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Managed Care Nursing

Category - Healthcare Economics

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Identify the basic steps a provider should take regarding MCO contracts.

Understand there is usually no room for negotiation of terms or provisions
Understand claims submission and payment methods
Avoid signing any MCO contracts

Explanation

Answer: A and B-Basic steps a provider should take regarding negotiations of MCO contracts include understanding the terms and provisions, claims submission and payment methods. The provider should also understand that there is always room for negotiation as mutual respect is a critical point of contractual relationships.

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Managed Care Nursing

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Managed Care Nursing

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