which term applies to a doctor who has a contract with your health plan?

Answers

Answer 1

An in-network provider is a term used to describe a doctor who has a contractual agreement with your health plan. These healthcare professionals or facilities have established a formal relationship with your health insurance company.

As part of this arrangement, they agree to provide medical services to insured individuals at negotiated rates.

By choosing an in-network provider, you can take advantage of the benefits offered by your health plan, such as lower out-of-pocket costs and coverage for the services provided.

In-network providers are typically preferred due to their contractual relationship with the health insurance company, which helps ensure that the costs of the services rendered are more predictable and manageable for both the patient and the insurance provider.

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Related Questions

Acquired specific immunity involves all the following except
O B lymphocytes
O T lymphocytes
O Specificity
O Memory
O Slow response to a pathogen that has been present before

Answers

Acquired specific immunity involves all the following except B lymphocytes.

Acquired specific immunity involves T lymphocytes, specificity, memory, and slow response to a pathogen that has been present before.

B lymphocytes are involved in the production of antibodies (also known as B cell immunity or humoral immunity) which is one type of acquired immunity. T lymphocytes on the other hand play a key role in acquiring specific immunity by recognizing and attacking specific pathogens directly, as well as by activating and regulating other immune cells. In the both types of immunity, they normally work together to provide acquired specific immunity to pathogens.

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A good nursing decision maker is one who:

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A good nursing decision-maker is one who uses colorful models to guide the process grounded on the circumstances of the situation.

The first step is to make sure that the nanny director has an accurate understanding of the problem of conflict. The quality of the outgrowth of resolving a problem depends on proper recognition and identification of the problem or issue.

The nanny leader is working on resolving conflicts between platoon members. Which action indicates that the nanny is involved in the formative conflict? Making use of authentic or genuine communication may help in resolving conflict between platoon members.

The mortal relations proposition is the most useful to nanny directors because it stresses the significance of the existent as well as the group relationship. It emphasizes the part of psychology and sociology in the understanding of an individual as well as group geste in an association.

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escherichia coli o157:h7 is mainly associated with ground poultry. T/F

Answers

Answer:

false

Explanation:

During the primary assessment, circulation is evaluated by assessing:

Answers

During the primary assessment, circulation is evaluated by assessing: pulse quality, external bleeding, and skin condition.

Fingertips should be used for palpation, and the intensity of the pulse should be graded from 0 to 4 +: 0 indicates that there is no palpable pulse; 1 + that there is a faint but detectable pulse; 2 + that there is a slightly reduced pulse than normal; 3 + that there is a normal pulse; and 4 + that there is a bounding pulse.

When there is a rupture in the skin, external bleeding occurs. Blood leaving the body naturally through an orifice, such as the mouth, might also indicate blood loss from injured tissue.

Acne, clogged skin follicles that produce oil, germs, and dead tissue buildup in your pores are a few of the most prevalent skin conditions. Alopecia areata, which causes patchy hair loss. Eczema caused by allergies, dry, itchy skin.

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developer strength can be checked by using:

Answers

The developer strength can be checked by both-using a reference radiographs and using a step wedge radiograph.

Reference radiographs are the images produced by radiation, usually by x-rays. These radiations recorded on a radiosensitive surface, such as photographic film, or by photographing a fluoroscopic image. These are also called radiogram, shadowgraph, skiagram, skiagraph.

A step wedge (or step wedge) is basically used for quality control in radiology, and photography. It help in assessing the impact that the exposure parameters can have on the radiographic image.

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a complete, living entity capable of independ existence is called a(n):

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A complete living entity capable of independent existence is called an "organism".

An organism is a complete, living entity that is capable of independent existence. This means that it has all the necessary components, such as cells, tissues, and organs, to carry out the functions necessary for life, such as growth, reproduction, and response to the environment. Organisms can be classified into different groups based on their characteristics, such as plants, animals, fungi, and bacteria.

Organisms can vary greatly in size, shape, and complexity, from single-celled organisms such as bacteria to multicellular organisms such as humans. All organisms share common characteristics, such as the ability to grow, reproduce, respond to their environment, and maintain homeostasis. 

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A 23-year-old male experienced severe head trauma after his motorcycle collided with an oncoming truck. He is unconscious, has rapid and shallow breathing, and has copious bloody secretions in his mouth. How should you manage his airway?

