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Author Question: A contract between an HMO and CMS to provide services to Medicare beneficiaries, under which the ... (Read 14 times)

Beheh

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on: Jul 12, 2018
A contract between an HMO and CMS to provide services to Medicare beneficiaries, under which the health plan receives a monthly payment for enrolled Medicare members, is known as __________.
 Fill in the blank(s) with correct word

Question 2

Which type of insurance often requests copies of the resident's medical record on a monthly basis to verify services rendered?

Question 3

___________ is a specific case-mix payment system used in a growing number of states for long-term care Medicaid reimbursement.
 Fill in the blank(s) with correct word


snackralk

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Reply #1 on: Jul 12, 2018
Answer to Question 1

a risk contract

Answer to Question 2

commercial insurance

Answer to Question 3

Resource utilization groups (RUGS)


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