NR 511 Week 4 Midterm Review
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$15.00
| Institution | NR 511 Differential Diagnosis and Primary Care Practicum |
| Contributor | Henali |
NP Café review:
- Taking a client history (SNAPPS)
- Summarize (chief complaint, OLDCARTS, ROS, physical exam)
- Narrow differential diagnosis
- Analyze (compare/contrast differentials)
- Probe (knowledge gaps, confusion, dilemmas)
- Plan
- Self directed learning
- OLDCARTS (onset, location, duration, characteristics, aggravating factors, relieving factors, treatment, severity)
- Diagnostic testing
- Specificity (you want a high specificity)
- High: high percentage of healthy individuals will show a normal results
- Low: getting a positive result when its not really present (false positive)
- Sensitivity: proportion of true positives out of all patients with a condition
- Highly sensitive tests will lead to positive findings for patients with a disease (we want high sensitivity)
- Specificity (you want a high specificity)
- Reimbursement
- Clinical decision making
- Evidence based research, clinical practice guidelines, evidence based algorithms
- Reimbursement- traditional Medicare
- How clients cover their out of pocket expenses when on traditional Medicare
- Clients may have secondary insurance to cover out of pocket
- Part A: inpatient hospital stays, skilled nursing care, hospice, home care
- Part B: outpatient services, provider visits, surgery, lab work, medical equipment, preventative exams
- Part C: wellness services, vision exams, hearing exams, eye glasses, hearing aids
- Part D: prescription drugs
- Reimbursement: Medicare advantage plans
- Offer all benefits of Medicare plus additional benefits and lower co-payments
- Carriers are paid subsidies per member for services rendered by centers for Medicaid services (CMS)
- Carriers offer traditional CMS services in addition to other health services at a lower cost
- Reimbursement: third party payer
- 7 general categories:
- Medicare
- Medicaid
- Indemnity insurance companies
- Managed care organization
- Workers comp
- Veterans administration
- Auto liability
- 7 general categories:
- Fungal skin infections........ Continue
| Instituition / Term | |
| Term | Year 2022 |
| Institution | NR 511 Differential Diagnosis and Primary Care Practicum |
| Contributor | Henali |
