A Health Care Provider Has Charged More Than a Managed

question 15

Multiple Choice

A health care provider has charged more than a managed care organization (MCO) typically pays for a procedure. Which of the following would most likely be the result?

• A) Provider may be removed from the MCO's list of approved providers.
• B) The MCO will re-examine the payment for that procedure.
• C) Provider would get the typical payment instead of what was charged.
• D) The MCO would be forced to increase its typical payment for that procedure.

Calculate the financial outcomes based on accounts receivable and accounts payable periods.

Recognize different forms of short-term financing and their implications for financial planning.

Understand the methods of administration and components of standardized intelligence tests.

Comprehend the different theories of intelligence, including Sternberg's triarchic theory and Spearman's theory.

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Definitions:

Bonds Payable

A long-term debt instrument issued by a company to investors, representing the amount it is obligated to pay back with interest.

Fair Value

A market-based measurement that reflects the amount for which an asset could be exchanged or a liability settled between knowledgeable, willing parties.

Pre-Tax Profit

The profit earned by a business before any tax is deducted.

Intercompany Sales

Transactions of goods or services between divisions or subsidiaries within the same parent company.