HIPAA requires all payers to use the applicable healthcare claims status category codes and claim status codes.

The mother of a 4-year-old boy states that he fell off the top bunk bed and hit his head. After falling, he appeared to seize for approximately 30 seconds. Presently he has nonpurposeful movement to painful stimuli, with a patent airway and slow respirations. His radial pulse is intact, and his skin is warm and dry. You note urinary incontinence. After taking manual in-line spinal stabilization,

which one of the following should you do immediately? A) Insert an oropharyngeal airway and provide high-concentration oxygen. B) Perform a jaw-thrust maneuver and start positive pressure ventilation. C) Apply oxygen, fully immobilize the patient, and then initiate rapid transport. D) Perform a head-tilt, chin-lift and administer high-concentration oxygen.

The amount of reimbursement is determined before the services are delivered

a. Retrospective reimbursement b. Cost-plus reimbursement c. Prospective reimbursement d. Fee-for-service