a review of individual cases by a committee

Answers

Answer 1

"A review of individual cases by a committee to make sure that services are medically necessary and to study how providers use medical care resources is called a utilization review. This is further explained below.

What is utilization review?

Generally, One way to ensure that treatments are medically essential and to examine how healthcare practitioners utilize resources is to conduct a utilization review, which is a committee examination of individual cases.

In conclusion, An utilization review is the process by which individual cases are examined on a case-by-case basis by a committee in order to ascertain whether or not the provision of a service is clinically required and to investigate how medical service providers use available resources.

CQ

A review of individual cases by a committee to make sure that services are medically necessary and to study how providers use medical care resources is called an

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Related Questions

cis105 The PivotTable Tools Design tab is divided into a ________ group.

Answers

The PivotTable Tools Design tab is divided into three groups, namely:

The Layout groupThe PivotTable Style Options groupThe PivotTable Styles group

What is a Pivot Table?

This refers to the spreadsheet tool that is used to make calculations, analyses, and summaries of data for comparisons and observations of trends.

Hence, we can see that the three groups into which the PivotTable Tools Design tab is divided are all used to add subtotals, refine the pivot table, and the different styles that are available for use.

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Which of the following is not a factor that affects your auto insurance premiums

Answers

An item which is not a factor that affects a person's automobile insurance premiums is: c. the color of your car.

What is an insurance company?

An insurance company is a business firm that is establish to collect premium from all of the insured for losses which may or may not occur, so they can easily use this cash to compensate or indemnify for losses incurred by those having high risk.

Generally, some examples of the factors that typically determines and affects a person's automobile insurance premiums include the following;

Driving record.Duration of car usage.Owner's ageLocationGenderWhere owner lives.Credit scoreYear, make, and model of car.Overall value of the car.

In conclusion, we can infer and logically deduce that the color of a car is not a factor that affects a person's automobile insurance premiums.

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Complete Question:

Which of the following is not a factor that affects your auto insurance premiums?

a year, make, and model of your car

b. where you live

c. the color of your car

d. overall value of your car

4.11 unit test mendelian genetics - part 2

Answers

Mendel's inheritance laws can be used to show the principle of independent segregation and dominance between alleles.

What are Mendel's inheritance laws?

Mendel's inheritance laws (or mendelian laws) are two inheritance rules that were discovered by Gregor Mendel working in pea.

Mendel's inheritance law of independent segregation states alleles from different loci segregate in an independent mode.

Mendel's inheritance law of dominance indicates that alleles can be expressed or masked according to their dominance levels.

In conclusion, Mendel's inheritance laws can be used to show the principle of independent segregation and dominance between alleles.

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Daniel's doctor told him that his stroke was caused by a blood clot in an artery in his brain. What caused Daniel's stroke

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Daniel's doctor told him that his stroke was caused by a blood clot in an artery in his brain which means the stroke was caused by a medical condition which is referred to as aneurysm.

What is Aneurysm?

This is referred to as a weakened artery rupturing and releasing blood content into the brain. This therefore causes a bulge in the walls of the artery and the major causes of this medical condition include the following:

AtherosclerosisHigh blood pressure.

When this happens, the blood forms clot and impairs the function of the central nervous system thereby resulting in the numb sensation or paralysis of certain parts of the body.

The blood formed clots which resulted in the stroke encountered by Daniel in this scenario and therefore makes it the most appropriate choice.

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Function g is a transformation of rational function f. For both functions, as x approaches either or , the value of the function approaches 0. Which equation could represent function g

Answers

The equation that could represent function g is :

x-intersection: set f(x) to 0 => f(x) = 0 => x = -1;

y-intersection: set x to 0 => f(0) = -1 / 1 = -1;

Calculations and Parameters

Construct a simple function f(x) = (x+1) / (x-1);

Vertical asymptote: setting the denominator to 0 we get

x - 1 = 0 => x = -1

Horizontal asymptote: since the numerator and denominator have the same degree, simply dividing the coefficients of the highest terms, which is 1, implies there's an asymptote at y = 1;

x-intersection: set f(x) to 0 => f(x) = 0 => x = -1;

y-intersection: set x to 0 => f(0) = -1 / 1 = -1;

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Answer: g(x) = -f(x + 3)

Explanation:

Identify which statement is true of specialty products.

