« previous next »

Author Question: A percentage of a providers' payment that is NOT paid during a contract year but is kept by the ... (Read 80 times)

Yi-Chen

  • Hero Member
  • *****
  • Posts: 550
on: Jun 27, 2018
A percentage of a providers' payment that is NOT paid during a contract year but is kept by the health plan to offset additional costs incurred for referrals, hospital admissions, or other covered services is called a:
 
  disincentive.
 
  per-member-per-month (PMPM) fee.
 
  withdrawal.
 
  withhold.

Question 2

The types of payments that an insured person is responsible for paying include all of the following EXCEPT:
 
  deductibles.
 
  charges over the allowed amount for a participating provider.
 
  charges over the allowed amount for a nonparticipating provider.
 
  charges for excluded services.


amynguyen1221

  • Sr. Member
  • ****
  • Posts: 355
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: withhold.

Answer to Question 2

Answer: charges over the allowed amount for a participating provider.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Everyone has one nostril that is larger than the other.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Changes in boreal forest composition along a chronosequence in Quebec. Dates refer to the year of th Changes in boreal forest composition along a chronosequence in Quebec. Dates refer to the year of th
Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
Eighteen-year-olds were the largest age cohort in the first year of the war in both armies. Soldiers Eighteen-year-olds were the largest age cohort in the first year of the war in both armies. Soldiers
Infant: 4 weeks to 1 year. Infant: 4 weeks to 1 year.
Percentage of youth age 15 to 19 years with at-risk levels of body composition & fitness Percentage of youth age 15 to 19 years with at-risk levels of body composition & fitness
What percentage? What percentage?
Video: Cell mediated immune response to a viral infection Animation

For a complete list of videos, visit our video library