How does risk adjustment affect payments to managed care plans?
a. Risk adjustment shifts risk from the payer to the MCO
b. Risk adjustment takes into account the enrollees' health status
c. Risk adjustment provides an incentive for improving quality
d. Risk adjustment reduces out-of-pocket costs for the enrollees
B
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What is the best location for assessing breath sounds in the pediatric patient?
A) Midaxillary region of the lungs B) Anteriorly at the apex of the lung C) Anteriorly at the base of the lung D) Posteriorly just below the scapula
All services or procedures coded must be: (Select all that apply)
A) performed by the provider who is billing for the charge. B) documented in the patient's medical record. C) covered under the patient's insurance. D) unbundled.
The ____ is used to examine the posterior wall of the eye.
A. ophthalmoscope B. stethscope C. otoscope D. tympanoscope
Of the following, which digestive system cancer is relatively rare?
A) Gallbladder B) Small intestine C) Parotid gland D) Salivary gland