Answer the following statements true (T) or false (F)

1. In order to receive National Committee for Quality Assurance (NCQA) accreditation, a
managed care organization (MCO) must demonstrate that it has a thorough credentialing process.
2. A medical office specialist cannot be held liable for fraudulent billing practices if told to do so
by a physician.
3. Patients are typically very familiar with their health plan benefits when discussing claims
issues with the medical office specialist.
4. Determination of which of two or more health plans will provide benefits as primary or
secondary payer is known as coordination of benefits.
5. The Patient's Bill of Rights under the Affordable Care Act put an end to insurance companies
limiting choice of doctors.


1. TRUE
2. FALSE
3. FALSE
4. TRUE
5. TRUE

Health Professions

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