AHM-530 Exam Dumps : Network Management

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

A discounted fee-for-service (DFFS) system is usually easier for a health plan to administer than is a fee schedule system.

A case rate payment system offers providers an incentive to take an active role in managing cost and utilization.

One reason that health plans use a relative value scale (RVS) payment system is that RVS values for cognitive services have traditionally been higher than the values for procedural services.

One reason that health plans use a resource-based relative value scale (RBRVS) is that this system includes weighted unit values for all types of procedures.

20%, and therefore this arrangement puts her at substantial financial risk

20%, and therefore this arrangement does not put her at substantial financial risk

25%, and therefore this arrangement puts her at substantial financial risk

25%, and therefore this arrangement does not put her at substantial financial risk