According to Some Contract Terms, If an MCO Does Not

question 24

Multiple Choice

According to some contract terms, if an MCO does not pay a claim within the time limit specified in the contract, the provider may be able to:

• A) bill the patient directly.
• B) charge the usual and customary fee instead of the discounted fee.
• C) take legal action against the MCO.
• D) terminate the MCO contract after filing a written notice of intention.

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Definitions:

Financialization

The increasing influence of financial markets, institutions, and motives in the economy, affecting decision-making in businesses and governments.

Goods And Services

Goods are physical items that are sold or exchanged, while services are intangible activities or benefits that are provided.

Trade Barriers

Measures implemented by governments to restrict or control the exchange of goods and services across borders, such as tariffs and quotas.

Inefficient Industry

An economic sector that fails to utilize resources optimally, resulting in lower productivity and output.