If a Patient with Managed Care Insurance Must Be Referred

question 7

Multiple Choice

If a patient with managed care insurance must be referred to a specialist physician, what is the responsibility of the primary care physician's office?

• A) Nothing; the patient just makes an appointment with the specialist.
• B) To make the appointment with the specialist.
• C) To submit a referral form the managed care organization and obtain preauthorization for the referral.
• D) To notify the specialist so that the specialist's office can obtain preauthorization for a patient appointment.

---

Definitions:

Common Features

Attributes or characteristics that are shared among a group of objects, concepts, or phenomena.

Information Processing

A psychological approach studying the mind analogously to a computer, focusing on how information is perceived, processed, and stored.

Memory

is the mental capacity or faculty of retaining and retrieving information, experiences, and skills.

Cognition

Mental activity involved in understanding, processing, and communicating information.