Gloria McGraw, a patient at Broadmoor Medical Clinic, underwent an arthroscopic surgical procedure of her right knee. Dr. Jones's fee for this procedure was $1400; however, the claim payment from her insurance carrier was reduced to $1100 because of UCR provisions. Ms. McGraw doesn't understand why this occurred and asks you to explain. What do you tell her?

Answers

Answer 1

The claims payment from her insurance carrier was reduced to $1100 because of UCR provisions. UCR decides what amount can be paid by the will be charged, it can be less or equal.

What is UCR?

The amount paid in a geographic area for a medical treatment based on what providers in the area typically charge for the same or similar medical service.

The UCR amount is occasionally used to calculate the permissible amount. Amount commonly charged for or covered for similar medically necessary, doctor-recommended, or treatment-required services and supplies.

Therefore, UCR decides what amount can be paid by the will be charged, it can be less or equal.

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Related Questions

How can intellectual wellness be incorporated into one's daily life?

Answers

Intellectual wellness can be nurtured and maintained daily through a variety of practices. For example, reading and writing can help to stimulate the mind by providing a greater understanding of the world around us.

Additionally, engaging in a variety of activities such as puzzles, games, and conversations can help to exercise the brain and encourage problem solving skills. Taking classes or attending lectures can help to expand knowledge and increase intellectual stimulation.

Having a positive attitude and approach to learning can foster creative, intellectual growth. Taking time to reflect on the day and practice mindfulness can help to gain a better understanding of oneself and the world around us.

Finally, taking on new challenges and actively seeking out new experiences can help to foster intellectual curiosity and encourage an individual to grow.

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Why does heart rate and breathing rate increase during exercise?

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When we exercise, the muscles work harder, using more oxygen and emitting more carbon dioxide. To meet this increased demand, the breathing rate must rise from around 15 times per minute (12 liters of air) at rest to roughly 40-60 times per minute (100 litres of air) in activity.

Exercising can help ones avoid gaining weight or keep it off. Physical exercise causes calories to be burned. The higher the intensity of the exercise, the more calories they burn. Regular gym visits are fantastic, but don't panic if users can't find enough time to workout every day. Any level of action is preferable to none at all. To reap the advantages of exercise, just increase your daily activity – take the stairs rather than the elevator, or increase your domestic tasks. Consistency is essential.

There are several reasons why you might not want to workout in a gym. Some folks are frightened in a gym setting. Some people may have difficulty with child care or other issues. Others just want to develop an exercise programmed that they can undertake at home or when travelling and without having access to a gym.

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Average salary for social services in ns

Answers

In Canada, the average salary for a Halifax ns is $30,323, or $15.55 per hour. The average annual salary for an entry-level position is $28,275, while the majority of experienced workers earn up to $47,537.

What is the position in social services that pays the most?

Manager of Corporate Social Responsibility – Average Salary: $80,200.

Median Salary for a Social Policy Analyst: $74,700.

Median Salary for Medical Social Workers: $65,300.

Median Salary for Child and Family Therapists: $63,000.

Specialist/Coordinator of Human Resources – Average Salary: $48,300.

What is a social worker's monthly salary?

The majority of associate professionals in social work will earn between R7 323 and R31 302 per month by 2023. At the start of their careers, social work associate professionals typically earn between R7 323 and R17 528 net per month.

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What are four lifestyle choices?

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Four lifestyle choices that can impact overall health and well-being are diet and nutrition, physical activity, smoking and alcohol consumption, and sleep.

Four lifestyle choices that can impact overall health and well-being include:

Diet and nutrition: What you eat, how much, and how often can affect your overall health and well-being.Physical activity: How active or inactive you are can impact your overall health, including cardiovascular health, muscle and bone strength, and mental health.Smoking and alcohol consumption: These habits can significantly impact overall health and increase the risk of chronic diseases.Sleep: The quality and quantity of sleep you get can affect your overall physical and mental health and well-being.

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the neural layer of the retina prevents excessive scattering of light within the eye.

Answers

False, the neural layer of the retina do not prevents excessive scattering of light within the eye. Rods can only see only one color, and they work best in dim light.

The neural retina, which consists of several layers of neurons coupled by synapses, is supported by the outer layer of pigmented epithelial cells. The primary light-sensing cells in the retina are two different types of photoreceptor cells (rods and cones). Cones control the high-acuity vision required for tasks like reading as well as the sense of color via a variety of opsins, working best in well-lit surroundings. The pupillary light response and the entrainment of circadian cycles depend on the photosensitive ganglion cell, a third type of light-sensing cell.