Answers

The only statement that is true of Specialty Products is; D: Brand names and quality of service are often very important.

How to Identify Specialty Products?

Specialty products are defined as products with unique characteristics or special brand identification. The consumers of these specialty products are willing to go the extra mile to purchase them and as such they typically high priced products and buyers do not use much time to compare against other products.

Looking at the given options, the only one that is true of specialty products is Option D.

The missing options are;

a. Customers do not actively seek specialty products.

b. Products are usually unknown to potential buyers.

c. Products are available at multiple locations due to global distribution.

d. Brand names and quality of service are often very important.

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Select all that apply If in the ancient world statues were often believed to have had an ambiguous, porous relationship to life, then which of the following can be said

Answers

The thing that can be said if world statues were often believed to have had an ambiguous, porous relationship to life is: Statues could stand in for the bodies of dead individuals in rituals and ceremonies.

What is a Statue?

This refers to the monument or sculpture that is made to venerate or honor a person; living or dead.

Hence, we can see that based on the ancient use of world statues, it was believed that they had an ambiguous, porous relationship to life and thus, it can be surmised that statues could stand in for the bodies of dead individuals in rituals and ceremonies.

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Which of the following was NOT an impact of the Great Depression

Answers

Answer:

more money

Explanation:

because no one was making money during it

using the information below calculate the cash flow impact of owc for quarter 3

Answers

The cashflow impact of OWC for the quarter 3 is given as: (225.7) (Option B). See the explanation below.

What is cash outflow?

When money leaves your company, this is referred to as cash outflow. In the case of operations, cash outflow happens when you pay your employees' wages and when you pay your rent.

What is the computation that justified the above answer?

The following operations or transactions occurred:

Decrease in Receivables [670 - 630] = 40

Add Decrease in Prepaid Assets [130 - 126] = 4

Add Decrease in Inventory [901 - 891] = 10

Less Decrease in Payable [789 - 533.3] = (255.7)

Less Decrease Accrued liabilities from current liabilities

                                             [ 657 - 653] = (4)

Less Decrease in deferred revenue in current liabilities

                                              [290 - 270] = (20)

Adding all sub-results, we achieve         (225.7)

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There is at least one polynomial function which satisfies the conditions below.F′(x) is nonzero; for all x Give an example of a polynomial function that meets the above criteria.

Answers

An example of a polynomial function that meets the above criteria is f(x) = 4x + 3.

How to illustrate the information?

From the information given, the given criteria is f(3) = 15.

F'(x) is non zero and f"(x) = 0.

Let f(x) = 4x + 3

f(3) = (4 × 3) + 3

f(3) = 15

f'(x) = 4

f"(x) = 0

Therefore, f(x) = 4x + 3 satisfies all the criteria.

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(Table: The Marginal Cost of Spangles for a Firm in a Perfectly Competitive Market) Use the table The Marginal Cost of Spangles for a Firm in a Perfectly Competitive Market. What quantity should this firm produce if the price of a spangle is $9

Answers

A good example of marginal cost is if a company needs to construct a new factory in order to produce more goods, the cost of building the factory is the marginal cost.

What is Marginal Cost?

This refers to the added cost that is accrued by producing an extra unit of service.

Hence, we can see that your question is incomplete so a general overview was given to help you better understand the concept.

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Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of:

Answers

Manifestations associated with hepatic encephalopathy from chronic liver disease are the result of impaired ammonia metabolism.

What is hepatic encephalopathy?

Hepatic encephalopathy is a condition where the brain and nervous system may affect the liver and cause serious disease.

Hepatic encephalopathy may be associated with an altered ammonia metabolism, where the urea is not metabolized properly.

In conclusion, manifestations associated with hepatic encephalopathy from chronic liver disease are the result of impaired ammonia metabolism.

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What relationship between nature and human does Western thought emphasize

Answers

The relationship between nature and humans which Western thought emphasizes is an oppositional relationship.

What is an Oppositional Relationship?

This refers to the type of relationship that exists in the ecosystem that has to do with predation and competition.

Hence, we can see that based on man's relationship with nature and themselves has always been an oppositional one because man has acted as a predator to some animals, while some animals have been predators to humans and they also share a competitive relationship.

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Which of the following is not an assumption about traits

Answers

The option that is not an assumption about traits is;

C. Absolute quantitative standards are used to define traits.

How to define Traits?

