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Author Question: Medicare and many states prohibit managed care contracts from containing __________, which prevent ... (Read 29 times)

CORALGRILL2014

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on: Jun 27, 2018
Medicare and many states prohibit managed care contracts from containing __________, which prevent providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services.
 a. credentialing statements
  b. gag clauses
  c. physician incentives
  d. profit margins

Question 2

Prior to scheduling elective surgery, managed care plans often require a __________ during which another physician is asked to evaluate the necessity of surgery and recommend the most economical, appropriate facility in which to perform the surgery.
 a. preauthorization
  b. prospective review
  c. retrospective review
  d. second surgical opinion


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kbennett34

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Reply #1 on: Jun 27, 2018
Answer to Question 1

b

Answer to Question 2

d


CORALGRILL2014

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Reply 2 on: Jun 27, 2018
Thanks for the timely response, appreciate it

sultana.d

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Reply 3 on: Yesterday
Wow, this really help

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