Answer the following statements true (T) or false (F)

1. Contracts between an MCO and the physician and healthcare facility will affect the patient and the provider, not the staff.
2. The list of covered medical services under an insured’s policy is called the schedule of benefits.
3. The necessity for change in healthcare is widely accepted.
4. To maintain professionalism, the medical office specialist should always use medical terms when discussing claims issues with a patient.
5. The Patient’s Bill of Rights is a written contract between the patient and the provider.

(False) (The contract affects all the physician’s staff.)
(True)
(True)
(False) (The medical office specialist should explain the procedures in layperson’s terms, as the patient may not understand the benefit or contractual terms.)
(False) (There is no written contract between the provider and the patient.)

Health Professions

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a. True b. False

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