« previous next »

Author Question: Under a discounted fee-for-service arrangement, covered services are compensated at a: A. ... (Read 78 times)

magmichele12

  • Hero Member
  • *****
  • Posts: 559
on: Jun 27, 2018
Under a discounted fee-for-service arrangement, covered services are compensated at a:
 
  A. discounted per-diem rate.
  B. per-member-per-month rate.
  C. reduced percentage of usual and customary charges.
  D. reduced per-case rate.

Question 2

MCOs develop a network by contracting with:
 
  A. physicians.
  B. facilities.
  C. pharmacies.
  D. all of the above.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


kilada

  • Sr. Member
  • ****
  • Posts: 311
Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: reduced percentage of usual and customary charges.

Answer to Question 2

Answer: all of the above.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

Carbamazepine can interfere with the results of home pregnancy tests. If you are taking carbamazepine, do not try to test for pregnancy at home.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Arrangement of the sarcoplasmic reticulum, transverse tubules, and myofibrils in a single skeletal m Arrangement of the sarcoplasmic reticulum, transverse tubules, and myofibrils in a single skeletal m
A visually impaired patient is assisted by a service dog. A visually impaired patient is assisted by a service dog.
Josiah Wedgwood, Queen's Ware dinner service (detail). Josiah Wedgwood, Queen's Ware dinner service (detail).
When the service work is completed, the hoist should be raised slightly and the safety released ... When the service work is completed, the hoist should be raised slightly and the safety released ...
A form that the customer should fill out if there is a driveablilty concern to help the service ... A form that the customer should fill out if there is a driveablilty concern to help the service ...
A non-interest-bearing five-year note for $54600.00 issued May 1, 2015, is discounted April 1, ... A non-interest-bearing five-year note for $54600.00 issued May 1, 2015, is discounted April 1, ...
Video: Genetic distance between human groups

For a complete list of videos, visit our video library