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Frequently Asked Questions

What if the member needs inpatient hospital care?

Health insurance - UniCare - A Healthy Dose of Innovation[sm...
If the member needs to be hospitalized, the independently contracted Primary Care Physician will arrange for admission to an independently contracted network hospital. The independently contracted Primary Care Physician will also continue to be responsible for overseeing the administration of care.
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PW_AD028994
A21. Under the HMO tier of the Blue Cross POS, if the member needs to be hospitalized, the Primary Care Physician (PCP) will arrange for admission to a network hospital that works with the member's PMG/IPA. The PCP will also continue to be responsible for overseeing the member's care. All PPO inpatient admissions (except urgent/emergent admissions) are precertified by telephone for medical necessity and length of stay according to the guidelines in the member's Evidence of Coverage.
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Employer FAQ HMO
If the member needs to be hospitalized, the Primary Care Physician will arrange for admission to a network hospital. The Primary Care Physician will also continue to be responsible for overseeing care. The hospitalization in most instances must be referred by the Primary Care Physician and authorized by UNICARE HMO (when applicable) in order for the member to receive benefits for eligible services. This is only a brief summary of the plan.
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PW_AD028993
A21. If the member needs to be hospitalized, the Primary Care Physician (PCP) will arrange for admission to a network hospital that works with the member's PMG/IPA. The PCP will also continue to be responsible for overseeing the member's care. This is only a brief summary of the plan. Please refer to the Evidence of Coverage for more complete details about the plan including benefits, limitations and exclusions.
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What if I Need Inpatient Hospital Care?

Member FAQ HMO
If you need to be hospitalized, your Primary Care Physician will arrange for your admission to a network hospital. Your Primary Care Physician will also continue to be responsible for overseeing your care. Your hospitalization in most instances must be referred by your Primary Care Physician and authorized by UNICARE HMO (when applicable) in order for you to receive benefits for eligible services. This is only a brief summary of the plan.
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Debits and Benefits
Do to the larger cost for hospital stays all insurance companies and fee for service plans now require pre certification. Pre certification allows use to obtain proof of funds and allows our customer service staff to assist with finding the most cost effective location.
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Member FAQ PPO
UNICARE must certify all inpatient hospital admissions (those requiring an overnight stay in the hospital). For elective admissions, you, your physician or a representative must obtain UNICARE's certification before expenses are incurred. The person making the call should be prepared to give the UNICARE ID number of the insured, the name of the patient (if different), the hospital or other provider location, and the full name, address and phone number of the attending physician.
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If a member needs a transplant, will they always be able to use the closest hospital?

Frequently Asked Questions
To help deliver the maximum coverage provided by your health plan, we will work with them and their doctor to select a program in the Humana National Transplant Network that best fits their needs. For information about facility availability, please contact Humana's Transplant Services at 1-866-421-5663.
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Will there be a Transitional Care Facility (TCF) at the inpatient hospital?

Butler Health System
Yes, transitional care is an important component to the hospital and will be offered at the current site.
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What if a patient goes out of network for inpatient health care? Will the hospital be paid?

QUESTIONS FROM THE WORKERS??? COMPENSATION HEALTH CARE NETWO...
Answer: An injured employee may seek emergency care from non-network hospitals. An injured employee may also obtain non-emergency health care from non-network providers if the employee has received approval from the network. An employee who lives in a network’s service area must receive all other care from network providers.
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Why residential inpatient versus a hospital-based inpatient program?

Eating Disorder Referral - Montecatini Eating Disorder Treat...
The ultimate goal of our treatment model is to see our residents return to normal functioning lives. By living in a small-group home environment, the real life elements such as personal relationships, food preparation, and group dining all become integrated into therapy. Upon graduation from, patients will have the skills needed to ease their transitions and maximize their recoveries.
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What if a member needs specialty care?

Frequently Asked Questions
If there is no emergency involved, participating dentists should complete a specialist referral form (SRF) and send it to Healthplex for approval. The form will be returned within ten (10) days with the name of the nearest participating specialist and the patient co-payment information.
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What if I or a member of my family needs emergency care?

BCBSLA - Customer FAQs
In an emergency situation, you should seek treatment at the nearest facility or call 911 for assistance.
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What is General Inpatient Care and what do I have to do for my patient?

Beloit Regional Hospice - Palliative Care and Bereavement Su...
General Inpatient Care is a hospitalization which becomes necessary when the care cannot be managed by the patient and caregivers at home, or when a hospitalized patient would benefit from additional support, is symptomatic and/or imminently dying. This is an acute level of care stay that is covered under the Medicare Hospice Benefit. The hospice team is required to provide justification for the stay.
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What do I do if my relative needs health care at home after they have left hospital?

FAQ
If your relative needs further health care at home after leaving hospital, the hospital nurses will liaise with the appropriate service (District Nursing or other health care service) prior to their discharge home. This will happen whether the hospital is near to the patient's home or in another part of the country.
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When will the construction of the inpatient hospital be complete?

