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The Sweeney Health Plan Uses the Discounted Fee-For-Service (DFFS) Method

Question 48

Multiple Choice

The Sweeney Health Plan uses the discounted fee-for-service (DFFS) method to compensate some of its providers. Under this method of compensation, Sweeney calculates payments based on


A) The standard fees of indemnity health insurance plans, adjusted by region
B) The Medicare fee schedules used by other health plans, adjusted by region
C) Whichever amount is higher, the billed charge or the DFFS amount
D) Whichever amount is lower, the billed charge or the DFFS amount

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