Examlex
Which of the following is an example of an employer unfair labor practice?
Crossover Claim
A health insurance claim that is automatically transmitted from Medicare to a secondary insurer to process benefits after Medicare has paid its portion.
Accountable Care Organization
A healthcare organization that aims to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned population of patients.
Group Plan
A type of insurance policy or benefits system that covers multiple individuals, typically employees of a company or members of an organization, under one contract.
Prospective Payment System
A healthcare payment system used by Medicare in which hospitals and other providers are paid a predetermined fixed amount for each inpatient stay or service rendered, based on the expected costs of care.
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