Butler Health System
Construction will begin on the inpatient hospital in the winter of 2006/2007 and be completed by 2009.
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I'm a hospital Inpatient Coder. What courses should I take?

Ritecode.com Frequently Asked Question (FAQ)
The inpatient Module covers DRG's, facility (UB-92 Form) coding, APC's and other inpatient-related topics. For inpatient coding and billing, the CPC-H and the CCS exam, I recommend ordering both the sample CPC-H exam and the Inpatient Billing and coding module. Our Prep course prepares you for the CPC or CSS-P coding exam. It covers ICD-9, CPT and HCPCS for physician coding (CMS-1500 Form).
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What is inpatient treatment?

Frequently Asked Questions
Inpatient treatment is necessary for defendant's who have continually tested positive for the presence of illicit substances and who are struggling with their substance abuse programs. An appropriate inpatient facility will be determined by the defendant's supervising officer should it become apparent that intensive treatment is necessary.
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Will being a registered donor change my level of care in the hospital?

Idaho Donor Registry
The first priority for medical personnel is to save the lives of their patients. The hospital staff does not have access to registry information. Organ and tissue donation is not even discussed until every life saving option is exhausted and death has been declared or is imminent. The doctors and nurses at the medical center are completely separate from those who work for the organ and tissue recovery organizations. The hospital staff's main purpose is to save your life.
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What kind of care can I get from a hospital?

FAQ: Frequently asked questions about healthcare in the Neth...
You get outpatient polyclinical care - including routine check-ups, monitoring of your HIV treatment and prescriptions for your medications - at the outpatient policlinic. This can also include the treatment you receive when you are admitted to a hospital and any guidance you receive in connection with pregnancy and giving birth.
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Who will take care of me in the hospital and afterward?

MGH Neuroendocrine Center Bulletin Vol 9, Issue 1, Fall/Wint...
a major pituitary center, such as the Neuroendocrine Clinical Center at Massachusetts General Hospital, you will be managed by a team of physicians. This includes your neurosurgeon, a staff neuroendocrinologist and the residents, fellows and nurses who work with them. The team will follow you until you are returned to the care of your local endocrinologist and primary care physician.
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What if my child needs to be admitted to the hospital?

Frequently Asked Questions | Acute Kids Urgent Care
Acute Kids will call your physician and arrange for your child to be admitted to the hospital chosen by you and your pediatrician. Most children go to the hospital by private vehicle, but we can arrange ambulance transport if necessary. Depending on your child's condition and the pediatrician's management, you may be directed to the hospital emergency room or directly to the floor for admission.
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How do I know if my health care employer (hospital) is an AHA member?

AHA : Resource center : AHA Resource Center - Frequently Ask...
Please fill out this online form completely and our membership office will respond with the information you need via e-mail. You can contact the AHA Resource Center online here or call 312-422-2050. The Resource Center provides timely, high-quality health services information--quickly and easily.
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My (family member/friend/co-worker/etc) needs to work with you. What should I do?

Stop Stressing Out! -- Questions and Answers about the Metho...
It's wonderful that you're so caring, and want to help someone else. I've found that most of the time people aren't ready to work with a coach until they can initiate contact with the coach themselves. In that regard, please do either of these approaches (or another I haven't thought of). Tell them how much you care about them. Why you think they'd benefit from working with me. Provide them my website to read over. And then suggest that they contact me directly.
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Will VA take care of my nursing home needs?

FAQ Frequently Asked Questions
VA’s Community Nursing Home Care Program is designed to assist veterans and their families in making the transition from hospital to community. VA community contract nursing home care services are available for >0% SC to < 70% SC who need nursing home care for the specific SC condition for as long as nursing home care is needed for the specific SC condition. Veterans who are >= 70% SC are eligible for nursing home care for any condition for as long as nursing home care is needed.
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How do dental care needs change as a horse ages?

Equine Dental Faq's
As horses age they are subject to more problems with their teeth. The teeth erupt continuously during their lives, but only for as long as the root can provide. In most horses, this can be up to 35 years or so, but only when proper dental care has been provided throughout their lives. Without proper care, the teeth become vulnerable to excessive wear, pockets between the teeth that collect feedstuffs, and pain. Loose and missing teeth are also common in older horses.
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Where can people with special needs obtain dental care?

ADA.org: You & Your Dentist Frequently Asked Questions
Contact the nearest dental school clinic or hospital dental department, especially if it is affiliated with a major university. Contact the Special Care Dentistry (Formerly Federation of Special Care Organizations in Dentistry, the Academy of General Dentistry and the American Academy of Pediatric Dentistry for a referral. Contact the National Foundation of Dentistry for the Handicapped (NFDH), a charitable affiliate of the American Dental Association since 1988.
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