ASSESSMENT QUESTIONS REIMBURSABLE METHODOLOGIES 2025

Please read question carefully, there are three questions Q1 more than 75 words,Q2 & 3 more than 200 words ,apa format, cited and referenced, paraphrased, ABSOLUTELY NO PLAGIARISM, due on date and time requested. I need an A on these questions. The book is Valerius, J., Bayes, N., Newby, C., & Blochowiak, A. (2014). Medical insurance: An integrated claims process approach (6th ed.). New York, NY: McGraw-Hill.

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Please help with homework 2025

Utilization Management The principal objective of utilization management is the reduction of practice variations by establishing parameters for cost-effective use of health care resources. There are four main techniques or tools used in utilization management: demand management, utilization review, case management, and disease management. Utilization management helps MCOs control costs and improve quality. Refer to the readings of this week and the Internet on the above information, answer the following questions: What are the challenges faced by MCOs regarding practice variations? What do you think can be done to meet these challenges? Differentiate between the three main processes of institutional utilization management. Determine the main purposes of each process of institutional utilization management? Which process do you think is the most important, and why? Research the role of the utilization management nurse. Explain the functions of the utilization management nurse, and compare and contrast the information from that organization. Explain your understanding of disease management and case management. What in your opinion are one major similarity and one major difference between the two types of management? Now, access information on disease and case management by searching the Internet by using the following keywords: Care Continuum Alliance Commission of Case Manager Certification Based on your research, answer the following questions: What is the purpose or mission of these professional organizations? What standards do these organizations set for certification or membership? How do these organizations define disease or case management and do they differ from the text definitions?

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P#2 2025

Hello i need a good and positive comment related with this argument .A paragraph with no more 90 words. ‘ Debbieann Hylton 1 posts Re:Topic 2 DQ 1 Explain the importance of random sampling. According to stats, random sampling is important because it helps cancel out the effects of unobserved factors. for example, if you want to calculate the average height of people in a city and do your sampling in an elementary school, you are not going to get a good estimate. This is because the heights are conditional on a certain value of the unobserved factor “age”, so you do not have the unconditional mean. To make sure that specific levels of the hundreds of unobserved factors, like age, ethnicity, nutrition, gender, air quality, etc. are not conditionalizing your measurement of height, you have to make sure that your sample is collected in a way that on average, different levels of unobserved factors are represented. As a result, your measurements are not conditional on any specific level of any specific unobserved variable. The best way to do this is to use a random sample. What problems/limitations could prevent a truly random sampling and how can they be prevented? According to nedarc, a barrier to purely random samples is for some people in the population, you will find it difficult or impossible to locate them. For example, people who work unusual hours or who travel a lot may be selected to be included in the sample, but are not available when you attempt to contact them. As I read about prevention of random sampling, every person in the population that is being observed should have an equal opportunity to be observed in the given study. The individuals are chosen from large or smaller demographics from which participants are randomly selected. It will give the study the best possible results, because the participants include all characteristics within the targeted population

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I need the homework for tomorrow night 2025

CC is a previously healthy 27-year-old man admitted to the critical care unit after an accident in which he was hit by a car and dragged along the pavement for nearly 100 feet. He suffered a frontal contusion, fractured clavicle and ribs, and extensive abrasions on his arms, legs, side, back, and buttocks. On admission, he was tachycardic, hypotensive, unresponsive, and ventilating poorly. He was placed on a mechanical ventilator and given IV fluids for the treatment of his shock. CC responded well to fluids, with an increase in blood pressure and an improvement in urine output. Based on his case history and responsiveness to fluid therapy, what type of shock was CC experiencing? What other clinical findings would be helpful in confirming the type of shock? Why? Because of his many open wounds and invasive lines, CC is at risk for sepsis and septic shock. What clinical findings would suggest that this complication has developed? What is the link between sepsis and multiple organ dysfunction syndrome (MODS)?

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Health Research Paper 2025

you will be researching an historical figure in the public health world, their contribution to public health, and how their work helped shape the public health system. Furthermore, you will be analyzing how their contribution from the past continues to contribute to today’s public health system and how it might guide future work within the industry. Follow this outline to help formulate your paper or presentation: ACTION: Write a paper about this historical figure and their associated public health topic Franklin D. Roosevelt/Health care administration ACTION: Research the individual’s background GRADED ELEMENT: Describe your selected person’s biographical background (i.e. experience). HELP: This can include resume elements such as birthdate, location, education, and brief statement of their contribution to public health. (Reminder: biographical information can be easily plagiarized. Please do not copy from your biographical websites. Paraphrase and/or quote and cite everything according to APA.) ACTION: Research the barriers and issue of the time GRADED ELEMENT: Analyze the climate of the time period in terms of political, socioeconomic, environmental and technological context in which this person worked HELP: Think about whether this person was up against resistance or was their work welcomed. [For example, if you were writing on Abraham Lincoln and the abolition of slavery, you would note that slavery was prevalent and accepted at the time and the change was welcomed by some and rejected by others] GRADED ELEMENT: Examine the personal beliefs of your person that prompted this work. HELP: You are basically addressing the question: “Why did this person get involved with the issue at the time?” [In continuing the Lincoln example above, you would note that black people were considered property, not people; yet Lincoln believed everyone had equal rights regardless of skin color]. ACTION: Think about how this person overcame the barriers and issues GRADED ELEMENT: Examine how this individual overcame and/or confronted any adversities to succeed in his/her task HELP: Questions to consider: What did the person specifically do? Did they have any allies? How did their actions succeed/fail? ACTION: Think about the importance of the contribution to community/public health at the time GRADED ELEMENT: Describe the final outcome of this individual’s contribution to community and/or public health HELP: Think about this question: What occurred as a result of this person’s action? GRADED ELEMENT: Explain what his/her contribution did for overall community and/or public health at the time HELP: Think about this question: What was the purpose for the community and/or nation? [In the Lincoln example, the explanation would involve a national recognition of human rights of all people, regardless of skin color] GRADED ELEMENT: Explain why this contribution was so important at that particular point in history HELP: Think about this question: What made this important for our nation? [In the Lincoln example, you would answer the question: Why was it so important that Lincoln freed the slaves?] Written Paper Must be at least 4 pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Must include a separate title page with the following: Title of paper Students name Course name and number Instructor’s name Date submitted Must use at least four scholarly sources (one of those may be the course text). Must document all sources in APA style. Must include a separate reference page that is formatted according to APA style.

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