The complete question is:

The neural layer of the retina prevents excessive scattering of light within the eye. True or false?

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The pediatric nurse knows that there are a number of anatomic and physiologic differences between children and adults. Which statement about the immune systems of infants and young children is true

Answers

One statement that is true about the immune systems of infants and young children is that they have less developed immune systems compared to adults.

Infants and young children have less mature immune systems, which means that they are more susceptible to infections and may have a harder time fighting off illnesses.

They also lack the immunity that comes from exposure to certain infections, which is why they need to receive vaccinations.

Additionally, the thymus, an important organ in the immune system, is also not fully developed in infants and young children, this results in less production of T-cells and less ability to produce immunological memory.

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Activity 3: Relationship Goals
Directions Interview your parents about the following statements on promoting healthy relationship in
mariage and family life. Write your answer inside the box. Rubrics will be use to rate the activity.
Movies, book or music they like.
They have fun when.
Unique things they have in
common.
Qualities they value each other.
Their main goal for the future. ​

Answers

For promoting healthy relationship in marriage and family life : Trust and respect each other, make time for each other, remember details about each other's lives and also engage in healthy activities together.

How to have a healthy relationship in marriage and family life?

Try to spend time with each other and married partners need time together in order to grow strong, explore common interests and intimacy. And learn to negotiate conflict. It is important to show respect for each other at all times.

There are some common features of healthy, happy families that include cohesiveness, open communication, parents leading by example, conflict management, value each other and set goal for future.

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What are 4 lifestyle factors that can improve a person's level of health?

Answers

Get some exercise whenever and whenever you can. Consider using the stairs or getting on the bus a stop earlier if it is safe to do so.

Which are the top three components of good health?

What, then, are actually the most important factors in obtaining optimal health. The following five components have been shown to have the biggest influence on general health and wellbeing: The first five are diet, sleep, activity, posture, and abstention from tobacco, alcohol, and other drugs.

Set aside one day each week for food shopping and create healthy meals that you can freeze and consume later when you don't have time to cook.

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The MOST important similarity among the personality disorders listed in the text is that:
A. disorders of thought, perception, and attention are present.
B. the personality traits are limited to discrete periods of illness.
C. they are inflexible, maladaptive, and related to impaired functioning or distress.
D. they are social in that they involve an inability to form lasting relationships with other people.

Answers

The most important similarity among the personality disorders listed in the text is that they are inflexible, maladaptive, and related to impaired functioning or distress.

When a person has a personality disorder, they think, perceive, feel, or interact with people in a way that is markedly different from how the ordinary person does. People can behave strangely, which can be uncomfortable and upsetting to others, as a result of changes in how they feel and mistaken views about other people.

Having a strict and unhealthy style of thinking, acting, and behaving is a type of mental condition known as a personality disorder. A personality disorder impairs a person's ability to understand and relate to others.

While the specific etiology of personality disorders is unknown, it is believed that a person's genes and early environmental effects, such as a traumatic childhood experience (such as abuse or neglect), may contribute to personality disorders.

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Decades ago, physicians could apply whatever treatment they felt was necessary to patients, many times without the patient’s permission or even knowledge of what was taking place. Most physicians did the very best for their patients, but some used this power to experiment with new ideas or procedures.

Now we have the Patient’s Bill of Rights.

QUESTION: Explain how the Patient’s Bill of Rights helps prevent unethical behavior among medical professionals today. Then give your opinion: Should a person always listen to the recommendation of their doctor in every situation? Give reasons for your answer.

