Health and Life Insurance

Category - Theory

Why would a provider agree to be part of a preferred provider organization?
  1. Guaranteed payment and potential increase in patients
  2. Increased fees for services offered
  3. Being able to limit the services they offer
  4. Guaranteed number of patients each month
Explanation
Answer: A - A provider might agree to be part of a preferred provider organization because of the guaranteed payments and the potential increase in patients. As part of a preferred provider organization, a selected group of independent hospitals and medical practitioners agree to provide a range of services for a particular area at a prearranged cost. Charges for medical services are agreed upon and are generally less than the provider would charge non-PPO patients. Providers that are part of a PPO are paid as fee-for-service.

Theory
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