Because of the complexity of reimbursement systems and its implications for the services available to patients, the nurse has a key role in:
advocacy for patients by efficiently utilizing appropriate supplies for each patient visit.
limiting the amount of resources for each patient visit at the expense of patient outcomes.
seeing as many patients as possible to boost revenue.
decreasing the volume of services used to reduce cost.
The Correct Answer is A
A. Advocating for patients involves utilizing resources effectively while ensuring that patient care is not compromised, aligning with ethical standards of nursing.
B. Limiting resources at the expense of patient outcomes contradicts the nurse's ethical responsibility to provide high-quality care.
C. Focusing solely on seeing more patients to boost revenue can lead to burnout and decreased quality of care, which is not sustainable or ethical.
D. Reducing the volume of services without considering patient needs can compromise care quality and negatively impact outcomes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Charges refer to the fees billed for services rendered, which in this case is the administration of each vaccination according to the insurance company's guidelines.
B. Contractual allowance refers to the difference between the billed amount and the amount agreed upon in the contract with the insurance company, which is not the primary focus here.
C. Prospective reimbursement is based on predetermined rates rather than charges billed after services are provided.
D. Cost-based reimbursement is determined by the actual costs incurred in providing services, which does not apply in this context as the billing is based on set charges for vaccinations.
Correct Answer is B
Explanation
A. A strategic budget is typically focused on long-term goals and initiatives, rather than specific equipment purchases.
B. A capital budget is specifically designated for significant investments in long-term assets such as equipment, buildings, or technology, making it the appropriate choice for purchasing new infusion pumps.
C. A unit of service budget relates to the costs associated with providing a specific service but does not directly encompass capital expenditures for equipment.
D. An operating budget pertains to the day-to-day expenses of running a unit, such as salaries and supplies, rather than major purchases like infusion pumps.
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