​What Is the Requirement to Generate a Referral for a Patient

question 78

Multiple Choice

​What is the requirement to generate a referral for a patient with a managed care insurance plan?

• A) ​Patient must first see his or her primary care provider (PCP).
• B) ​The PCP must generate a referral in order for the patient to see a specialist.
• C) ​The provider (or MA)must obtain verification of eligibility for services.
• D) ​All of the above.

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Definitions:

Observations

Data collected during an experiment or research, representing the values or attributes of variables of interest.

Percent

A way to express a number as a fraction of 100, symbolized by the percent sign (%).

Positively Skewed

A distribution shape where most data points cluster to the left, and the tail of the distribution extends far to the right.

Median

The median is the value separating the higher half from the lower half of a data sample, a population, or a probability distribution.