An adjustment is considered to be:
a. A pay raise
b. A write off
c. The reprocessing of a claim
d. A mistake
Question 2
Which of the following is true about a health maintenance organization plan?
a. It is a type of prepayment plan in which providers agree to charge members for their services in accordance with a fixed schedule of rates.
b. The HMO member (insured) usually pays an unspecified copayment at the time the service is rendered.
c. The patient and the doctor are usually involved in having to complete the claim forms for submission to a payer.
d. The HMO is billed directly, or the HMO pays a yearly retainer fee (capitation) to the physician for membership plus other specified fees.
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