Author Question: A contract between an HMO and CMS to provide services to Medicare beneficiaries, under which the ... (Read 48 times)

Beheh

  • Hero Member
  • *****
  • Posts: 520
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

  • Sr. Member
  • ****
  • Posts: 363
Answer to Question 1

a risk contract

Answer to Question 2

commercial insurance

Answer to Question 3

Resource utilization groups (RUGS)



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

About 3.2 billion people, nearly half the world population, are at risk for malaria. In 2015, there are about 214 million malaria cases and an estimated 438,000 malaria deaths.

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?

The U.S. Preventive Services Task Force recommends that all women age 65 years of age or older should be screened with bone densitometry.

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?

Blood is approximately twice as thick as water because of the cells and other components found in it.

For a complete list of videos, visit our video library