Question

Which administrative procedure should a medical practice follow when it contracts with a managed care organization (MCO)?

a. conduct patient interviews for the MCO entity.

b. discontinue additional paperwork for specialist.

c. employ case managers to monitor services provided to patients.

d. maintain a separate bookkeeping systems for each capitated plan.

Answer 1

Managed care is a group of activities that aim at providing quality care at a low cost . Managed Care Organization is continuum of groups that uses different models of practice. While some consists of physicians, others are made of  group of health care providers, including the hospitals or clinics, physicians and labs, who work together to meet the health needs. They provide a range of managed health care services to the enrolled members through several means like preventive medicine and patient education and there by keeps the expenses low.

Answer is C: employ case managers to monitor services provided to patients.

Hospitals under MCO needs to appoint certified physicians to operate their programs as well as to review the services provided to patients by such hospitals.