Examlex
Which of the following is an advantage of a mixed organization structure?
Preauthorization
Authorization or approval for payment from a third-party payer requested in advance of a specific procedure.
Third-party Payer
An entity (usually an insurance company or government agency) that pays medical expenses on behalf of the patient.
Elective Procedure
A medical procedure that is not required to sustain life but is requested for payment to the third-party payer by the patient or physician. Some elective procedures are paid for by third-party payers, whereas others are not.
Predetermination
The act of deciding or establishing something in advance or having a predetermined outcome.
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