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What else can I help you with?
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).
What model HMO dircetly employs the physicians?
The model of Health Maintenance Organization (HMO) that directly employs physicians is known as a "staff model HMO." In this structure, the HMO hires its own physicians as employees, providing them with a salary and benefits. This allows for greater control over the quality of care and services offered, as well as streamlined communication among healthcare providers within the organization. Staff model HMOs typically have their own facilities and may limit patients to services provided within their network.
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
What is a group model HMO?
A Group Model HMO (Health Maintenance Organization) is a type of managed care plan where the HMO contracts with a multi-specialty group practice to provide healthcare services to its members. In this model, the HMO pays the group practice a fixed per-member fee, and members typically receive care exclusively from the providers within that group. This structure encourages coordinated care and cost management while promoting preventive services. Group Model HMOs often focus on delivering comprehensive services, including primary care and specialist access, under one roof.
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.
Can you contract pink eye from direct eye contact with someone who has the infection?
Yes, you can contract pink eye from direct eye contact with someone who has the infection.
