AHM-530 Exam Dumps : Network Management

Must provide Medicare participants with standard HMO benefits, as well as with limited long-term care benefits

Does not need as great a variety of provider types or as complex a reimbursement method as does a traditional HMO

Receives a payment that is based on reasonable costs and reasonable charges

Most likely provides fewer supportive services than does a traditional HMO, because one of Bruin's goals is to minimize the use of community-based care

Provide a directory of contracted providers

Help providers and their staffs develop methods of improving the operation of their practices

Provide feedback to providers regarding their performance

Reinforce and document contractual provisions

workers' compensation coverage is available to all employees, regardless of their eligibility for health insurance coverage

indemnity benefits currently account for less than 10% of all workers' compensation benefits

workers' compensation programs in most states require eligible employees to obtain medical treatment only from members of a provider network

workers' compensation programs include deductibles and coinsurance requirements