A contract between an HMO and CMS to provide services to Medicare ...

[Beheh]

A contract between an HMO and CMS to provide services to Medicare beneficiaries, under which the health plan receives a monthly payment for enrolled Medicare members, is known as __________.
 Fill in the blank(s) with correct word

Question 2

Which type of insurance often requests copies of the resident's medical record on a monthly basis to verify services rendered?

Question 3

___________ is a specific case-mix payment system used in a growing number of states for long-term care Medicaid reimbursement.
 Fill in the blank(s) with correct word

[snackralk]

Answer to Question 1

a risk contract

Answer to Question 2

commercial insurance

Answer to Question 3

Resource utilization groups (RUGS)