Determining which insurance is the primary payer and assuring that no more than 100 percent of the charges are paid to the provider and/or reimbursed to the patient is called ______________.
A) capitation
B) coinsurance
C) gatekeeping
D) coordination of benefits
Correct Answer:
Verified
Q1: Medicare Advantage (formerly Medicare + Choice)
Q2: A core set of standard performance measures
Q4: The amount of medical expenses that insureds
Q5: One aspect of Medicare managed care is
Q6: The managed care primary care provider (PCP)
Q7: Individuals who are the primary recipients
Q8: The spouse or child of the
Q9: Mid-level providers are often used in managed
Q10: A managed care organization (MCO) that undergoes
Q11: The authorization to receive a specific
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