Multiple Choice
Ensuring that a provider is not underutilizing services and compromising the health of managed care members or overutilizing services and creating unnecessary expense is ________________.
A) service regulation
B) financial supervision
C) enrollment managemen
D) economic credentialing
Correct Answer:
Verified
Correct Answer:
Verified
Q18: An MCO is built on contracted relationships.
Q19: Match each description with the correct item<br>-
Q20: Determining which insurance is the primary
Q21: A managed care organization (MCO) that undergoes
Q22: The managed care primary care provider (PCP)
Q24: One aspect of Medicare managed care is
Q25: Capitation is the payment of a fixed
Q26: The spouse or child of the
Q27: Per diem means "paid by the day
Q28: Match each description with the correct item<br>-