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Author Question: In plans that require the primary care physician (PCP) to play a gatekeeper role, the PCP is given ... (Read 101 times)

mp14

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on: Jun 27, 2018
In plans that require the primary care physician (PCP) to play a gatekeeper role, the PCP is given incentives to:
 
  A. expand office hours and/or staff to permit more patients to be seen each day.
  B. make frequent referrals to contracted network specialists.
  C. see as many patients each day as possible, even if this means less time with each patient.
  D. treat the patient as much as possible and not refer him/her to a specialist unless absolutely necessary.

Question 2

RBRVS stands for:
 
  A. resource-based relative value scale.
  B. resource-based rates of valued services.
  C. rates by resources and value scale.
  D. relative buying rates for valued services.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
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Kimmy

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Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer: treat the patient as much as possible and not refer him/her to a specialist unless absolutely necessary.

Answer to Question 2

Answer: resource-based relative value scale.


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