Managed Care Concepts Facilitates the Processing of Medical Claims for Organizations

question 13

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 these.

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Definitions:

Susceptible

Easily influenced or harmed by something; having little resistance to a disease or condition.

Continuing Education

Education pursued after the completion of a primary learning program, aimed at professionals for skill enhancement and knowledge update.

Home-care Agency

An organization that provides health care and personal services to individuals in their homes.

Confidential

Information or matters that are meant to be kept private or secret, not disclosed to unauthorized individuals.