The PCP does not control access for patients or guide them through the services that they may need. They do not ensure that they are managing costs based on the plan guideline and network providers.
Correct Answer:
Verified
Q15: According to CMS, there are three categories
Q16: _ combine a high deductible MA plan
Q17: A(n) _ is a group plan that
Q18: The _ are MA plans offered to
Q19: The IPA is comprised of an organized
Q20: A POS plan is the fastest growing
Q22: A Prior Authorization (PA) is also considered
Q23: The Case Manager helps the patient identify
Q24: In contract management, if a plan or
Q25: NCQA is an accrediting entity as identified
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