Which of the Following Statements About Major Medical Insurance Policies

question 36

Multiple Choice

Which of the following statements about major medical insurance policies that reimburse physicians on the basis of reasonable and customary charges is (are) true?
I.To determine if a fee for a medical procedure is reasonable and customary,it is compared to what other physicians in the same area charge for the procedure.
II.A schedule of surgical procedures and dollar amounts payable is included in the policy and all surgeons are paid the scheduled amount for the same procedure.

• A)I only
• B)II only
• C)both I and II
• D)neither I nor II

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Definitions:

Power mongering

The practice of seeking to acquire and maintain an excessive amount or concentration of power, often for selfish or corrupt purposes.

Subordinated people

Individuals or groups that are placed in a lower rank or position, often facing social, economic, or political inequalities compared to dominant groups in society.

Legitimacy

The recognized right or acceptance of an authority, rule, or agreement as valid and proper.

Authority

The legitimate or socially approved use of power within a given role, institution, or situation.