When the practice decides to participate in a health care plan, it must follow the rules of the contract. Which is not one of the points to consider?
A) quality assurance/utilization review
B) acceptance of plan members
C) covered services
D) how many employees the facility must have
Correct Answer:
Verified
Q35: Participating provider's local BCBS plan is called
Q36: _ is BCBS plan in the subscriber's
Q37: _ is BCBS consumer-driven health plan that
Q38: The types of services that the provider
Q39: The payer's process for determining medical necessity
Q41: What is protection against large losses or
Q42: Nonemergency surgical procedure is called _.
A) discretionary
Q43: What determines whether a participating provider can
Q44: What is an organization hired by a
Q45: _ is preauthorization for hospital admission or
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