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

Author Question: When the workers' compensation policy is NOT a managed care plan, fees for services are based on: ... (Read 89 times)

charchew

  • Hero Member
  • *****
  • Posts: 579
on: Jun 27, 2018
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
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
Buy Test-Bank


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kiamars2010

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jun 27, 2018
Lorsum iprem. Lorsus sur ipci. Lorsem sur iprem. Lorsum sur ipdi, lorsem sur ipci. Lorsum sur iprium, valum sur ipci et, vala sur ipci. Lorsem sur ipci, lorsa sur iprem. Valus sur ipdi. Lorsus sur iprium nunc, valem sur iprium. Valem sur ipdi. Lorsa sur iprium. Lorsum sur iprium. Valem sur ipdi. Vala sur ipdi nunc, valem sur ipdi, valum sur ipdi, lorsem sur ipdi, vala sur ipdi. Valem sur iprem nunc, lorsa sur iprium. Valum sur ipdi et, lorsus sur ipci. Valem sur iprem. Valem sur ipci. Lorsa sur iprium. Lorsem sur ipci, valus sur iprem. Lorsem sur iprem nunc, valus sur iprium.
Answer Preview
Only 39% of students answer this correctly


charchew

  • Member
  • Posts: 579
Reply 2 on: Jun 27, 2018
Gracias!

laurnthompson

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

Most strokes are caused when blood clots move to a blood vessel in the brain and block blood flow to that area. Thrombolytic therapy can be used to dissolve the clot quickly. If given within 3 hours of the first stroke symptoms, this therapy can help limit stroke damage and disability.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Classification of life histories based on juvenile survival, fecundity, and age at reproductive matu Classification of life histories based on juvenile survival, fecundity, and age at reproductive matu
Relationships and dates divergence of living primate group based on molecular and DNA comparisons. Relationships and dates divergence of living primate group based on molecular and DNA comparisons.
Plan and exterior, San Vitale, Ravenna. Plan and exterior, San Vitale, Ravenna.
Computationally assembled model of the TFIIA–TBP–TFIIB–promoter complex based on crystal Computationally assembled model of the TFIIA–TBP–TFIIB–promoter complex based on crystal
National Patient Safety Goals for Acute-Care Hospitals National Patient Safety Goals for Acute-Care Hospitals
A clone-by-clone, or map-based A clone-by-clone, or map-based
Video: Blood Pressure Measurement

For a complete list of videos, visit our video library