Answers

How to manage his airway when having a head injury and bleeding is to position your head a little higher and then give rescue breaths.

What is head trauma?

Head injury (head trauma) is a problem in the structure of the head due to a collision that has the potential to cause disturbances in brain function. These problems can be minor injuries, bruises on the scalp, swelling, bleeding, skull fractures, or concussion.

Head injuries occur when there is a hard impact, especially one that directly hits the head. The severity of the injury will depend on the mechanism and the severity of the impact experienced by the sufferer.

If an accident occurs and results in a head injury, it is necessary to ensure the person's airway. how to manage his airway is to position the head slightly higher and give rescue breaths.

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A patient's urine output was 800 mL/hr. Following a treatment, the patient's urine output increased to 1.200 mL/hr. What is the percent change in urine output? (Round the answer to the nearest whole number.)

Answers

25% percent change in urine output.

800 to 000 milliliters of pee per day are within the typical range for 24-hour urine volume ( with a normal fluid input of about 2 liters per day). Adults typically pass between three mugs and three quarts (700 milliliters and three liters) of urine every day.

The condition is known as polyuria and may be present in individuals who urinate in excessive amounts. It's not necessarily a symptom of illness when someone has frequent urinating. Most individuals typically urinate 6 to 7 times per day throughout the course of a 24-hour period.

If a person uses the restroom 4 times per day and is healthy and content with this frequently, this can also be considered normal. Low urine outputs are referred to as oliguria in medicine.

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A patient's urinalysis shows her urine is pH 4.5. Will the kidneys be able to compensate any further her acidosis

Answers

Yes, The  kidneys will be  suitable to compensate for the acidosis caused by a pH of4.5,

Though not to the same degree as when the pH is advanced. The  feathers are  suitable to excrete  redundant acid or base in the urine in order to maintain the pH balance in the body. When the pH is lower, the  feathers aren't  suitable to excrete as important acid, and so the body won't be  suitable to  fully  relieve itself of the  redundant acid. This means that the acidosis will still be present, indeed if the  feathers are  suitable to compensate. In order to completely correct the acidosis, other treatments,  similar as sodium bicarbonate, may be necessary in order to bring the pH back to a normal  position. A case with a pH of4.5 should be covered  nearly for signs of acidosis and other complications.

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What is the name of the medical condition of an asthmatic patient with a blood pH of 7.30?
Select one:
a. metabolic alkalosis
b. respiratory alkalosis
c. respiratory acidosis
d. metabolic acidosis
e. diabetes mellitus

Answers

The name of the medical condition of an asthmatic patient with a blood pH of 7.30 is : c. respiratory acidosis

What is respiratory acidosis?

Respiratory acidosis is a condition that occurs when lungs can not remove all the carbon dioxide produced by body. This causes blood and other body fluids to become too acidic. Respiratory acidosis symptoms are : confusion, fatigue, lethargy, shortness of breath and sleepiness.

Respiratory acidosis is acid-base balance disturbance due to alveolar hypoventilation. Production of carbon dioxide happens rapidly and failure of ventilation increases the partial pressure of arterial carbon dioxide (PaCO2). Normal reference range for PaCO2 is about 35-45 mm Hg.

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an active older adult client rock climbs and snowboards in the free time. which will the nurse recommend to reduce the risk of broken bones?

Answers

An active adult client rock climbs and snowboards in his spare time, which would be recommended by a nurse to reduce the risk of back fractures.

Many muscles are worked when you rock climb, including both the upper and lower body muscles, including the back, abs, shoulders, arms, and legs. Your fingers are also trained when climbing a rock. If done regularly, rock climbing can increase the flexibility and agility of the body and strengthen the muscles of the body.

Backbone endurance is very important in rock climbing and snowboards. So, this exercise is great for bone health and reduces the risk of fractures.

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Next, the doctor hands you a chart for a patient for whom he is recommending allergy shots to treat severe allergies. You are to make sure the insurance company will cover this procedure. What is the name of the procedure for which you will request preauthorization from the insurance company?

Answers

Answer:

Allergy Immunotherapy or Allergy Shots

Explanation:

It's a method of treatment that uses small doses of the substances that cause the allergies(allergens) to help the body build immunity to them over time. It's a common procedure used to treat allergies, but it requires preauthorization from the insurance company to ensure coverage.

