
- The metabolism of macromolecules is regulated by the majority of these proteins, which are enzymes.
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