The BBA of 1997 specifies the ways in which a Medicare+Choice plan can establish and use provider networks. A Medicare+Choice plan that operates as a private fee for service (PFFS) plan is allowed to:
A.
limit the size of its network to the number of providers necessary to meet the needs of its enrollees
B.
require providers to accept as payment in full an amount no greater than 115% of the Medicare payment rate
C.
refuse payment to non-network providers who submit claims for Medicare-covered expenses
D.
shift all risk for Medicare-covered services to network providers
Currently there are no comments in this discussion, be the first to comment!
This section is not available anymore. Please use the main Exam Page.AHM-530 Exam Questions
Log in to ExamTopics
Sign in:
Community vote distribution
A (35%)
C (25%)
B (20%)
Other
Most Voted
A voting comment increases the vote count for the chosen answer by one.
Upvoting a comment with a selected answer will also increase the vote count towards that answer by one.
So if you see a comment that you already agree with, you can upvote it instead of posting a new comment.
Comments