Answers

Patient rights are a subset of human rights. Whereas the concept of human rights refers to minimum standards for the ways persons can expect to be treated by others, the concept of ethics refers to customary standards for the ways persons should treat others. As such, rights and ethics are usually flip sides of the same coin, and behind every ‘patient right’ is one or more ethical principle from which that right is derived. This activity discusses how the interprofessional team can ensure that ethical principles are followed and the patient's rights are assured. Establishing clearly defined patient rights helps standardize care across healthcare fields and enables patients to have uniform expectations during their treatment. According to the American Cancer Society, organizations should develop patient bills of rights “to empower people to take an active role in improving their health, to strengthen the relationships people have with their health care providers, [and] to establish patients’ rights in dealing with insurance companies and other specific situations related to health coverage.” As with other bills of rights, modern bills of patient rights establish that persons can expect certain treatment regardless of their socioeconomic status, religious affiliation, gender, or ethnicity. Commonly established rights tend to derive from a core set of ethical principles, including autonomy of the patient, beneficence, nonmaleficence, (distributive) justice, patient-provider fiduciary (trusting) relationship, and inviolability of human life. The establishment of whether one principle is of greater inherent value than another is a philosophical endeavor that varies from authority to authority. In many situations, beliefs may directly conflict with one another. When a legal standard does not exist, it remains the obligation of the health care provider to prioritize these principles to achieve an acceptable outcome for the patient. This essay analyzes patient rights with respect to their associated ethical principles with accompanying historical perspectives. It also specifies laws or the lack thereof that affect patient rights in the United States. Common sense dictates that rights established to preserve the well-being of an individual person do not always trump the well-being of a collective society. A recent applicable phenomenon includes measures that authorities take to minimize public disease caused by the SARS-CoV-2 virus (COVID-19), such as through the use of vaccines and respiratory tract masking.  Medical therapy essentially always involves a risk vs. benefit determination. The focus of this article is not to establish ethical and legal heuristics or algorithms for prioritizing measures designed to minimize risks to public health that concurrently expose individual persons to theoretical risks.

What is environmental wellness?

Answers

Being in excellent health means spending time in enjoyable, stimulating situations that promote wellbeing. It promotes outdoor recreation and the creation of a tranquil private area.

What effects does the environment have on our health?

Environmental toxins can make conditions like tumors, heart failure, and respiratory issues worse. Low-income people have a higher likelihood to reside in contaminated locations and have access to contaminated water. Additionally, children and pregnant women are more at risk for pollution-related health problems.

Why is the health of the environment important?

How we relate to and deal with the natural world is referred to as our environmental wellbeing. Positive interactions with nature lead to emotions of admiration and thankfulness. These emotions motivate us to safeguard the environment and lead better lives.

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What are 3 types of heat stroke?

Answers

The 3 types of heat strokes are

Heat crampsHeat exhaustionHeat stroke

Heat stroke is the most deadly heat-related illness. It happens when the body's temperature can no longer be controlled: the body's temperature rises fast, perspiration stops, and the body is unable to cool down. Heat stroke causes the body temperature to swiftly rise to 106°F or higher. Heatstroke is a potentially lethal disease induced by excessive body heat.

Heat exhaustion is characterised by profuse sweating and a rapid pulse as a result of your body overheating. It is one of three heat-related diseases, with heat cramps being the mildest and heatstroke being the most serious.

Heat cramps are painful, involuntary muscle spasms that occur after heavy physical activity in hot conditions. The spasms might be more intense and linger longer than regular midnight leg cramps. Heat cramps are typically induced by electrolyte and fluid loss.

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What are any four effects of drug abuse on society

Answers

Answer:

1: Financial instability

2: Contribution to violence

3: Environmental damage

4: Family issues

Answer:

Family history of substance use.

Favorable parental attitudes towards the behavior.

Poor parental monitoring.

Parental substance use.

Family rejection of sexual orientation or gender identity.

Association with delinquent or substance-using peers.

Lack of school connectedness.

What are the top 5 common diseases that we can acquire if your lifestyle is not health?

Answers

1. Obesity
2. Heart disease,including coronary artery disease and heart attack.
3. High cholesterol
4. Stroke
5. Metabolic syndrome

How long do you feel the effects of heat stroke?

Answers

Initial recovery in the hospital takes around 1-2 days; longer when organ damage is diagnosed. According to experts, full recovery after heat stroke as well as its consequences on the major organs could take at least 2 months to one year.

Exertional heatstroke, with a fatality rate of 3 to 5%, has a better prognosis. Some people suffer from long-term organ damage and neurological impairment. You should expect variations in the body temperature over several weeks after recovering from heatstroke.

Seek medical treatment if symptoms need not better after 30-60 minutes. A doctor will provide one or two liters or intravenous (IV) fluids and electrolytes to treat heat exhaustion. While you wait for help, you can do some quick first-aid procedures, such as the following: Get the individual to a shady place. Remove your garments and carefully apply water to your skin before fanning yourself to induce perspiration.

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1. Looking at your food and calorie intake for day one, how would your needs change if you participated in moderately intense activity for an hour? Be sure to state the activity you would participate in. (Please be detailed, specific and thorough with your answers.)

Answers

I participate in athletics and I required a kind of food that is high in calories to supply the required energy.

What is the relationship between food and exercise?

We know that the kind of food that a person takes must be the food that is appropriate for the level of activities that the person is involved in. In other words, a person that is involved in a lot of strenuous activities must have to take a kind of food that is able to supply the energy that is needed to be able to carry on with activities of the day.

