Competency Assessment Information:Use the following information to complete the Treatment Authorization RequestScenario: Dr. King has ordered an MRI of the knee for Roberto Benini to confirm a diagnosis ofosteomyelitis. The MRI will be done at Northborough Advanced Imaging. The patient is insured throughAetna, which requires preauthorization for this procedurePatient Demographics: Name: Roberto BeniniPhone # (123) 555-1212Address: 77 Treelawn Place Northborough, XY 12345DOB: 12/05/1965Referring Facility: Northborough Advanced ImagingPhone # (123) 555-8900Address: 1500 Broadway Boulevard Northborough, XY 12345Clinic: Dr. Mark King,NPI 9995020212Phone # (123) 456-7890Address: 8600 Main Street, Suite 200, River City, XY 01234 OBTAIN REFERRALS &TREATMENT AUTHORIZATION REQUESTPATIENT INFORMATIONDatePatient NamePhone NumberFDOBREQUESTING PHYSICIAN INFORMATIONPrimary Care PhysicianProvider NumberPhone NumberREQUESTED SERVICESelect service to be performed:OAmbulatory Surgery/ProcedureO Inpatient ServicesCardiac RehabilitationPain ManagementMedicationsDurable Medical EquipmentBiofeedbackMRIO Non-participating ProviderO Physical/Occupational TherapySurgery/procedure/supply/med requestedFacility where service is to be performedFacility AddressPhone NumberFacility City, State, ZipEstimated length of stayProcedure Code:Description:Procedure Code:Description:Diagnosis Code:Description:Diagnosis Code:Description:Signature of Requesting Physician:Date:TO BE COMPLETED BY UTILIZATION MANAGEMENTAuthorizedNot authorizedDeferredAuthorization Request #CommentsModified

Authorization request form It is also called as prior authorization form and is used to get approval…

OBTAIN REFERRALS & TREATMENT AUTHORIZATION REQUEST PATIENT INFORMATION Date Patient Name Phone Number M DOB REQUESTING PHYSICIAN INFORMATION Primary Care Physician Phone Number Provider Number REQUESTED SERVICE Select service to be performed: O Ambulatory Surgery/Procedure O Inpatient Services Cardiac Rehabilitation O Pain Management Medications Durable Medical Equipment Biofeedback MRI O Non-participating Provider O Physical/Occupational Therapy Surgery/procedure/supply/med requested Facility where service is to be performed Facility Address Phone Number Facility City, State, Zip Estimated length of stay Procedure Code: Description: Procedure Code: Description: Diagnosis Code: Description: Diagnosis Code: Description: Signature of Requesting Physician: Date: O OOO

OBTAIN REFERRALS & TREATMENT AUTHORIZATION REQUEST PATIENT INFORMATION Date Patient Name Phone Number M DOB REQUESTING PHYSICIAN INFORMATION Primary Care Physician Phone Number Provider Number REQUESTED SERVICE Select service to be performed: O Ambulatory Surgery/Procedure O Inpatient Services Cardiac Rehabilitation O Pain Management Medications Durable Medical Equipment Biofeedback MRI O Non-participating Provider O Physical/Occupational Therapy Surgery/procedure/supply/med requested Facility where service is to be performed Facility Address Phone Number Facility City, State, Zip Estimated length of stay Procedure Code: Description: Procedure Code: Description: Diagnosis Code: Description: Diagnosis Code: Description: Signature of Requesting Physician: Date: O OOO

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter10: Cpt Anesthesia

Section: Chapter Questions

Problem 3MC

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Case Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…
Case Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…
Case Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…
Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…
Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…
Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…
Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing…
Identify the following questions. It refers to a condition or state of a patient wherein based on the objective findings of a prudent medical officer on duty, there is immediate danger to the patient It refers to a flat fee or predetermined rate paid at point of service It refers to any singular or package of health services provided to Filipinos for the purpose of improving health It refers to coverage of a defined set of health services financed through private payments in the form of a premium to the insurer It refers to services which can be accessed within a health facility or remotely that can be definitively traced back to one recipient, has limited effect at a population level and does not alter the underlying cause of illness It refers to a percentage of a medical charge that is paid by the insured, with the rest paid by the health insurance plan
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As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided. Richard Henderson 58 years old Male Admit diagnosis: GI bleed History: no surgical history Medical history: Gastritis & GERD Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily. Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis.…
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Topic: Hodgkin’s Disease Question: Discuss the role of the nurse in caring for the patient and their family and include the discharge plan