A managed care organization that meets TJC or AAAHC standards is deemed to meet NCQA standards.
Correct Answer:
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Q18: Medicare managed care plans receive payments under
Q19: Preventive care and wellness are a central
Q20: In the staff model HMO, the HMO
Q21: The Clinical Laboratory Improvement Amendments (CLIA) require
Q22: Coordination of benefits (COB) allows excess reimbursement
Q24: The managed care organization (MCO) produces its
Q25: A provider's panel is the group of
Q26: Capitation is the payment of a fixed
Q27: The MCO negotiates per diem rates with
Q28: A fee schedule is a predetermined rate
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