Managed Care Concepts Facilitates the Processing of Medical Claims for Organizations

question 112

Multiple Choice

Managed Care Concepts facilitates the processing of medical claims for organizations, such as government agencies, whose employees are injured while performing their jobs. The company does not actually process the claims. Instead, it coordinates the work of customer service personnel, nurses, physicians, case managers, and pharmacists who work for other companies and have some role to play in the processing of an injured worker's claim. Managed Care Concepts relieves its clients of the burden of processing their own injured worker claims and can usually save the organizations a significant amount of money. Managed Care Concepts operates like a:

• A) Merchant wholesaler.
• B) Manufacturer's agent.
• C) Virtual Corporation.
• D) Manufacturer.
• E) None of the above.

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Definitions:

Supply Management

The process of managing the acquisition of goods and services for an organization, focusing on optimizing cost, quality, and delivery.

Decrease Costs

The process or strategy of reducing the amount of money required for operations, production, or other activities within an organization.

Increase Revenues

The process of enhancing the income generated by a business through either increased sales, improved pricing strategies, or expanding market reach.

Manufacturing Organizations

Companies engaged in the production of goods through the use of labor, machines, tools, and chemical or biological processing or formulation.