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Author Question: When the workers' compensation policy is NOT a managed care plan, fees for services are based on: ... (Read 66 times)

charchew

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When the workers' compensation policy is NOT a managed care plan, fees for services are based on:
 
  capitation rates.
 
  charge-based fees.
 
  the Medicare Fee Schedule.
 
  usual and customary charges.

Question 2

A provider in a managed care network who does NOT provide a sufficient level of treatment to patients because of a capitation agreement is committing which type of fraud?
 
  Underutilization
 
  Overutilization
 
  Internal fraud
 
  Unbundling


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kiamars2010

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charchew

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Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review


tkempin

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

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