Author Question: A Preferred Hospital Organization bands together hospitals and providers to negotiate contracts ... (Read 73 times)

joesmith1212 · **on:** Jun 27, 2018

A Preferred Hospital Organization bands together hospitals and providers to negotiate contracts with:

a. payer organizations.
b. HMOs.
c. IPAs.
d. referral sources.

Question 2

When a patient in a PPO insurance program sees a provider who is out-of-network, which of the following apply?

a. The patient may have to file the insurance claim.
b. The patient may have to pay a higher out-of-pocket amount.
c. The patient may have reduced benefits.
d. All of the above