IN 1982, The Tax Equity and Fiscal Responsibility Act makes it easier and more attractive for HMOs to contract with the Medicare program. NCQA The National Committee for Quality Assurance established.
| Question | Answer |
|---|---|
| 23. When a physician agrees to accept a payment directly form the payments insurer, its called | C. assignment of benefits |
| 24. In 1982, which one of the following choices made it easier for HMOs to work with Medicare? | D. TEFRA |
What was the main purpose of the HMO Act of 1973 quizlet?
The Health Maintenance Organization Act of 1973 was designed to provide an alternative to the traditional fee-for-service practice of medicine. It was aimed at stimulating the growth of HMOs by providing federal funds to establish new HMOs.
Which one of the following choices can increase costs in managed care?
Medical Billing and CodingQuestionAnswerWhich one of the following choices can increase costs in managed care? A) Point of sercive care B) Referrals C) Preauthorizations D) CoinsuranceC) PreauthorizationsA regularly scheduled payment made to purchase an insurance policy is known as the ____Premium91 more rows
Do HMOs encourage early treatment?
By reducing out-of-pocket costs and paperwork, HMOs encourage members to seek medical treatment early, before health problems become severe. Additionally, many HMOs offer health education classes and discounted health club memberships.
Why was managed care developed do you think managed care is a good way to provide health care services Why or why not?
The primary advantage of managed care is that it provides health care solutions for people whenever they want to speak with a medical provider. Immediate services can be rendered, allowing people to take their care into their own hands with a reasonable level of certainty.
What is managed care what are some of the benefits of managed care what are some of the disadvantages?
Benefits of managed care include patients having multiple options for coverage and paying lower costs for prescription drugs. Disadvantages include restrictions on where patients can get services and issues with finding referrals.
What is the advantage of HMOs?
Advantages of HMO plans Lower monthly premiums and generally lower out-of-pocket costs. Generally lower out-of-pocket costs for prescriptions. Claims won't have to be filed as often since medical care you receive is typically in-network.
What did the HMO Act of 1973 accomplish?
The Health Maintenance Organization (HMO) Act of 1973 provided for a Federal program to develop alternatives to the traditional forms of health care delivery and financing by assisting and encouraging the establishment and expansion of HMOs.
Which of the following is a main feature of the HMO Act of 1973?
The HMO Act of 1973 authorized $375 million over a five-year period to encourage development of HMOs, through direct financial assistance in the form of grants and contracts, loans and loan guarantees.
Question
Dr. Smith doesn't want to handle the claims process at her office. Instead, she'll probably use a
Question
Dr. Smith doesn't want to handle the claims process at her office. Instead, she'll probably use a