Author Question: A contract between an HMO and CMS to provide services to Medicare beneficiaries, under which the ... (Read 63 times)

Beheh

  • Hero Member
  • *****
  • Posts: 520
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

  • Sr. Member
  • ****
  • Posts: 363
Answer to Question 1

a risk contract

Answer to Question 2

commercial insurance

Answer to Question 3

Resource utilization groups (RUGS)



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

Did you know?

In 1864, the first barbiturate (barbituric acid) was synthesized.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

For a complete list of videos, visit our video library