General claims information??

Answers

In healthcare, a general claim is a request for payment for services rendered. It typically includes information such as the date of service, the provider of the service, and the cost of the service.

Claims are typically submitted by healthcare providers, such as hospitals, doctors, and other medical professionals, to insurance companies, government programs, or other payers. The insurance company or payer will then review the claim to determine if it is eligible for payment and, if so, how much they will pay. Claims can be denied if they do not meet the criteria set by the insurance company or payer, if they are not properly coded, or if they are duplicates. 

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ACTIVE LEARNING TEMPLATE MEDICATION
Medication Acetaminophen
PURPOSE OF MEDICATION
Expected Pharmacological Action:
Therapeutic Use:
Complications:
Medication Administration:
Contraindications/Precautions:
Nursing Interventions:
Interactions:
Client Education:
Evaluation of Medication:
Effectiveness:

Answers

Answer:

PLEASE mark brainliest!!

Expected Pharmacological Action: Pain relief, fever reducer

Therapeutic use: To treat mild to moderate pain from headaches, muscle aches, arthritis, toothaches, colds, and reduce fever.

Complications: Rare: Bloody or black stools, cloudy or bloody urine, fever with or without chills, sore throat, skin rash, itching, unusual bleeding, tiredness, jaundice, sores ulcers, white spots, jaundice.

Medication Administration: Oral: Immediate release 325 mg to 1 g orally every 4 to 6 hrs. Ext release 1300 mg orally every 8 hrs.

Contraindications/Precautions: Most common is nausea, vomiting, constipation

Nursing Interventions: Do not exceed 4000 mg per day. If given for analgesia, assess onset, type, location, duration of pain. Assess for clinical improvement and relief of pain, fever, severity of pain or fever.

Interactions: Drug: caffeine, Benadryl, codeine, fluticasone nasal, hydrocodone, ibuprofen, guaifenesin, prednisone, tramadol, naproxen. Alcohol. Disease: alcoholism, liver disease, phenylketonuria.

Client Education: Stop taking medication and call provider if you are having serious side effects such as nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice. Do not self medicate.

Evaluation of Medication Effectiveness: When pain has subsided.

Explanation:

A short backboard or vest-style immobilization device is indicated for patients who:

Answers

A short backboard or vest-style immobilization device is indicated for patients who are in a sitting position and are clinically stable.

This tool is used in conjunction with a stiff extrication collar, a blanket roll, or a cervical/head immobilization device. A stable wounded patient is transferred from a vehicle onto a long backboard using a short backboard. The majority of ambulance services have switched to more contemporary vest-style equipment, including a KED.

Short spine boards, also known as CPR boards, are suitable for usage in small areas (such as automobiles, confined rooms in homes, etc.) but come at the expense of not supporting the patient's legs. They allow the patient's torso to be secured and immobilized with the utilization of considerably less space. Only experts who have received training and are familiar with using the short spine board should be involved in its usage, as is the case with other EMS equipment. Short spine boards are rarely used, and they are typically only used until it is safe and practicable to convert to a long spine board. On soft surfaces like mattresses, short spine boards are frequently utilized as a support.

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exemption from immunizations for reasons of conscience

Answers

Exemption from immunizations for reasons of conscience refers to the legal provision that allows individuals to opt out of receiving vaccinations for religious or personal beliefs.

 

This exemption may vary depending on the country's or state's laws. In some cases, the exemption may only be allowed for religious reasons, while in others it may also be allowed for personal or philosophical reasons. However, it's important to note that exemptions from vaccinations can pose a risk to public health by decreasing the overall herd immunity, making it easier for diseases to spread. Some studies have shown that exemptions can contribute to the outbreak of vaccine-preventable diseases. 

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The Gram stain would not be an effective tool to assist in the identification of this pathogen:
A. Listeria monocytogenes
B. Giardia lamblia
C. Yesrsinia pestis
D. Clostridium tetani
E. Shigella dysentariae
F. the identification of all of the above can by aided by performing a Gram stain

Answers

The Gram stain would not be an effective tool to assist in the identification of this pathogen: D. Clostridium tetani

What are the two potential limits of Gram staining?

