Gatekeeping heavily depends on the services of a
A) primary care physician
B) case manager
C) disease consultant
D) nurse practitioner
Correct Answer:
Verified
Q14: Closed-panel plan.
A)No new physicians can be added
Q15: Prospective utilization review includes
A)precertification
B)discharge planning
C)review of medical
Q16: Gatekeeping _ secondary care services.
A)bypasses
B)encompasses the delivery
Q17: What is the purpose of risk sharing
Q18: Concurrent UR in a hospital will be
Q20: Cost-effective management of care for patients who
Q21: A network model HMO
A)employs its own network
Q22: Review of overutilization or underutilization is undertaken
Q23: What main disadvantage does an HMO have
Q24: Physicians are employees of the HMO.
A)Preferred providers
B)IPA
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