Question

Span 17) Juan belongs to a managed care plan. He wants to make an appointment with an out-of- network specialist. The plan has approved the appointment as out-of-network. What should Juan expect? The front office of the out-of-network specialist will delay and obstruct the making of the appointment The patients out-of-pocket costs for the out-of-plan appointment will be equal to the out- of pocket costs for inplan care because the prior notification was completed. The patient's out-of-pocket costs will be increased The patient can permanently transfer his or her care to the out of plan specialist because the appointment was approved. 18) What is the term that means evaluating for a healthcare service the appropriateness of its setting and its level of service? ) Coordination of service Utilation review Outcomes assessment Managed care 191 For what type of care should the physician practice manager expect to work with a case mana ? os Well-baby check O acute appendictis Workers compensation MacBook Air aps lock N

Answer 1

19.

The practice manager is the one who have role to hier, recruit, and work for staff and workers, the case manager is the individual hiring and recruiting specialised healthcare staff. The situation or event when both these professionals will work together is during discussion of and providing or dealing with workers compensation.

Therefore, wokrer's compensation is right anser.

(Please create individual order for all the questions)