One strength of the trait perspectives is their ability to categorize observable behaviors. Researchers found that if we examine the aggregate behaviors of individuals, it provides us with a strong correlation with traits.

Analyzing the behavior of an individual over time and in varying circumstances, provides evidence for the personality traits categorized in trait theories.

The limitation of trait theories is that personal observations or subjective self-reports are relatively hard to measure.

Self-report measures require that an individual be introspective enough to understand their own behavior. Personal observation measures require that an individual spend enough time observing someone else in a number of situations so as to be able to provide an accurate assessment.

Thus, only option E is not an assumption about Personality traits.

The missing options are;

a. Behaviors represented by traits must be distinctive.

b. Traits are stable characteristics.

c. Absolute quantitative standards are used to define traits.

d. Traits are based on relative comparisons across people

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Which equation could be used to find the value of x

Answers

The equation which could be used to find the value of x is; cos 49° = x over 55; option A.

What is an equation?

An equation is an expression which is used to show the relationship between two or more terms and this relationship is that the terms are equal.

An equation  has two sides, the  left hand side and the right hand side. An equation also contains an equal sign.

If an unknown variable is present in one or more of the sides, the value of that unknown can be found algebraically.

In the given question, the triangle DEF is a right-angled triangle, where angle E is a right angle.

The side DF measures 55, the side DE measures x, and the angle D measures 49°.

This follows that the the hypotenuse is DF and the adjacent side is D.

Using the trigonometric ratios;

cos θ = adjacent/hypotenuse

where θ = 49°

cos 49° = x/55

x = cos 49° * 55

x = 36

In conclusion, the value of x is obtained by using trigonometrical ratios.

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Note that the complete question is given below:

Which equation could be used to find the value of x?

Triangle DEF where angle E is a right angle. DE measures x. DF measures 55. Angle D measures 49 degrees.

cos 49° = x over 55

cos 49° = 55 over x

sin 49° = x over 55

sin 49° = 55 over x

john kenneth galbraith the affluent society

Answers

The affluent society is the name that was given to the book that was written by the Harvard professor that is called John Kenneth Galbraith.

What is a society of affluence?

This is the term that is used to refer to a wealthy society. It is the type of society where they do not have the issues of the scarce resources that are in the environment. Such a society is one that has a general level of economic well being for the people that exist in that society.

This book by this author helped to outline some of the positive effects that the second world war brought to the United States. This is because the wealthy helped to transform the nation to become a powerful country as well as an economic giant in the world.

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When calculating net exports, are added to GDP but are subtracted from GDP.

Answers

When calculating net exports, all exports are added to GDP but imports are subtracted from GDP.

What is GDP?

GDP is an abbreviation for gross domestic product and it can be defined as a measure of the total market value of all finished goods and services that are produced and provided within a country over a specific period of time.

In Financial accounting, when calculating net exports, exports are added to GDP while imports are subtracted from GDP.

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During evening rounds on a medical unit, a client is discovered in cardiac arrest. After activating the code button, the nurse initiates chest compressions. A second nurse enters the room to assist. What priority task could be delegated to the second nurse

Answers

The priority task that could be delegated to the second nurse is to begin oxygenating the client.

What is cardiac arrest?

Cardiac arrest is an emergency situation in which heart functions are lost and therefore also breath.

The heart needs oxygen to perform its functions and oxygenation is aimed at providing it.

In conclusion, the priority task that could be delegated to the second nurse is to begin oxygenating the client.

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If two dice are rolled one time, find the probability of getting these results. Enter your answers as fractions or as decimals rounded to 3 decimal places. Part: 0 / 40 of 4 Parts Complete Part 1 of 4 (a)A sum of 7

Answers

Based on the fact that two dice were rolled together, the probability of getting a sum of 7 is 16.7%.

What is the probability of getting a sum of 7?

The first step is the find the possible combinations that will add up to seven.

These are:

(1, 6) (2, 5)(3, 4)(4, 3)(5, 2)(6, 1)

There are six combinations that could yield a sum of 7 when both die are rolled together.

The total combinations when two dice are rolled is:

= Number of sides on one cube x Number of sides on other cube

= 6 x 6

= 36

The probability of rolling a combination with a sum of 7 is:

= Number of combinations that add up to 7 / Total number of combinations

Solving gives:

= 6 / 36

= 1 / 6

= 16.7%

In conclusion, there is a 16.7% probability of rolling a sum of 7.

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Which of the following is NOT one of the main three types of driving environments

Answers

The on that cannot be classified as a main driving environment is parking lots.

What is a driving environment?

This is a place designed for people to drive. Some examples of driving environments includes rural areas and cities because these usually have roads, streets, etc. for people to move on their cars.

What is not a driving environment?

A parking lot is not a driving environment because this is not designed for people to drive but only for people to leave their cars for some hours.

Note: This question is incomplete; here are the missing options:

Freeway

Rural

City

Parking lots

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an automated tool known as log can consolidate system logs, perform comparative analysis and detect common occurrences or behavior of interest

Answers

Log analysis tools  is an automated tool known as log can consolidate system logs, perform comparative analysis and detect common occurrences or behavior of interest

What is a log analysis tool?

Log analysis tools are known to be tools that aids in the generating of web, streaming and other kinds of mail server statistics graphically.

Hence, Log analysis tools  is an automated tool known as log can consolidate system logs, perform comparative analysis and detect common occurrences or behavior of interest

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Chronic dehydration increases a man's risk of developing

Answers

Answer:

it should be hypovolemic shock

Chronic dehydration increases a man's risk of developing kidney stones, hence option D is correct.

Chronic dehydration raises a man's chances of acquiring kidney stones. This is because dehydration causes urine to become more concentrated. This can cause crystals to accumulate in the urine, which can eventually become kidney stones.

Kidney stones are hard deposits in the kidneys. They consist of minerals and salts that crystallize in urine. Kidney stones can be excruciatingly painful, and they can also cause bleeding and infection.

Thus, chronic dehydration increases a man's risk of developing kidney stones, hence option D is correct.

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The given question is incomplete, so the most probable complete question is,

Chronic dehydration increases a man's risk of developing .

Select one:

a. gallstones.

b. calcium deposits.

c. a fever.

d. kidney stones.

In khoomii the performer seems to sing more than one of which of the following at a time

Answers

In khoomii the performer seems to sing more than one note at a time.

What is the singing about?

A khoomii singer is known to be a person that often makes or produces two tones at the same time and this is one that is often done via the process that entails the manipulating the mouth cavity and the changing of the position of the human tongue.

The khöömei are known to be the most popular aspect of Tuvan throat singing as they are known to have a kind of a low-mid to that of mid- range normal voice.

In this style, it is made up of two or three harmonics see between one and two octaves.

Hence, In khoomii the performer seems to sing more than one note at a time.

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According the UCC's statute of frauds all:

Answers

According the UCC's statute of frauds all contracts to be in writing and signed by the parties in order to be enforceable.

Why is it necessary contracts to be in writing and signed by the parties?

It is it necessary contracts to be in writing and signed by the parties so as to be able to bind and be able to be enforceable.

The UCC which is a  statute of frauds, and stressed that contracts  is needed to be in writing and signed by the parties  in case there will be a problem as regards the contract in the future.

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5. Harrigan RL. Vanderbilt University Institute of Imaging Science Center for Computational Imaging XNAT: A multimodal data archive and processing environment[J]. Neuroimage,2016,124(Pt B):1097-101.

Answers

The Vanderbilt University Institute for Imaging Science (VUIIS) Center for Computational Imaging (CCI) is known to have made a database built on XNAT housing that is said to house about a quarter of a million scans.

What is the institute about?

The above study was said go have used the database that gave a framework for:

Fast prototyping large volume batch processing of images Scalable project management.

The above system is one that make use of the web-based interfaces of XNAT and REDCap to give room for graphical interaction.

Hence, the Distributed Automation for XNAT (DAX) package, is one that shares computation in all of Vanderbilt Advanced Computing Center for Research and Education high form of computing center.

Therefore, The Vanderbilt University Institute for Imaging Science (VUIIS) Center for Computational Imaging (CCI) is known to have made a database built on XNAT housing that is said to house about a quarter of a million scans.

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In the United States, the average age of menarche has _____ since the mid-nineteenth century

Answers

In the United States, the average age of menarche has declined significantly since the mid-nineteenth century

What is Menarche?

Menarche  can be explained as the  first menstrual cycle or the  first menstrual bleeding that is been experienced by female humans.

