During the Differentiation Stage of the Industry Life Cycle, Dominant

question 34

True/False

During the differentiation stage of the industry life cycle, dominant firms emerge as weaker firms leave.

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Definitions:

Claim Submitted

The process of requesting payment from an insurance company for healthcare services provided.

Medicare-Approved Amount

The predetermined cost that Medicare determines as reasonable for a medical service or supply, which sets the limit on what Medicare will pay and what you may be billed.

Ambulatory Payment Classification

A system used by Medicare and other health insurance programs to pay for outpatient services on a fixed rate based on the diagnosis and procedure rather than individual services provided.

Adjudication

The legal process of resolving a dispute or deciding a case.