In the managed care industry, there are specific reimbursement concepts, such as "capitation." All of the following statements are true in regard to the concept of "capitation," EXCEPT

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Capitation means paying a fixed amount per member per month, and the volume and expense of services do not affect reimbursement. Therefore, statement A is false, as services are not paid based on actual charges in capitation. Statement B and C are true, and statement D is partially true, as capitation can involve a group of physicians or an individual physician.

In the Managed Care Industry, There Are Specific Reimbursement Concepts