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Ugo [173]
2 years ago
15

What happens if an influenza vaccine shipment has been compromised and/or not stored at appropriate temperatures

Medicine
1 answer:
sergiy2304 [10]2 years ago
4 0

Answer:

It may no longer be effective and cannot be administered

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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
What is the major reason for establishing National Patient Safety Goals (NPSGS)?
sleet_krkn [62]

Answer:

Yea it is NPSGs

Explanation:

hope it helped

8 0
2 years ago
Deep brain stimulation is used as a treatment for the advanced stages of Parkinson’s disease. If you are a neurosurgeon treating
Harlamova29_29 [7]

Answer:

B. Basal Ganglia

Explanation:

Basal Ganglia is in charge of the regulation of normal motor behavior regulation. Parkinson occurs because of a degeneration of:

-Dopaminergic neurons in the substantia nigra of pars compact

-Dopamine in striated nuclei and cytoplasmic protein inclusions known as Lewy bodies

6 0
3 years ago
true or false Athletes participating in high-impact sports are at greater risk for iron-deficiency anemia
Zinaida [17]

Answer:

It is True

Explanation:

Athletes need more iron than the general population. Iron is lost through sweat, skin, urine, the gastrointestinal (GI) tract, and menstruation. Exercise, particularly high intensity and endurance types, increases iron losses by as much as 70% when compared to sedentary populations.

8 0
2 years ago
Which of the following examples listed below illustrates homeostasis maintained by a negative feedback? Select one: a. Release o
Nata [24]

Answer:

Option A, Release of chemical signals by keratinocytes that have been damaged by UV light will increase the production of melanin.

Explanation:

Negtaive feedback mechanism of homeostasis maintains the stability of any internal condition or function through lessening of output of a system or through slow down of a functional system.  

Here in this case the keratinocytes function is reduced by damaging them on exposure to UV light which further triggers the release of chemicals that enhance the production of melanin.

Hence, option A is correct

3 0
3 years ago
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