The Provider Contract That Dr

question 54

Multiple Choice

The provider contract that Dr. Huang Kwan has with the Poplar Health Plan includes a typical scope of services provision. The medical service that Dr. Kwan provided to Alice Meyer, a Poplar plan member, is included in the scope of services. The following statement(s) can correctly be made about this particular medical service:

• A) Dr. Kwan most likely was required to seek authorization from Poplar before performing this particular service.
• B) Dr. Kwan most likely was paid on a FFS basis for providing this service.
• C) Both A and B
• D) A only
• E) B only
• F) Neither A nor B

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Definitions:

Trigeminal

Referring to the trigeminal nerve, which is the fifth cranial nerve responsible for sensory data from the face and motor functions such as biting and chewing.

Facial

Pertaining to the face, often used in the context of treatments or expressions designed to enhance or care for facial appearance.

Tension Headaches

A common type of headache characterized by a feeling of tightness around the forehead, scalp, or neck, often attributed to stress or muscle strain.

Temples

The region on each side of the head, behind the eyes, which contains muscles used in chewing, and is susceptible to tension headaches.