Practice Quiz

Managed Care Nursing

Category - Healthcare Economics

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Which of the following statements are accurate regarding essential provisions a provider would want to see in a MCO contract to ensure efficient methods for claims submission and payments?
  1. Interest amount for late payment on claims
  2. MCO payment timeframe upon receipt of claim
  3. Provider submission timeframe from date of service
  4. All of the above
Explanation
Answer: D- The following essential provisions would ensure efficient methods for claims submission and payments: Interest amount for late payment on claims, MCO payment timeframe upon receipt of claim, and provider submission timeframe from date of service.
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