Answer:
The correct answer is : When they need to acquire information regarding the patient's contact with infectious agents.
Explanation:
A material safety data sheet or commonly known as MSDS book is a document that contain and list the hazardous effect, ingredients of a particular substance with physical and chemical characteristics. This list or book also gives idea about the effect of such hazard on human health.
A healthcare provider need to refer this book to know about the chemicals or substances that come in contact of a patient to get information about how it can adversely react, what are the handling precautions, the types of measures that can be used in case of exposure, or emergency.
Thus, the correct answer is : When they need to acquire information regarding the patient's contact with infectious agents.
A Drug Trend report published in 2009 had predicted continued price increase among traditional branded and biotech drugs that lack generic competition. Now, further, CMS has reduced its Average Sales price (ASP) margin from 6 percent to 4 percent for non-pass-thorough. This has affected pharmacy reimbursement. However, there are certain other aspects of Pharmacy Billing that can affect reimbursement and thereby the Revenue Cycle Management (RCM) process if not well implemented.
1. Data Workflow:
Recognizing how the revenue cycle works in pharmacy is very essential. Procurement to Inventory, billing and reimbursement involves purchase of medications, their storage, and method of dispensing, how they are administered, way they are coded & billed, and finally reimbursed. If the drug is covered as a pharmacy benefit, or the payer needs that to be obtained via a specialty pharmacy as identified through patient-specific benefit verification, then here both the provider and the pharmacy are part of the reimbursement process. The physician writes a prescription and orders the drug. This is followed by the pharmacy that fills the order and issues the drug to the physician, CMHC, or hospital outpatient department. Here the pharmacy bills the insurance company for the drug. If any information is entered incorrectly into the pharmacy system in the initial phase of the cycle, errors can prove to be costly, impacting aspects of clinical and revenue cycle.
2. Procurement:
During this phase information is converted from purchased quantities and pricing to storage units of measure (UOM) and inventory costs. Manually entering the data is followed in most cases. UOM conversions, when data is uploaded from the wholesale distributor to the pharmacy system, are also checked and verified manually. Here too mistakes can lead to breakdown in the revenue cycle management (RCM) process.
3. The Charge master:
Critical & substantial revenue leakage can occur when separately reimbursable medications are either missing from or miscoded in the charge master. Conversion of pharmaceutical quantities is a must from purchased amounts to patient-administered amounts, and only then made billable. There is often a difference between dosage amounts required for patient use as from that purchased. Besides inventory, the clinician and pharmacist should convert dosage, strength, and delivery mechanism for each drug. Drug data must be correctly converted from the quantities residing in clinical systems into the payer-billable quantities appropriate for the financial system or charge master. The UOMs must be reconciled to avoid any under- or over-payments. More than often, missing or incorrect data in the charge master can result in negative financial consequences – denied claims, partial reimbursement, and compliance risks.
4. Linkages between Purchases & Billing:
Most hospitals have separate processes to order drugs, administer them, and process reimbursement. Without linkage between pharmacy expenditures for medications (i.e., spend data) and the charge master, ensuring proper charge capture and optimal reimbursement is a challenge. Besides hospitals should have automated tools to identify charge capture errors precisely, so as to pinpoint when and where their occurrence to decreasing revenue loss.
Answer:
Discovered by Russian physiologist Ivan Pavlov, classical conditioning is a learning process that occurs through associations between an environmental stimulus and a naturally occurring stimulus.
Explanation:
The most important thing to remember is that classical conditioning involves automatic or reflexive responses, and not voluntary behavior (that's operant conditioning, and that is a different post). What does this mean? For one thing, that means that the only responses that can be elicited out of a classical conditioning paradigm are ones that rely on responses that are naturally made by the animal (or human) that is being trained. Also, it means that the response you hope to elicit must occur below the level of conscious awareness - for example, salivation, nausea, increased or decreased heartrate, pupil dilation or constriction, or even a reflexive motor response (such as recoiling from a painful stimulus). In other words, these sorts of responses are involuntary.
The basic classical conditioning procedure goes like this: a neutral stimulus is paired with an unconditional stimulus (UCS). The neutral stimulus can be anything, as long as it does not provoke any sort of response in the organism. On the other hand, the unconditional stimulus is something that reliably results in a natural response. For example, if you shine a light into a human eye, the pupil will automatically constrict (you can actually see this happen if you watch your eyes in a mirror as you turn on and off a light). Pavlov called this the "unconditional response." (UCR)
As soon as the neutral stimulus is presented with the UCS, it becomes a conditional stimulus (CS). If the CS and UCS always occur together, then the two stimuli would become associated over time. The response that was initially produced in response to the UCS would also be produced in response to the CS, even if it was presented alone. Pavlov called this the "conditional response." (CR)
To make this a bit more concrete, we'll use Pavlov's dogs as an example. Before learning took place, the dogs would reliably salivate (UCR) when given meat powder (UCS), but they gave no response to the ringing of a bell (neutral). Then Pavlov would always ring a bell just before he would present the dogs with some meat powder. Pretty soon, the dogs began to associate the sound of the bell with the impending presence of meat powder. As a result, they would begin to salivate (CR) as soon as they heard the bell (CS), even if it was not immediately followed by the meat powder (UCS). In other words, they learned that the bell was a reliable predictor of meat powder. In this way, Pavlov was able to elicit an involuntary, automatic, reflexive response to a previously neutral stimulus.
Because without the shot, your body would react differently making you contagious. Therefore, you would make others around you sick.
