ANSWERS WITH COMPLETE SOLUTIONS GRADED A+
Terms in this set (403)
A prescription drug There is an agreement between a
rebate occurs when: pharmacy benefit manager and a drug
manufacturer.
The concept Indemnification
designed to make
victims of losses
whole again reflect
the principle of:
The design of any What are the overall objectives of the plan.
employee benefit plan
should start with
deciding:
A peril as the term The cause of loss
,applies to the
insurance
mechanism is
defined as:
A healthcare plan Indemnity plan
that has no
restrictions on a
member's choice
of provider, no
"steerage," and no
basic utilization
management is known
as:
The legislation that Health Insurance Portability and Accountability
plays a fundamentally Act (HIPAA)
important role in
protecting sensitive
patient information
gathered during
,behavioral
treatment is:
A dental plan in Combination plan
which certain
procedures are
reimbursed on a
scheduled basis and
others are
reimbursed on a
nonscheduled basis
is called a(n):
Regarding return on Only consider the payback for the
investment (ROI) investor in terms of the money they get
evaluations and back for the money they put in.
calculations, ROI
evaluations usually:
A behavioral health a Managed Behavioral Health Care Organization
care carve-out (MBHO)
program usually
, operates under a
separate contract
and from a separate
company known as: