An employee who is injured on the job must receive care from a provider selected by the workers' compensation carrier.
Correct Answer:
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Q26: Capitation is the payment of a fixed
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
Q32: Per diem means "paid by the day
Q33: An MCO is built on contracted relationships.
Q34: A(n) _ is a Medicare pilot payment
Q35: _ are disease groupings based on ICD
Q36: Match each description with the correct item
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