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A Managed Care Organization Denies Coverage for a Procedure in the Patient

question 5

Short Answer

A managed care organization denies coverage for a procedure in the patient cannot pay for it. In the patient's view, this action is a violation of ______ and ______.


Definitions:

Penicillin

A group of antibiotics derived from Penicillium fungi, used to treat bacterial infections by inhibiting cell wall synthesis.

Orthostatic Vital Signs

Measurements of blood pressure and heart rate taken in different positions (lying, sitting, standing) to assess how the cardiovascular system responds to changes in body position.

Respirations

The process of inhaling and exhaling air to facilitate the exchange of oxygen and carbon dioxide between the body and its environment.

Sphygmomanometer Gauge

Part of a sphygmomanometer device used to measure arterial blood pressure by indicating the force at which blood is pressed against the vessel walls.

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