On the other hand, for the person that does not involve in a lot of strenuous activities, the person would only require a little amount of calories because he or she does not get involved in much physical activities and then have the strength for it.

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What are 3 benefits of cardiovascular fitness?

Answers

The benefits of Cardiovascular fitness are:

Increase in exercise toleranceReduction in body weightReduction in blood pressure

Cardiovascular fitness is indeed a health-related component of fitness that is achieved by regular physical exercise. Many physiological characteristics, including as heart rate, stroke volume, cardiac output, and maximum oxygen intake, influence a person's capacity to transport oxygen to working muscles.

Understanding the link between cardiorespiratory fitness as well as other types of conditioning necessitates an examination of the changes that occur with increasing aerobic or anaerobic capacity. As aerobic/anaerobic capacity grows, general metabolism rises, muscle metabolism rises, hemoglobin rises, bloodstream buffers raise, venous return rises, stroke volume rises, and the blood bed becomes more adaptable to varied demands. Each of these cardiovascular fitness/cardiorespiratory conditioning outcomes will have a direct favorable influence on muscular endurance and an indirect positive effect on strength and flexibility.

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What are 5 cardiovascular exercises you can do to strengthen your heart?

Answers

Cardiovascular exercises you can do to strengthen your heart are:

Brisk walkingRunningSwimmingCyclingPlaying tennis Jumping rope

Cardiovascular exercise would be any action that involves the use of aerobic metabolism. That is, oxygen is strongly engaged in the cellular activities that provide the energy required to sustain that activity during the activity. Your heart rate increases, and as breathe more deeply in order to optimism the quantity of oxygen in the bloodstream and help you use oxygen more efficiently. As a result, you are more invigorated and do not fatigue easily.

Understanding the link between cardiorespiratory fitness as well as other types of conditioning necessitates an examination of the changes that occur with increasing aerobic or anaerobic capacity. As aerobic/anaerobic capacity grows, general metabolism rises, muscle metabolism rises, hemoglobin rises, bloodstream buffers raise, venous return rises, stroke volume rises, and the blood bed becomes more adaptable to varied demands. Each of these cardiovascular fitness/cardiorespiratory conditioning outcomes will have a direct favorable influence on muscular endurance and an indirect positive effect on strength and flexibility.

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When did food pyramid change?

Answers

In 2005, a hipster version of the traditional food pyramid was produced, complete with a figure ascending stairs. It wasn't around for very long, so it's okay it you don't remember it. The USDA's MyPlate was introduced in 2011 to replace the current food pyramid.

How did the food pyramid alter, and why?

The food pyramid was modified by the U.S. Department of Agriculture in spring 2005 in order to provide a clearer illustration of a healthier diet. The revised prism is based on the most recent, credible scientific evidence regarding the relationship between diet and health.

The FDA updated the food pyramid when?

The USDA pyramid from 1992 was superseded by the one from 2005, which was distinct from it in a number of ways. More focus is placed on the whole carbohydrates and physical exercise in the new pyramid.

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What are some things you can do to be a health advocate?

Answers

Some things you can do to be a health advocate are practicing self-care, not rush decision making, and trust the science.

Have hope in the advances in science, have stopgap in all the exploration that's being conducted each day to find new individual styles and substantiated treatments, and have stopgap in community. These advances have helped humanity overcome the toughest health challenges and will continue to change the course of drug.

Self care is so important. However, seek support — if not for your own health, for the health of the loved bone you ’re minding for, If you ’re a caregiver and feel physically or psychologically exhausted.

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What are 5 balanced diets?

Answers

Foods from the five dietary groups—starchy carbohydrates, vegetables and fruits protein, dairy, and healthy fats—make up a balanced diet. Each offers the variety of minerals and vitamins that our systems require to function properly.

Which five factors make up a balanced diet?

In order to maintain a healthy body and mind, a well-balanced diet offers vital vitamins, minerals, and nutrients. A nutritious diet can also help prevent a number of diseases and health issues, as well as help you stay active, keep your energy levels up, get a better night's sleep, and function more clearly.

Why not give an example of a balanced diet?

All of the necessary nutrients for the human body are present in a balanced diet. A well-balanced meal must contain a variety of nutrients, including water, fats, proteins, fiber, vitamins, minerals, and carbohydrates. Reduces the disease risk or improves general health is a nutrient-rich, well-balanced diet.

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What is the body's reaction to heat?

Answers

The human body responds to heat by increasing blood flow to the skin's surface and sweating. Heat may be created within the body, and if not expelled quickly enough, the core body temperature increases.

