Author Question: According to some contract terms, if an MCO does not pay a claim within the time limit specified in ... (Read 64 times)

fahad

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According to some contract terms, if an MCO does not pay a claim within the time limit specified in the contract, the provider may be able to:
 
  A. bill the patient directly.
  B. charge the usual and customary fee instead of the discounted fee.
  C. take legal action against the MCO.
  D. terminate the MCO contract after filing a written notice of intention.

Question 2

Which type of payment method creates an incentive to provide more preventive care?
 
  A. Capitation
  B. Per diem
  C. Per case
  D. Discounted fee-for-service


wfdfwc23

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Answer to Question 1

Answer: charge the usual and customary fee instead of the discounted fee.

Answer to Question 2

Answer: Capitation



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