The term for a provision in an MCP plan that guarantees payment after a patient pays a certain amount of out-of-pocket expenses is:
a. stop-loss.
b. stop gap.
c. backup.
d. 100 percent.
Question 2
When a patient needs DME, the provider:
a. refers the patient to a supplier.
b. provides the patient with the equipment.
c. contacts the MCP or IPA to obtain authorization.
d. allows the patient to use office equipment.