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