Remember the diagnostic limits of sputum Gram's stain and culture, such as the inability to see atypical organisms, contamination by oral flora, and the difficulties some patients have in providing appropriate specimens.

Gram staining differentiates between Gram positive and Gram negative groups by colouring cells red or violet. Gram-positive bacteria stain violet because their cell walls include a thick coating of peptidoglycan, which preserves the crystal violet with which they are stained.

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How long does it take to become an anesthesiologist?

Answers

Answer:

12 to 14 years

Explanation:

during a myelogram performed with the patient prone, why is a positioning block (bolster) placed under the abdomen for the lumbar puncture?

Answers

A positioning block (bolster) is placed under the abdomen for the lumbar puncture the location of the lumbar puncture is higher than the cervical spine's lordosis.

Myelograms are medical diagnostic tests that are typically performed by radiologists. In order to examine for issues in the spinal canal, contrasting agent and X-rays or computerized tomography (CT) are used. The spinal cord,  and other structures are susceptible to disorders. Another name for this examination is myelography.

The majority of cervical lordosis instances show minimal symptoms and don't immediately endanger the patient's health. But if action isn't made to treat the problem, it'll virtually surely deteriorate over time. This inevitably results in discomfort and inflammation over the long run.

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A seizure may be a medical emergency if it lasts 5 minutes or longer.
a. True
b. False

Answers

The given statement "A seizure may be a medical emergency if it lasts 5 minutes or longer" is true (T) because a seizure that lasts 5 minutes or longer could be a dangerous prolonged seizure.

 

If a seizure lasts five minutes or more, it can be a medical emergency. This is known as a prolonged seizure or "status epilepticus". Prolonged seizures can be dangerous, as they can cause brain damage, injury, or even death if not treated promptly.

Seizures that last longer than 5 minutes may indicate that the individual is not responding to treatment or that they have a condition that makes them more susceptible to prolonged seizures. It is important to get medical help right away if a seizure lasts longer than 5 minutes or if the person has more than one seizure without coming to. 

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hypertrophy or slackening of the eyelid is termed

Answers

Blepharochalasis is termed as hypertrophy or slackening of the eyelid .It is a rare condition occurs to mostly children.

A rare condition affecting the eyelids called blepharochalasis frequently manifests in early adolescence or childhood. Upper and occasionally lower eyelid edoema that is painless manifests in flare-ups and remissions.

A uncommon illness called blepharochalasis causes your eyelids to swell up without any pain. Experts are unsure about its root cause. The majority of blepharochalasis sufferers have intermittent symptomatic bouts that last a few years.

The unusual illness known as blepharochalasis is characterised by repeated episodes of painless, non-pitting oedema of both upper lids that typically go away on their own within a few days. Puberty is typically the time of presentation, and episodes get sporadic over time. As soon as you notice any changes in your eyes, especially if there is swelling, consult a doctor or eye care professional.

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How long does it take to become an anesthesiologist?

Answers

To become an anesthetist, a general practitioner must study anesthesiology specialist for at least 8 semesters.

What is anesthesia?

Anesthesia relieves pain and discomfort during surgery or other medical procedures. Anesthesia consists of various types, from local to general, with different risks of side effects.

The way anesthesia works are by stopping or blocking nerve signals in the brain and body so that the patient does not feel pain during certain surgeries or medical procedures.

Anesthesia can be given in various forms, such as ointments, sprays, injections, or gases that must be inhaled by the patient. An anesthesiologist must also perform anesthesia.

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How do i get my dad to come back with the milk

Answers

Answer:

By telling him to come back from the store with milk.

Explanation:

?

A fracture is MOST accurately defined as a(n):

A. total loss of function in a bone.
B. abnormality in the structure of a bone.
C. disruption in the midshaft of a bone.
D. break in the continuity of the bone.

Answers

Answer:

d

Explanation:

A patient's refusal of EMS treatment and/or transport must be:

Group of answer choices



an informed refusal.



authorized by a judge.



reported to the police.



witnessed by a notary.

Answers

Answer:

an informed refusal

Explanation:

The _____ nervous system is composed of the brain and spinal cord.A. AutonomicB. PeripheralC. AfferentD. EfferentE. Central

Answers

The central nervous system is composed of the brain and spinal cord.

