A managed care contract that involves payment through capitation provides incentives for physicians to emphasize preventive care.
Indicate whether this statement is true or false.
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Q. 2) Under managed care contracts, the patient's choice of providers is usually more extensive than in traditional fee-for-service.
Indicate whether this statement is true or false.
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Q. 3) The U.S. healthcare system can no longer accommodate unlimited demand for medical services.
Indicate whether this statement is true or false.
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Q. 4) Discounted fee-for-service arrangements can discourage a provider from ordering multiple tests and providing a higher level of services.
Indicate whether this statement is true or false.
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Q. 5) Managed care contracts never prohibit the provider from seeking payment directly from plan members.
Indicate whether this statement is true or false.
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Q. 6) A policyholder in a managed care contract is also called a member or enrollee.
Indicate whether this statement is true or false.
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Q. 7) The healthcare professional in a medical practice or billing office who is responsible for submitting insurance claims may be known as a medical office specialist.
Indicate whether this statement is true or false.
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Q. 8) The Patient's Bill of Rights was adopted in 1998 by the:
A. National Committee for Quality Assurance (NCQA).
B. Centers for Medicare and Medicaid Services (CMS).
C. U.S. Advisory Commission on Consumer Protection and Quality in the Health Care Industry.
D. U.S. Surgeon General.
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Q. 9) Types of payment arrangements in managed care contracts include discounted fee-for-service, per diem, per case, percentage of premiums, and capitation.
Indicate whether this statement is true or false.
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Q. 10) Providers are not required to sign a contract with a managed care plan to become part of the plan's provider network.
Indicate whether this statement is true or false.
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