Practice Quiz

Managed Care Nursing

Category - Overview

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Select the best answer(s) to describe the significance of compliance in managed care.

(Choose all that apply)
  1. Compliance is a set of standards, criteria and/or tools used by managed care agencies to adhere to federal and regulatory laws.
  2. Compliance to standards do not have a direct impact upon patient care or organizational budgets.
  3. Compliance standards help to support important healthcare and reimbursement standards.
Explanation
Answer: A and C - The significance of compliance in managed care is best described as a set of standards, criteria, and/or tools used by managed care agencies to adhere to federal and regulatory laws. They also help to support important healthcare and reimbursement standards.

In many cases, there can be critical healthcare and fiscal impacts when compliance adherence is out of line.
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