Looking at this from social and medical perspectives, it serves as the  central event of female puberty,  and can be attributed to fertility however, In the United States, the average age of menarche has declined significantly since the mid-nineteenth century

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Why should programmers avoid making the following comparison with double x

Answers

Programmers avoid making the following comparison with double x Because 0.3 may not be exactly represented as 0.3. This is further explained below.

What are Programmers?

Generally, one that programs; this would include. a someone who writes and tests programs for electronic devices (like computers) or someone who programs a mechanism. a person who writes and tests programs for electronic devices (like computers).

In conclusion, Programmers avoid comparing double x to the following. Because 0.3 may not precisely be expressed as 0.3.

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Brazilian activists made major early strides in global treatment access by

Answers

Brazilian activists made major early strides in global treatment access by suing their government for not providing them with ART.

Who is an activist?

It should be noted that a person who believes strongly in political or social change is an activist and such person takes part in activities such as public protests to try to make this happen:

In this case, Brazilian activists made major early strides in global treatment access by suing their government for not providing them with ART.

Antiretroviral medicines include nucleoside analogs, such as abacavir, emtricitabine, tenofovir, etc.

ART is recommended for everyone who has HIV. It should be noted that ART cannot cure HIV, but HIV medicines help people with HIV live longer and healthier lives.

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Which of the following statements uses an action verb to highlight an aptitude

Answers

The statement that uses an action verb to highlight an aptitude is: Developed innovative and interactive websites that increased traffic by 150 percent

What is an Action Verb?

This refers to the type of verb that is used in a sentence to describe an action.

Hence, we can see that from the complete question, there are different statements that contain action verbs, but the one that highlights an aptitude is the statement: "Developed innovative and interactive websites that increased traffic by 150 percent"

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Drag the correct labels under the diagrams to identify the events of RNA processing.

Answers

The steps of RNA processing are ordered as follows:

a modified guanine nucleotide is added to the beginning of the RNA strand as a capSegments of the RNA strand that do not actually code for the protein are removedSegments of the RNA that do code for the protein are reconnectedExtra adenine nucleotides are added to the end of the RNA strand, forming a tailThe completed messenger RNA (mRNA) leaves the nucleusWhat is RNA processing?

RNA processing is the process by which a fully functional RNA known as primary transcript is made from a gene.

The steps of RNA processing are ordered as follows:

a modified guanine nucleotide is added to the beginning of the RNA strand as a capSegments of the RNA strand that do not actually code for the protein are removedSegments of the RNA that do code for the protein are reconnectedExtra adenine nucleotides are added to the end of the RNA strand, forming a tailThe completed messenger RNA (mRNA) leaves the nucleus

In conclusion, RNA processing ensures that a functional RNA is made from a gene.

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Note that the complete question is found in the attached image

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Each pilot has typically flown many flights;Each airplane has a unique serial number. A flight on a particular date used one airplane. Woodland hotels incorporated operates four resorts in the heavily wooded areas of northern california. The resorts are named after the predominant trees at the resort: pine valley, oak glen, mimosa, and birch glen. Woodland allocates its central office costs to each of the four resorts according to the annual revenue the resort generates. For the current year, the central office costs (000s omitted) were as follows: front office personnel (desk, clerks, etc. ) $ 9,400 administrative and executive salaries 4,700 interest on resort purchase 3,700 advertising 600 housekeeping 2,700 depreciation on reservations computer 80 room maintenance 940 carpet-cleaning contract 50 contract to repaint rooms 470 $ 22,640 pine valley oak glen mimosa birch glen total revenue (000s) $ 7,150 $ 10,685 $ 11,835 $ 8,750 $ 38,420 square feet 59,105 81,630 44,525 89,155 274,415 rooms 86 122 66 174 448 assets (000s) $ 98,385 $ 145,725 $ 77,120 $ 61,275 $ 382,505 required: 1. Based on annual revenue, what amount of the central office costs are allocated to each resort? 2. Suppose that the current methods were replaced with a system of four separate cost pools with costs collected in the four pools allocated on the basis of revenues, assets invested in each resort, square footage, and number of rooms, respectively. Which costs should be collected in each of the four pools? 3. Using the cost pool system in requirement 2, how much of the central office costs would be allocated to each resort? The circumference of a circle is 17 cm. What is the area, in square centimeters? Express your answer in terms of .