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Answer:
If a nurse is caring for a patient receiving heparin therapy, and the nurse instructs the patient and the family that certain foods must be taken in limited quantity as they interfere with the effect of the therapy. The foods that must be taken in limited quantity are foods rich in vitamin K. Such foods include green leafy vegetable such as kale, fermented soy (Natto), Brussels sprouts, cabbage, broccoli, prunes, e.t.c
Explanation:
Step therapy, prior authorization, quantity limit, 7-day limit, dispensing limit and limited access are all examples of Utilization Management rules.
"Utilization management restrictions which can be also termed as "usage management" or "drug restrictions" are controls that your Medicare Part D (PDP) or Medicare Advantage plan (MAPD) can place on your prescription drugs." It may include:
Quantity Limits
Prior Authorization
Step Therapy
"If you need a complicated medication or treatment, prior authorization is typically necessary. Without it, coverage will not take place."
This is why it's crucial to start the prior authorization procedure early.
The need for prior authorization is another contentious issue because it frequently causes treatment delays and stands in the way of people receiving the care they seek.
Continuous prior authorization requirements can impede a patient's progress and create extra administrative work for doctors and their staff, especially for patients with chronic, complex diseases that call for intensive care and/or expensive medications.
To learn more about Utilization Management Rules here
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