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Author Question: Under a discounted fee-for-service arrangement, covered services are compensated at a: A. ... (Read 23 times)

magmichele12

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on: Jun 27, 2018
Under a discounted fee-for-service arrangement, covered services are compensated at a:
 
  A. discounted per-diem rate.
  B. per-member-per-month rate.
  C. reduced percentage of usual and customary charges.
  D. reduced per-case rate.

Question 2

MCOs develop a network by contracting with:
 
  A. physicians.
  B. facilities.
  C. pharmacies.
  D. all of the above.
Comprehensive Health Insurance: Billing, Coding, and Reimbursement ¦ Vines, Braceland, Rollins, Miller ¦ 3rd Edition
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kilada

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

Answer: reduced percentage of usual and customary charges.

Answer to Question 2

Answer: all of the above.


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