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A third-party administrator administers benefits for a self-funded group, but is not considered a ma

Question
Answered step-by-step
Asked by DoctorFlower7944

A third-party administrator administers benefits for a self-funded group, but is not considered a managed care organization even though they function in similar ways.

Question 1 options:

  True
  False

 

Question 2 (1 point)

 

 

 

 

 

 

 

 

 

Board members have duties required by the bylaws of the organization. Which of the following would NOT be a duty of a board member?

Question 2 options:

 

To not have conflicts of interest

 

Maintain records of decisions indefinitely

 

Attend meetings regularly

 

Vote in the best interest of the organization

 

Question 3 (1 point)

 

 

 

 

 

 

 

 

 

A withhold in a capitated environment provides for a deduction in the primary care providers payment to cover cost overruns in the risk pool and may be returned if not used by the end of the year.

Question 3 options:

  True
  False

 

Question 4 (1 point)

 

 

 

 

 

 

 

 

 

In contracting with a managed care organization it is well to consider the main objectives derived from state and federal law before negotiating the desirable issues.

Question 4 options:

  True
  False

 

Question 5 (1 point)

 

 

 

 

 

 

 

 

 

Which of the following priorities of the HITECH Act of 2009 is NOT correct?

Question 5 options:

 

Improving safety and reducing disparity

 

Improve care coordination between providers

 

Reduce need for care knowledge among family members

 

Promote security of medical records

 

SCIENCE
HEALTH SCIENCE
NURSING
HCM 3020

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