« previous next »

Author Question: Under a discounted fee-for-service arrangement, covered services are compensated at a: A. ... (Read 68 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?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Isotopes may be stable or radioactive depending on the arrangement and number of neutrons in the nuc Isotopes may be stable or radioactive depending on the arrangement and number of neutrons in the nuc
Covering the interior as soon as the vehicle comes in for service helps improve customer ... Covering the interior as soon as the vehicle comes in for service helps improve customer ...
Washing hands and removing jewelry are two important safety habits all service technicians ... Washing hands and removing jewelry are two important safety habits all service technicians ...
An antiparallel arrangement of strands forming b-sheets An antiparallel arrangement of strands forming b-sheets
Juan's Software Service Company is in a perfectly competitive market. Juan has total fixed ... Juan's Software Service Company is in a perfectly competitive market. Juan has total fixed ...
Three polar bears investigate an American submarine that surfaced in ice-covered Arctic waters. Three polar bears investigate an American submarine that surfaced in ice-covered Arctic waters.
Video: Interview with Person who has Panic Attacks

For a complete list of videos, visit our video library