Question

Both university hospitals and not-for-profit have negotiated rates either through a preferred         provider or a...

Both university hospitals and not-for-profit have negotiated rates either through a preferred

        provider or a health maintenance organization. The fees are known as:

            A. Contractual Adjustments

            B. Renegotiated Fees

            C. Capitation Fees

            D. All of the above.

Homework Answers

Answer #1

Correct answer:

Option (B) or Renegotiated Fees is the correct answer because here the rates or fees are negotiated by the hospitals and not-for-profit through preferred provide or health Maintenance organization.

Incorrect answers:

Option (A) or Contractual Adjustments is incorrect answer because contractual adjustments is written off the patients medical bill by the hospital due the billing amount collectable from the insurance company.

Option(C) or Capitation Fees is the incorrect answer because  the university or educational institute collects the higher fees than the normal fees decided by the government or regal authorities.

So correct answer is option (B)

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
16. A pre-existing condition is a ______ one that is diagnosed before a person obtains health...
16. A pre-existing condition is a ______ one that is diagnosed before a person obtains health insurance. A) acute B) fatal C) chronic D) serious 17. A ______ organization provides health care at its own facilities for a fixed monthly fee. A) health maintenance B) private provider C) health management D) preferred provider 18. A group of doctors/hospitals that agree to provide specified medical services to members at prearranged fees is: A) preferred provider organization B) primary care organization C)...
Some managed care plans use physicians, hospitals, and health care organizations that agree to make medical...
Some managed care plans use physicians, hospitals, and health care organizations that agree to make medical services available to insureds at discounted fees. Insureds are not required to use these entities, but if they do, health care costs are less than if these entities are not used. Such health care organizations are called: A. Preferred Provider Organizations (PPOs) B. Health Maintenance Organizations (HMOs) C. Blue Cross/Blue Shield Plans D. Health Savings Accounts ( HSAs)
Forecasts tend to be: a. short-term. b. focused on making either profit or cash flow projections....
Forecasts tend to be: a. short-term. b. focused on making either profit or cash flow projections. c. filled with supporting documentation. d. Both a & b e. All of the above Budgets are usually: a. short-run supplements to the strategic plans. b. quarterly updates to the annual operating plans. c. especially important in stable industries. d. usually done in great detail by small businesses. Effective annual rates decrease as ____ decrease: a. annual percentage rates b. number of compounding periods...
Generally, the return on an equity investment is higher than the return on debt or preferred...
Generally, the return on an equity investment is higher than the return on debt or preferred stock because: a. equity risk is higher b. people are more willing to invest in debt c. the cost of preferred stock is usually between the cost of debt and that of equity d. all the above Although the money paid to investors is both the firm's cost and the investors return, a. certain adjustments prevent the effective cost and return from being the...
I am insurance that provides for living and illnesses generally associated with nearing end-of-life, which frequently...
I am insurance that provides for living and illnesses generally associated with nearing end-of-life, which frequently have my policyholders being in assisted living or a nursing home. Who am I?   a. term life insurance b. long-term care insurance c. Medicare d. managed care health plan e. whole life insurance Which type of health insurance policy typically consists of coverage of 80%, or similar, of expenses after meeting an annual deductible? a. a Preferred Provider Organization (PPO) plan b. a Health...
QUESTION 11 Either, or both, parties to a contract may be reckless or goofy and still...
QUESTION 11 Either, or both, parties to a contract may be reckless or goofy and still have __________. A. an unenforceable contract. B. contractual capacity C. no preexisting obligations D. voidable options 4 points    QUESTION 12 When either, or both, parties to a contract have no contractual capacity, their contracts are __________. A. void B. valid C. voidable D. executionary 4 points    QUESTION 13 Which one of the following individual's contracts are voidable? A. A five-year old. B....
You are a professor at the local University, through which you are insured for health care...
You are a professor at the local University, through which you are insured for health care coverage through the University’s group plan with a Health Maintenance Organization. Your experience so far has been pretty good: you once fractured your clavicle and went to the urgent care clinic owned by the HMO. Your partner, who suffers from rheumatoid arthritis, is seen by her rheumatologist at the HMO’s group practice. Your son, Juanito, was in a car accident last year about 90...
I'm an example of a basic, core health plans for households. I fall in the category...
I'm an example of a basic, core health plans for households. I fall in the category of managed care, but generally provide some coverage for people who see medical service providers (e.g. doctors, hospitals) outside of my defined network. More specifically, I offer "two-tiered" coverage, a greater amount for seeing providers within the network but some coverage for those out of network. Who am I? a. a Whole Life (WL) plan b. a Term Life (TL) plan c. a Health...
A disadvantage of both proprietorships and partnerships is that a. in each, profit is taxed twice,...
A disadvantage of both proprietorships and partnerships is that a. in each, profit is taxed twice, as the income of the firm and the income of the owners. b. the owners cannot hire managers to help run the firms. c. the firms cannot pay dividends. d. the owners have unlimited liability for the debts of the firms. ____   27.   A corporation's income is taxed a. immediately after it is deposited in the bank. b. only before it is distributed to...
Assuming that an investor is aggressive and believes that interest rates will be declining, what type...
Assuming that an investor is aggressive and believes that interest rates will be declining, what type of bond would be best suited? a. short term; high coupon b. short term; low coupon c. long term; high coupon d. long term; low coupon e. None of the above—this is trick question because prices of bonds would fall Which of the following statements is incorrect? a. Bonds selling for a premium will have a negative capital gains yield. b. Bonds selling for...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT