One true statement regarding ethics and laws is that the values of a community are reflected in
One characteristic of the accreditation process for MCOs is that
One type of physician-only integration model is a consolidated medical group. Typical characteristics of a consolidated medical group include
Medicaid is a jointly funded federal and state program that provides hospital and medical expense coverage to low-income individuals and certain aged and disabled individuals. One characteristic of Medicaid is that
The following programs are typically included in TRICARE medical management efforts:
Natalie Chan is a member of the Ultra Health Plan, a health plan. Whenever she needs nonemergency medical care, she sees Dr. David Craig, an internist. Ms. Chan cannot self-refer to a specialist, so she saw Dr. Craig when she experienced headaches. Dr. Cr
Several marketplace factors helped fuel the movement toward consumer choice. Which one of the following statements is NOT accurate with regard to these factors?
Health savings accounts were created by which of the following laws:
After a somewhat modest start in 2004, enrollment in HSA-related health plans more than tripled in 2005, making them today’s fastest growing type of CDHP. As of January 2006, enrollment in HSAs had reached nearly:
In claims administration terminology, a claims investigation is correctly defined as the process of
