The Contract Provision That States a Physician Cannot Seek Payment

question 79

Multiple Choice

The contract provision that states a physician cannot seek payment from a patient under a managed care contract in relation to any benefit penalties that were applied based on a utilization review decision is:

• A) no fault.
• B) hold harmless.
• C) stoploss coverage.
• D) liability.

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Definitions:

Flooding

a behavioral therapy technique used to treat phobias and anxiety disorders by exposing the patient to their fear at its most extreme intensity, without any gradual build-up.

Paradoxical Intent

A therapeutic technique where individuals are encouraged to engage in or intensify their feared behaviors, often leading to a decrease in the feared symptom's intensity.

Aversion Therapy

A form of psychological treatment using negative stimuli to reduce or eliminate unwanted behaviors or attractions.

Modeling

The process of learning by observing and imitating the behavior of others.