Multiple Choice
An agreement between an HMO and CMS to provide services to Medicare beneficiaries under which the health plan receives a monthly payment for enrolled Medicare members and must then provide all services needed is called a(n) ____________________________.
A) resource utilization guarantee
B) enrollment agreement
C) capitation agreement
D) risk contract
Correct Answer:
Verified
Correct Answer:
Verified
Q37: Match each description with the correct item<br>-
Q38: List three typical items on a long-term
Q39: Contracted providers, such as physical therapists, bill
Q40: The duration of skilled nursing facility Medicare
Q41: Describe two circumstances in which a facility
Q43: The _ (is/are) a core set
Q44: _ is a transitional type of care
Q45: Substantial noncompliance and substandard quality of care
Q46: _ are fines levied by the federal
Q47: Match each description with the correct item<br>-