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NEW QUESTION: 1
HOTSPOT
Answer:
Explanation:
NEW QUESTION: 2
One difference between a fee-for-service (FFS) reimbursement arrangement and capitation is that the FFS arrangement:
A. Is most often used by health plans to reimburse healthcare facilities, whereas capitation is most often used by health plans to reimburse specialty care providers
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C. Is a prospective payment system, whereas capitation is a retrospective payment system
D. Has a potential to induce providers to underutilize medical resources, whereas capitation does 71 not have this potential disadvantage
Answer: B
NEW QUESTION: 3
If a CPL rule is not part of a policy layer, when is it processed?
A. Before any layers are processed.
B. After all layers are processed.
C. This cannot happen. All rules must be part of a layer.
Answer: B