Multiple Choice
Determining which insurance is the primary payer and assuring that no more than 100 percent of the charges are paid to the provider and/or reimbursed to the patient is called ______________.
A) capitation
B) coinsurance
C) gatekeeping
D) coordination of benefits
Correct Answer:
Verified
Correct Answer:
Verified
Q15: ?Describe three criteria involved with credentialing.
Q16: A core set of standard performance measures
Q17: A _ is a mechanism by which
Q18: An MCO is built on contracted relationships.
Q19: Match each description with the correct item<br>-
Q21: A managed care organization (MCO) that undergoes
Q22: The managed care primary care provider (PCP)
Q23: Ensuring that a provider is not
Q24: One aspect of Medicare managed care is
Q25: Capitation is the payment of a fixed