Third Party Reimbursement for Private Practitioners Has Changed Over Time

question 10

Multiple Choice

Third party reimbursement for private practitioners has changed over time from a _____ health care system to a _____ health care system.

• A) managed care system; fee for service
• B) capitated; utilization review
• C) fee for service; managed care
• D) preferred provider organization (PPO); health maintenance organization (HMO)

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Definitions:

Labour-Management Dispute

A conflict between employees, often represented by unions, and their employers regarding conditions of employment, wages, or workplace policies.

Neutral Third Party

An impartial person or entity involved in a conflict resolution or decision-making process to ensure fairness and objectivity.

Conciliation

A method of resolving disputes where a neutral third party helps the disputing parties reach a voluntary agreement.

Human Resource Department

A department within an organization that deals with the recruitment, management, and direction of the people who work in the organization.