Answer the following statements true (T) or false (F)
1) 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.
2) A policyholder in a managed care contract is also called a member or enrollee.
3) Providers are not required to sign a contract with a managed care plan in order to become part of the plan's provider network.
4) Types of payment arrangements in managed care contracts include discounted fee-for-service,
per diem, per case, percentage of premiums, and capitation.
5) Managed care contracts never prohibit the provider from seeking payment directly from plan
members.
1. TRUE
2. TRUE
3. FALSE
4. TRUE
5. FALSE
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A) Empirical observations B) Clinical trials C) Scientific trials D) Research observations
In which case has no wrong time error occurred?
A) Nurses are talking at the central station and don't hear the patient ring the buzzer. B) A new patient is brought to the unit, taking staff attention from other patients. C) The patient is in the bathroom when the nurse brings the medication, so she leaves to attend to other patients. D) The patient is on a different floor of the facility for an MRI when the medication dose is due.
Privacy can be violated by which of the following activities?
A. Drawing the curtain. B. Opening the privacy curtain without warning. C. Knocking before entering the room. D. Speaking before opening the privacy curtain.
A(n) ________ illness is one for which the cause is unknown.
Fill in the blank(s) with the appropriate word(s).