The central nervous system (CNS) is the portion of the nervous system that includes the brain and spinal cord. Because the brain integrates incoming information and coordinates and regulates the activity of all parts of the bodies of bilaterally symmetric and triploblastic animals—that is, all multicellular organisms save sponges and diploblasts—it is dubbed the CNS. It is a structure made up of nerve tissue that runs from the rostral (nose end) to the caudal (tail end) axis of the body, with an expanded part at the rostral end that is a brain. A genuine brain is found only in arthropods, cephalopods, and vertebrates (precursor structures exist in onychophorans, gastropods and lancelets).

The meninges surround the brain and spinal cord in vertebrates. The meninges act as a barrier to substances dissolved in the blood, shielding the brain from the majority of neurotoxins contained in food. The brain and spinal cord are bathed in cerebral spinal fluid within the meninges, which substitutes the body fluid present outside the cells of all bilateral mammals.

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Lifeguard Acronyms Study
Guide

Answers

A lifeguard acronyms study guide is a reference tool that lists and explains various acronyms and abbreviations used in the field of lifeguarding. It is intended to help lifeguards understand and remember important terms and phrases used in their work.

This guide contains common acronyms that are used in pool, beach, and water park lifeguarding. It includes acronyms related to pool operations, first aid, rescue techniques, and emergency response procedures. Some examples of acronyms that may be included in a lifeguard acronym study guide are BLS (basic life support), CPR (cardiopulmonary resuscitation), AED (automated external defibrillator), and many more. It is a useful resource for both new and experienced lifeguards to quickly and easily reference important information. 

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two ways that hostility can affect the body are through stress on the heart and

Answers

Answer: cardiovascular reactivity

Explanation:

According to Burns, the results suggest that hostility may operate in concert with dimensions of job stress to affect cardiovascular reactivity, and presumably CHD. Various theories have been proposed to explain the development of hostility, including parental behavior that is overly strict, critical and demanding of conformity.

What is cetirizine hydrochloride and pseudoephedrine hydrochloride?

Answers

Cetirizine and pseudoephedrine is an antihistamine and decongestant combination used to treat the symptoms of seasonal or annual allergies.

Cetirizine, often known as Zyrtec, is a second-generation antihistamine used to treat allergic rhinitis, dermatitis, and urticaria. It is administered orally. The effects usually start within thirty minutes and persist around a day. Cetirizine is an antihistamine medication that relieves allergy symptoms. It is used to treat the following conditions: hay fever. conjunctivitis (red, itchy eye) (red, itchy eye).

Pseudoephedrine is an antihistamine that is used to treat nasal or sinus congestion caused by the common cold, sinusitis, hay fever, and other respiratory allergies. It is also used to treat ear congestion caused by inflammation or infection of the ear. It is possible to have nausea, vomiting, difficulty sleeping, dizziness, headache, or anxiousness. Inform your doctor or pharmacist right once if any of these symptoms persist or worsen.

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Which of the following agents can cause adverse effects such as gastritis, hypertension, and congestive heart failure?
A

Muscle relaxants.
B

Antihistamines.
C

Anticoagulants.
D

NSAIDs.

Answers

The Coorrect answer is Option D. NSAIDs

What is NSAIDs?

The medications known as Non-steroidal anti-inflammatory drugs (NSAIDs) are frequently used to treat pain, lessen inflammation, and lower a high body temperature.

NSAIDs come in a variety of forms, including tablets, capsules, suppositories (capsules placed in the lower intestine), lotions, gels, and injections.

Types of NSAIDsIbuprofenNaproxenDiclofenacCelecoxibMefenamic acidThey're often used to relieve symptoms of:HeadachesPainful periodsSprains and strainsColds and fluCoronavirus (COVID-19)Conditions such as arthritis that can cause long-term painWhat are the  side effects of NSAIDs?

These tend to be more frequent if you've been taking large amounts for a while, are elderly, or have other health issues.

NSAIDs sold over the counter typically have fewer negative effects than more potent prescription drugs.

Indigestion – including stomach aches, feeling sick and diarrhoeaStomach ulcers – these can cause internal bleeding and anaemia; extra medicine to protect your stomach may be prescribed to help reduce this riskHeadachesDrowsinessDizzinessAllergic reactionsin rare cases, problems with your liver, kidneys or heart and circulation, such as heart failure, heart attacks and strokes

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