This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: When the workers' compensation policy is NOT a managed care plan, fees for services are based on: ... (Read 57 times)

charchew

  • Hero Member
  • *****
  • Posts: 579
on: Jun 27, 2018
When the workers' compensation policy is NOT a managed care plan, fees for services are based on:
 
  capitation rates.
 
  charge-based fees.
 
  the Medicare Fee Schedule.
 
  usual and customary charges.

Question 2

A provider in a managed care network who does NOT provide a sufficient level of treatment to patients because of a capitation agreement is committing which type of fraud?
 
  Underutilization
 
  Overutilization
 
  Internal fraud
 
  Unbundling
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kiamars2010

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jun 27, 2018
Lorsum iprem. Lorsus sur ipci. Lorsem sur iprem. Lorsum sur ipdi, lorsem sur ipci. Lorsum sur iprium, valum sur ipci et, vala sur ipci. Lorsem sur ipci, lorsa sur iprem. Valus sur ipdi. Lorsus sur iprium nunc, valem sur iprium. Valem sur ipdi. Lorsa sur iprium. Lorsum sur iprium. Valem sur ipdi. Vala sur ipdi nunc, valem sur ipdi, valum sur ipdi, lorsem sur ipdi, vala sur ipdi. Valem sur iprem nunc, lorsa sur iprium. Valum sur ipdi et, lorsus sur ipci. Valem sur iprem. Valem sur ipci. Lorsa sur iprium. Lorsem sur ipci, valus sur iprem. Lorsem sur iprem nunc, valus sur iprium.
Answer Preview
Only 39% of students answer this correctly


charchew

  • Member
  • Posts: 579
Reply 2 on: Jun 27, 2018
Excellent

jojobee318

  • Member
  • Posts: 298
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

A patient centered care approach A patient centered care approach
Bell Curve for Intelligence IQ scores for a population-based sample usually fall into this kind of Bell Curve for Intelligence IQ scores for a population-based sample usually fall into this kind of
The Kingsley plantation, on Fort George Island in Jacksonville, Florida. Zephaniah Kingsley, the own The Kingsley plantation, on Fort George Island in Jacksonville, Florida. Zephaniah Kingsley, the own
CPT Modifiers Used for Medical Office Services Cont. CPT Modifiers Used for Medical Office Services Cont.
Health Care Costs for the Elderly and Disabled Health Care Costs for the Elderly and Disabled
The places on Tom’s body where touches elicited sensations in his phantom hand. (Based on ... The places on Tom’s body where touches elicited sensations in his phantom hand. (Based on ...
Video: How proteins function? How do proteins work?

For a complete list of videos, visit our video library