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The direct contract model HMO is similar to an IPA except the HMO contracts directly with the individual physicians. The HMO recruits a variety of community healthcare providers, including PCPs and specialists.
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What is a prepaid group practice model?
According to the text book "Medical Billing and Insurance Coding"-Fordney and French.... "The prepaid group practice model delivers services at one more locations thru a group of physicians who either 1.contract thru the HMO to provide care or 2. are employed aby the HMO........."
What health plans limits your choice of doctors to those under contract with the plan?
hmo
What are the four types of HMO's?
the Staff Model, Group Model, Network Model, and the Independent Practice Association (IPA).
Our practice is considering not filing secondary insurance claims. Are there consequences to the practice?
Yes, if you are contracted with the secondary payor, PPO contract, HMO contract, etc, you are bound by your contract to bill the plan
Is Medicare an HMO?
No, Medicare is a Fee For Service Program, but doctors must contract with Medicare to treat Medicare patients
Which model lets officers contract independently with permission?
the Officer Contract Model
Can a noncontracted hmo provider bill a patient?
AnswerYes. "Non-contracted" means there is no contract with the insurance company to prevent the doctor from billing whatever he likes.
where can I get hmo insurance plan ?
If you are employed you can get your HMO through your employer. You can also get an HMO if you are not employed, however it will cost you more since an HMO is a shared cost among many people in the company.
What is the difference between an HMO and a MCO?
Difference between HMO (Health Maintenance Organization) and MCO (Managed Care Organization) is that in HMO where the insurance creates an network of providers termed PCPs (Primary Care Physicians), but in the case of MCO the health care provider or group of medical service provider who contract with insurers or self-insured employers to provide the wide variety of managed helath care services.
Is natalia vodianova Victoria secret's model?
Not as far as anyone knows. She just signed a three year contract with a French lingerie label, Etam. Depending on the terms of the contract, she may not be allowed to work for Victoria's Secret, which would be in direct competition with Etam.
Who can apply for HMO insurance?
Anyone who can afford the payments can apply for HMO insurance. Many people can apply for HMO insurance through their employer. People can even get HMO insurance themselves and be self-insured.
What type of insurance is HmO?
Health insurance. HMO = Health Maintenance Organization.
