According to some contract terms, if an MCO does not pay a claim within the time limit specified in the contract, the provider may be able to:
A) bill the patient directly.
B) charge the usual and customary fee instead of the discounted fee.
C) take legal action against the MCO.
D) terminate the MCO contract after filing a written notice of intention.
B) charge the usual and customary fee instead of the discounted fee.
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Which of the following statements is not true regarding scheduling hospital services and admissions?
A) The hospital admitting department must be contacted to schedule admission. B) The patient's insurance carrier must be called to get authorization. C) Instruction sheets and check-in procedures are given to the patient. D) The physician calls the insurance company to get an authorization number.
Which of the following automatic feed systems are used to regulate water levels when using a humidifier with a continuous feed system?
1. Leveling reservoirs 2. Flotation controls 3. Optical sensors a. 2 and 3 only b. 1 and 2 only c. 1, 2, and 3 d. 1 and 3 only