Daman Insurance Approval Process

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| By Junell
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Junell
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Quizzes Created: 26 | Total Attempts: 67,128
| Attempts: 74
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  • 1/10 Questions

    The cooperation of the Staff Nurse to obtain a well detailed face to face report or discharged summary will eliminate the issue of unsupported justification.

    • True
    • False
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About This Quiz

This quiz assesses knowledge on the Daman Insurance approval process, focusing on necessary documents for patient approval and discharge, scoring grids for patient care, and understanding co-morbidity indices. It is essential for healthcare professionals dealing with insurance claims and patient care documentation.

Daman Insurance Approval Process - Quiz

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  • 2. 
    In Charlson Co-morbidity Index, the diagnosis of Chronic Kidney Disease with creatinine level of 362 umol/L has haw many points? - ProProfs

    In Charlson Co-morbidity Index, the diagnosis of Chronic Kidney Disease with creatinine level of 362 umol/L has haw many points?

    • 1

    • 2

    • 3

    Correct Answer
    A. 2
    Explanation
    In the Charlson Co-morbidity Index, a diagnosis of Chronic Kidney Disease with a creatinine level of 362 umol/L is assigned 2 points. This index is used to predict the risk of mortality based on the presence of certain medical conditions, and each condition is assigned a specific point value. The higher the total score, the higher the risk of mortality. In this case, Chronic Kidney Disease with a creatinine level of 362 umol/L is considered to contribute moderately to the overall risk.

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  • 3. 

    The Nurse is not directly responsible to obtain the discharged summary if the patient will be discharged in hospital admission.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    The statement is false because the nurse is directly responsible for obtaining the discharged summary if the patient will be discharged from the hospital. The nurse plays a crucial role in coordinating the discharge process and ensuring that all necessary documentation, including the discharged summary, is obtained and communicated to the patient and relevant healthcare providers. This is important for continuity of care and to ensure that the patient's medical history and treatment plan are accurately recorded and shared.

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  • 4. 

    What are the documents required to obtain when the patient will be discharged from the hospital admission?

    • Face to face report

    • Progress Note

    • Discharged Summary

    • Medication Administration Record

    Correct Answer(s)
    A. Face to face report
    A. Discharged Summary
    Explanation
    When a patient is discharged from the hospital, it is important to obtain certain documents. One of these documents is a face to face report, which provides a detailed account of the patient's condition and any necessary follow-up care. Another essential document is a discharged summary, which outlines the patient's medical history, treatment received, and instructions for further care. These documents are crucial for ensuring continuity of care and providing accurate information to the patient's primary care provider.

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  • 5. 

    What is the pattern of care appropriate to a patient with the scoring grid of 7?

    • Simple

    • Intermediate

    • Intensive

    • Complex

    Correct Answer
    A. Intermediate
    Explanation
    A patient with a scoring grid of 7 requires intermediate level care. This means that their condition is not simple enough to be managed with basic care, but also not severe enough to require intensive or complex care. Intermediate level care typically involves a moderate level of monitoring, treatment, and support to address the patient's needs and ensure their well-being.

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  • 6. 
    What is the pattern of care will be provided to a patient with the scoring grid of 10? - ProProfs

    What is the pattern of care will be provided to a patient with the scoring grid of 10?

    • Simple

    • Intermediate

    • Intensive

    • Complex

    Correct Answer
    A. Intensive
    Explanation
    A patient with a scoring grid of 10 will receive intensive care. The scoring grid likely refers to a system that assesses the severity or complexity of a patient's condition. A score of 10 indicates a high level of severity or complexity, requiring more intensive care. This could involve close monitoring, specialized treatments, and frequent interventions to manage the patient's condition effectively.

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  • 7. 

    What are the documents necessary for the patient's approval to Daman insurance? (Select all that apply)

    • Scoring Grid

    • Nursing Care Plan

    • Progress Note

    • Daman Insurance card

    Correct Answer(s)
    A. Scoring Grid
    A. Nursing Care Plan
    A. Daman Insurance card
    Explanation
    The documents necessary for the patient's approval to Daman insurance include a Scoring Grid, Nursing Care Plan, and Daman Insurance card. These documents are required to assess the patient's condition, plan their care, and provide proof of insurance coverage. The Scoring Grid helps in evaluating the patient's condition and determining the level of care required. The Nursing Care Plan outlines the specific care and interventions needed for the patient. The Daman Insurance card provides proof of insurance coverage and ensures that the patient's medical expenses will be covered.

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  • 8. 
    What is the co-morbidity index score of a 76-years old, male patient with diagnoses of DM type 2 without complication, dementia and congestive heart failure? - ProProfs

    What is the co-morbidity index score of a 76-years old, male patient with diagnoses of DM type 2 without complication, dementia and congestive heart failure?

    • 2

    • 3

    • 1

    Correct Answer
    A. 1
    Explanation
    The co-morbidity index score is a measure of the number and severity of co-existing medical conditions in a patient. In this case, the patient has three diagnoses: DM type 2 without complication, dementia, and congestive heart failure. The co-morbidity index score is determined by the number of diagnoses, so the score for this patient would be 3.

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  • 9. 
    What is the supportive/specialized service score if the patient has recommendation of Physiotherapy service twice a week for 3 months ? - ProProfs

    What is the supportive/specialized service score if the patient has recommendation of Physiotherapy service twice a week for 3 months ?

    • 4

    • 1

    • 3

    • 2

    Correct Answer
    A. 1
    Explanation
    The correct answer is 1 because the patient has a recommendation for physiotherapy service twice a week for 3 months. This suggests that the patient requires a specialized service, which is reflected in a higher score.

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  • 10. 
    What is the scoring grid of the patient with level of care of: 1. Pharmaceutical Therapies - 1 2. Nutrition - 2  3. Functional Status - 2 4. Incontinence and Renal Insufficiency - 0 5. Skin Integrity - 1 6. Breathing - 1 7. Cognition - 0 8. Communication - 0 9. Altered Level of Consciousness - 0 - ProProfs

    What is the scoring grid of the patient with level of care of: 1. Pharmaceutical Therapies - 1 2. Nutrition - 2  3. Functional Status - 2 4. Incontinence and Renal Insufficiency - 0 5. Skin Integrity - 1 6. Breathing - 1 7. Cognition - 0 8. Communication - 0 9. Altered Level of Consciousness - 0

    • 1

    • 2

    • 3

    • 4

    Correct Answer
    A. 3
    Explanation
    The scoring grid for the patient with the given level of care is 3. This is determined by adding up the scores for each category: Pharmaceutical Therapies (1) + Nutrition (2) + Functional Status (2) + Incontinence and Renal Insufficiency (0) + Skin Integrity (1) + Breathing (1) + Cognition (0) + Communication (0) + Altered Level of Consciousness (0) = 7. Since the scoring grid is on a scale of 1-4, a score of 7 falls into the category of 3.

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Quiz Review Timeline (Updated): Feb 1, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Feb 01, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jan 07, 2018
    Quiz Created by
    Junell
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