
Centura Health Authorization 2012-2025 Form


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What are some reasons that a health insurance company would ask for a pre-authorization form to be filled out by a Dr. before filling a prescription?
One common reason would be that there is a cheaper, therapeutically equivalent drug that they would like you to try first before they approve a claim for the prescribed drug. Another reason is that they want to make sure the prescribed drug is medically necessary.Remember that nothing is stopping you from filling the prescribed drug. It just won't be covered by insurance until the pre-authorization process is complete.
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Are health clubs, gyms and other public businesses that require customers and clients to fill out health and/or medical forms or releases required to protect that information under HIPAA?
This does not fall under HIPAA. Under the HIPAA regulations, the entities that must comply with the rules are defined as "covered entities" which are: health care plans, health care providers, and health care clearinghouses. So health clubs or gyms do not meet this definition and are therefore not subject to HIPAA. However, depending on your state, there may be laws which protect the sharing of this type of information.
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Health IT: Doctors and patients – what’s your biggest barrier to using information technology to improve health outcomes? How important is the ability to share or receive your health records data in electronic form?
Another barrier is interpretation of information and data. There should be a web-based tool or technology where the health specialist and the patient can understand each other using terminology that are simple. The language of medicine should be in simple terms. This is the first step. If I may share further, I have already made up a simple site and I am finishing some products(articles) on health information technology. This is the plan, that is, to help facilitate public participation. If you have special materials on electronic medical record, you may furnish me with a copy. I will try my best to simplify the concepts.2/8/2012Similar to the approach we are using in digital education and energy technology, we can utilize a one stop site, which can answer questions in a very simple manner, which can be understood by the end user. Simple ERP approach can be used instead of the confusing and vague HIT (Health IT) currently we are using, This is our first level.2/15/2012Cost is barrier. So, let us use low cost solution like the website which is our first level and ERP. With improved coordination, it will remove further barrier. e.g. Patient is discharged from the hospital. Record updated to nursing home or rehabilitation. Also, other information are updated to pharmacy and insurance company. This is second-level.2/22/2012SOA third level-we can use the concept by implementing a standard generic set of messages that will provide the necessary data.-Policies directed to removing barriers on teachers' certifications who will deal with digital education. (Teachers should be licensed and trained) -Lack of standards can be overcome by using prevailing standards with modification. -Let us pursue digital education because it is more cost-effective. -I can also see the strengthening of the family by digital education because it increases the participation of the different members of the family.2/29/2012We can use robotics policies. Robots can answer questions in the Health Information Technology. They can be at the admission department of hospitals ready to answer in a friendly, accomodating, and non-intimidating manner.
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Do the HIPAA laws prohibit Health Insurance companies from allowing members to fill out and submit medical claim forms on line?
No, nothing in HIPAA precludes collecting the claim information online.However, the information needs to be protected at rest as well as in-flight. This is typically done by encrypting the connection (HTTPS) as well the storage media
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What is the algorithm or options of how the health system can work to protect this patient from losing health care?
Consult social servicesHope he has limited income and assets and qualifies for medicaidIf he doesn’t have medicaid, he needs to spend his down his assets until he is impoverished and qualifies for medicaid - the US does not guarantee health care, and you are responsible for using whatever assets you have to pay your bills.Unless.. He as enough income to purchase insurance on an exchange, or is over 65 and has medicare, or he is disabled and has been on SSD for 24 months, in which case he would qualify for medicare.There is no “Algorithm” as there is no guarantee of insurance in the US.Of course, the algorithm could be: establish citizenship in a country which guarantees health care.Healthcare is a commodity in the US, there is no right to it. Sorry, I don't write the rules.
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How were Spanish health care workers allowed to treat an Ebola patient with protective suits that did not meet health and safety requirements?
They were provided with the correct equipment. Apparently the nurse when removing the protective suit inadvertantly touched her face with a used glove.This was my original answer but since then it has emerged the entire health care team were provided with little training which resulted in incorrect procedures being carried out.
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