The Provider Contract That the Danube Health Plan Has with the Viola

question 196

Multiple Choice

The provider contract that the Danube Health Plan has with the Viola Home Health Services Organization states that Danube will use a typical flat rate reimbursement arrangement to compensate Viola for the skilled nursing services it provides to Danube's plan members. A portion of the contract's reimbursement schedule is shown below: Home Health Licensed Practical Nurse (LPN) : $45 per visit or $90 per diem Home Health Registered Nurse (RN) : $50 per visit or $110 per diem Last month, an LPN from Viola visited a Danube plan member and provided 1Ѕ hours of home healthcare, and an RN from Viola visited another Danube plan member and provided 7 hours of home healthcare. The following statement(s) can correctly be made about Danube's payment to Viola for these services:

• A) Danube most likely owes $90 for the LPN's skilled nursing services and $110 for the RN's skilled nursing services.
• B) Danube's payment amount could be different from the amount called for in the reimbursement schedule if the level of care provided to one of these plan members was significantly different from the level of care normally provided by Viola's RNs and LPNs.
• C) Both A and B
• D) A only
• E) B only
• F) Neither A nor B

Identify the characteristics and significance of gastrulation in various species, focusing on the chick gastrula and differences between species.

Interpret experimental findings on embryonic development, particularly those related to manipulations of the frog embryos by Spemann.

Describe key features and differences in embryonic development between birds and placental mammals.

Understand the process of epiboly and its significance in frog gastrulation.

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Definitions:

Authoritarian

A style of governance, or in psychological terms, a parenting style characterized by strict discipline, demanding obedience, and limited warmth or responsiveness.

Expectations

Preconceived ideas or anticipations about future events or outcomes.

Maturity

A psychological state that signifies emotional and psychological growth and the ability to react to situations and relationships in an appropriate manner.

Rough-And-Tumble Play

A form of play that involves physical activities such as running, tumbling, and play fighting, often observed among children and considered important for social development.