A durable medical equipment business offers to pay a physical a specified amount for each referral. What statute would be violated with this agreement?

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

1 All health insurance contracts define medical necessity in the same way. 2) If a physician has ordered surgery for a patient, a managed care organization (MCO) case manager may disallow an inpatient stay if the MCO guidelines designate the procedure as best suited for outpatient care. 3) A goal of managed care is for the patient to receive care in the most appropriate and most restrictive setting. 4) A primary care physician (PCP) in a health maintenance organization (HMO) can be an OB/GYN. 5) An integrated delivery system (IDS) is a network of healthcare organizations under a parent holding company.

Often the primary molars will show a cusp-to-cusp (end-to-end) relationship called ____________________________ .

Fill in the blank(s) with the appropriate word(s).