Rapid heat gain caused by exposure to hotter-than-average circumstances affects the body's capacity to regulate temperature and can result in a chain reaction of disorders such as heat cramps, heat exhaustion, heatstroke, and hyperthermia.

Heat exhaustion, if left untreated, can develop to heatstroke, a potentially fatal disease that happens when core body temperature hits 104°F (40°C) or higher. Higher temperatures can cause nerve fibres to malfunction. This implies that messages can't always reach to and from the brain. As a result, one may have weariness, weakness, or balance or vision issues. A heated atmosphere has been found to have an effect on the brain, with discomfort reducing cognitive ability.

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EASY POINTS FOR EVERYONE

Answers

Answer:

thanks man

Explanation:

What can you do to make yourself more physically active explain * Your answer?

Answers

- exercise
- walk to places
- opt for climbing the stairs

hailey has recently joined the hospital as a nurse in labor and delivery. since she started, she has received verbal harassment from her colleagues. often her possessions are moved and her paperwork goes missing. what type of violence does this scenario depict?

Answers

Often Hailey's possessions are moved and her paperwork goes missing. Worker on worker type of violence this scenario depicts.

Workplace violence, also known as occupational violence, is defined as violence, generally in the form of physical abuse or threat, that endangers the health and safety of an employee or a group of employees. The National Institute for Occupational Safety and Health classifies workplace violence into four categories: worker-on-worker, personal relationship, customer/client, and criminal purpose.

These four categories are divided into three levels: Level one shows early beginnings of aggression, Level two is slightly more aggressive, and Level three is extremely violent. Many organisations have implemented systems and practises to safeguard their employees, as the Occupational Health Act of 1970 requires employers to create an atmosphere free of damage or hazardous situations.

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When did the first food pyramid come out?

Answers

1992 saw the release of the first food pyramid. The USDA's initial set of recommendations, the Dietary Guide Pyramid, includes suggested servings for every one of the food types.

When was the food pyramid created?

The food pyramid that comes to mind is probably the one that was formally adopted by the US Department of Agriculture in 1992. Six food groups are split into four tiers in the 1992 food pyramid.

Who created the pyramid of nutritious foods?

Based on a "more to less" idea created in Sweden in the 1970s, Nutrition Australia first presented the Healthy Food Pyramid in 1980.

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How do physical activities help you in your daily life since we are still in the pandemic?

Answers

Answer:

The average person is fatbdwbqb

Explanation:

.

Which best describes why some elderly people do not access mental health care? A. Their family members discourage them from seeking professional care . They feel that mental health symptoms are normal for their age. They do not know any other people who are accessing mental health care . . Psychiatrists typically only provide care for adolescents and middle- aged adults E. Mental health care services are too expensive for many senior citizens.

Answers

they feel that mental health symptoms are normal for their age.

Answer:

I think its either (They feel that mental health symptoms are normal for their age).

It also can be (E- mental health care services are too expensive for many senior citizens.)

Explanation:

old people are are stubborn and can argue that mental health is not important

Many health care service charge way to much money too.

How can you use technology to help you be more active?

Answers

Heart rate monitors, accelerometers, and pedometers have all been employed as motivating aids for many years. Global positioning systems (GPS), geographic information systems (GIS), interactive video games, and persuasive technology are some of the more recent technologies and strategies being utilised to encourage physical exercise.

What physical technology examples can you give?

Any tangible tool used by a person to complete a task is considered physical technology. This can apply to electrical devices like computers and electronic equipment.

Computers may be used to compose documents or view images in addition to accessing cyber tools.

Fitness trackers and smartwatches are examples of wearable technology that are growing in popularity since they provide a handy method to monitor your fitness progress.

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According to the author, the decline of tennis in the United States comes primarily as a result of the A popularity of sports such as baseball, basketball, and football B trouble involved in player development C difficulty of playing tennis D small number of accessible tennis courts E retirement of Pete Sampras

Answers

The key factor for tennis' decline in the United States, according to the author, is the problem with player development.

Which country invented tennis?

Tennis is an amazing sport that is today played for fun or competitively on a variety of surfaces by a vast number of people. The jeu de paume, which originated in France in the eleventh century and was developed and standardized in England in the 1870s, is the immediate ancestor of this game.

The British colonizers introduced tennis to India in the 1880s, and it immediately became a popular sport. BK Nehru and Sardar Nihal Singh eventually joined as M Saleem, the Fayzee brothers, and Jagat Mohan Lal who proceeded to the Wimbledon's final 16 stages.

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