Capitation is the payment of a fixed dollar amount for each covered person for the provision of a predetermined set of health care services for a specific period of time.
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Q21: The Clinical Laboratory Improvement Amendments (CLIA) require
Q22: Coordination of benefits (COB) allows excess reimbursement
Q23: A managed care organization that meets TJC
Q24: The managed care organization (MCO) produces its
Q25: A provider's panel is the group of
Q27: The MCO negotiates per diem rates with
Q28: A fee schedule is a predetermined rate
Q29: The resource-based relative value scale (RBRVS) system
Q30: When a provider agrees to see
Q31: An employee who is injured on the
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