Author Question: The following health care model is a way of organizing primary care that emphasizes care ... (Read 95 times)

appyboo · **on:** Jun 25, 2018

The following health care model is a way of organizing primary care that emphasizes care coordination and communication to transform primary care into what patients want it to be, and leads to higher quality and lower costs and can improve patients' and providers' experience of care:
A) Accountable Care Organization (ACO)
B) Health Maintenance Organization (HMO)
C) Patient-Centered Medical Home (PCMH)
D) all of the above

Question 2

Which of the following would be considered a step or steps to obtain precertification or preauthorization (predetermination) for a procedure for a patient with a managed care plan?
A) Determine if precertification or preauthorization is required.
B) Locate the form on the insurance company website (or call the insurance company if you cannot locate or have questions).
C) Complete the form correctly, fax to the insurance company (or send electronic authorization request).
D) All of the above are necessary steps.