This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Medicare and many states prohibit managed care contracts from containing __________, which prevent ... (Read 92 times)

CORALGRILL2014

  • Hero Member
  • *****
  • Posts: 525
on: Jun 27, 2018
Medicare and many states prohibit managed care contracts from containing __________, which prevent providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services.
 a. credentialing statements
  b. gag clauses
  c. physician incentives
  d. profit margins

Question 2

Prior to scheduling elective surgery, managed care plans often require a __________ during which another physician is asked to evaluate the necessity of surgery and recommend the most economical, appropriate facility in which to perform the surgery.
 a. preauthorization
  b. prospective review
  c. retrospective review
  d. second surgical opinion


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kbennett34

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jun 27, 2018
Answer to Question 1

b

Answer to Question 2

d


CORALGRILL2014

  • Member
  • Posts: 525
Reply 2 on: Jun 27, 2018
Thanks for the timely response, appreciate it

vickyvicksss

  • Member
  • Posts: 351
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Medication errors are more common among seriously ill patients than with those with minor conditions.

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

Did you know?

Human kidneys will clean about 1 million gallons of blood in an average lifetime.

The mask covers both the mouth and nose to prevent exposure to body fluids and airborne droplets. The mask covers both the mouth and nose to prevent exposure to body fluids and airborne droplets.
Other Professionals in Health Care Other Professionals in Health Care
The left-hand rule states that if a coil is grasped with the left hand, the fingers will point in ... The left-hand rule states that if a coil is grasped with the left hand, the fingers will point in ...
Therapy to Prevent PTSD after Disaster Therapy to Prevent PTSD after Disaster
Take care Take care
Survivorship curves for people in the United States in the early 20th and early 21st centuries Survivorship curves for people in the United States in the early 20th and early 21st centuries
Video: Cellular slime mold life cycle Animation

For a complete list of videos, visit our video library